Brazilian Society of Otology task force - single sided deafness - recommendations based on strength of evidence.

Braz J Otorhinolaryngol

Universidade Estadual de Campinas (Unicamp), Faculdade de Ciências Médicas (FCM), Departamento de Otorrinolaringologia, Cirurgia de Cabeça e Pescoço, Campinas, SP, Brazil. Electronic address:

Published: September 2024

AI Article Synopsis

  • The goal of the study is to give good advice on how to treat Single-Sided Deafness (SSD) in both kids and adults.
  • Researchers looked at different studies and used certain systems to decide which treatments were the best.
  • They found that some devices can help improve hearing, but cochlear implants work best for many people, except in certain cases where the cochlear nerve is not working.

Article Abstract

Objective: To make evidence-based recommendations for the treatment of Single-Sided Deafness (SSD) in children and adults.

Methods: Task force members were instructed on knowledge synthesis methods, including electronic database search, review and selection of relevant citations, and critical appraisal of selected studies. Articles written in English or Portuguese on SSD were eligible for inclusion. The American College of Physicians' guideline grading system and the American Thyroid Association's guideline criteria were used for critical appraisal of evidence and recommendations for therapeutic interventions.

Results: The topics were divided into 3 parts: (1) Impact of SSD in children; (2) Impact of SSD in adults; and (3) SSD in patients with temporal bone tumors.

Conclusions: Decision-making for patients with SSD is complex and multifactorial. The lack of consensus on the quality of outcomes and on which measurement tools to use hinders a proper comparison of different treatment options. Contralateral routing of signal hearing aids and bone conduction devices can alleviate the head shadow effect and improve sound awareness and signal-to-noise ratio in the affected ear. However, they cannot restore binaural hearing. Cochlear implants can restore binaural hearing, producing significant improvements in speech perception, spatial localization of sound, tinnitus control, and overall quality of life. However, cochlear implantation is not recommended in cases of cochlear nerve deficiency, a relatively common cause of congenital SSD.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11492085PMC
http://dx.doi.org/10.1016/j.bjorl.2024.101514DOI Listing

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