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Hearing Loss in Children: A Review
Abstract
IMPORTANCE: Hearing loss in children is common and by age 18 years, affects nearly 1 of every 5 children. Without hearing rehabilitation, hearing loss can cause detrimental effects on speech, language, developmental, educational, and cognitive outcomes in children. OBSERVATIONS: Consequences of hearing loss in children include worse outcomes in speech, language, education, social functioning, cognitive abilities, and quality of life. Hearing loss can be congenital, delayed onset, or acquired with possible etiologies including congenital infections, genetic causes including syndromic and nonsyndromic etiologies, and trauma, among others. Evaluation of hearing loss must be based on suspected diagnosis, type, laterality and degree of hearing loss, age of onset, and additional variables such as exposure to cranial irradiation. Hearing rehabilitation for children with hearing loss may include use of hearing aids, cochlear implants, bone anchored devices, or use of assistive devices such as frequency modulating systems. CONCLUSIONS AND RELEVANCE: Hearing loss in children is common, and there has been substantial progress in diagnosis and management of these cases. Early identification of hearing loss and understanding its etiology can assist with prognosis and counseling of families. In addition, awareness of treatment strategies including the many hearing device options, cochlear implant, and assistive devices can help direct management of the patient to optimize outcomes.
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“Even mild to moderate hearing loss can negatively affect language development as well as cognition, behavior, and QoL in at-risk children.661”
From Clinical practice guidelines for the care of girls and women with Turner syndrome. (2024) · cites this paper as [661]
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Yu, S., Li, W., Lin, X., Chen, L., Chen, W., Guo, L., & Shu, Y. (2024) · Molecular Genetics and Genomics · doi:10.1007/s00438-024-02209-3 · Cited by 1
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Iqbal, I. S., Ostrowski, T., Mouzakes, J., & Levi, J. R. (2024) · Annals of Otology Rhinology & Laryngology · doi:10.1177/00034894241309212
Jammula, V., Kramer, N., Manthei, S., DeArmond, M., & Koshy-Chenthittayil, S. (2025) · JBI Evidence Synthesis · doi:10.11124/jbies-24-00128
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Schiavo, B. C. (2024) · Digital Library of Theses and Dissertations (Universidade de São Paulo) · doi:10.11606/d.41.2024.tde-23012025-201047
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Akça, Ü., Sanrı, E., & Akça, G. (2025) · Northwestern Medical Journal · doi:10.54307/2025.nwmj.78
Metadata
- Authors
- Lieu, J. E. C., Kenna, M., Anne, S., & Davidson, L.
- Affiliations
- Washington University in St. Louis (US)
- Boston Children's Hospital (US)
- Cleveland Clinic (US)
- Venue
- JAMA
- Publisher
- American Medical Association (AMA)
- Published
- 2020-12-01
- Volume
- 324
- Issue
- 21
- Pages
- 2195
- ISSN
- 0002-9955 (ISSN-L)
- 0098-7484
- OpenAlex
- W3106805315
- Cited by
- 542
- References
- 96
- Citations by year
- 2026: 115 · 2025: 129 · 2024: 121 · 2023: 98 · 2022: 52 · 2021: 27
- FWCI
- 5.98
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- JAMA (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › Speech and Hearing › Hearing Loss and Rehabilitation
- Social Sciences › Psychology › Developmental and Educational Psychology › Hearing Impairment and Communication
- Life Sciences › Neuroscience › Sensory Systems › Hearing, Cochlea, Tinnitus, Genetics
- Keywords
- childhood hearing loss, hearing rehabilitation, cochlear implants, hearing aids, assistive listening devices, speech and language development, cognitive outcomes, congenital hearing loss, hearing loss etiology, cranial irradiation, early detection of hearing loss, family counseling
- MeSH terms
- Child, Child, Preschool, Cochlear Implants, Hearing Aids, Humans, Infant, Infant, Newborn, Language Development, Hearing Loss, Delayed Diagnosis
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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