儿童单侧耳聋（包括非对称性听力损失儿童）的康复策略：一项系统综述
Rehabilitation Strategies for Pediatric Single-Sided Deafness, Including Children with Asymmetric Hearing Loss: A Systematic Review.
文献信息
| PMID | 42776771 |
|---|---|
| 原文 | 在 PubMed 查看原文 ↗ |
| 发表日期 | 2026 |
| 作者 | Daniele De Seta |
| 作者单位 | Unit of Otolaryngology and Audiology, Department of Sense Organs, Sapienza University of Rome, 00185 Rome, Italy. |
| 期刊 | Audiology research |
| SCI 分区 | Q2 |
| IF | 2 |
| 研究类型 | 综述 Meta · 临床 |
| 所属专科 | 耳科 |
中文摘要
目的： 本研究旨在通过一项全面的系统综述，分析儿童单侧耳聋（SSD）和非对称性听力损失（AHL）的听力康复策略。目前的康复选择包括对侧信号路由（CROS）设备、骨传导设备和人工耳蜗植入（CI）。方法：对PubMed/MEDLINE进行了系统综述，以识别截至2025年7月7日发表的关于儿童SSD和AHL康复的研究。排除综述、荟萃分析、病例报告和动物研究。符合条件的研究包括接受康复设备治疗的儿童人群，结局集中在言语感知、听觉表现、双耳听力、生活质量和基于问卷的测量。研究选择遵循PRISMA原则。结果：三位作者通过PubMed/MEDLINE（2003年至2025年7月）在去除重复后共识别出1527条记录。标题筛选保留了581项研究，摘要筛选保留了267项研究。对58篇全文论文进行了资格评估；10篇因患者队列重叠而被排除，留下48篇论文进行定性综合。总体分析了1622名儿童；43项研究关注SSD，5项关注AHL。结论：现有证据支持儿童SSD和AHL的康复。CROS系统提供了一种非手术且可逆的选择，在特定聆听情境中具有益处，但对声源定位的效果有限。骨传导设备可能改善噪声中的听力和某些功能结局，尤其是在传导性适应证中。CI似乎提供了恢复双侧听觉输入的最大机会，尤其是在先天性SSD早期进行时。
英文摘要
Objectives: This study aimed to analyze in a comprehensive systematic review the hearing rehabilitation strategies for single-sided deafness (SSD) and asymmetric hearing loss (AHL) in children. Current rehabilitative options include contralateral routing of signal (CROS) devices, bone conduction devices, and cochlear implantation (CI). Methods: A systematic review of PubMed/MEDLINE was performed to identify studies on pediatric SSD and AHL rehabilitation published up to 7 July 2025. Reviews, meta-analyses, case reports, and animal studies were excluded. Eligible studies included pediatric populations treated with rehabilitative devices, with outcomes focused on speech perception, auditory performance, binaural hearing, quality of life, and questionnaire-based measures. Study selection followed PRISMA principles. Results: A total of 1527 records were identified by three authors through PubMed/MEDLINE (2003-July 2025) after duplicate removal. Title screening retained 581 studies, and abstract screening retained 267 studies. Fifty-eight full-text papers were assessed for eligibility; 10 were excluded due to overlapping patient cohorts, leaving 48 papers for the qualitative synthesis. Overall, 1622 children were analyzed; 43 studies focused on SSD and five on AHL. Conclusions: Available evidence supports rehabilitation in pediatric SSD and AHL. CROS systems offer a non-surgical and reversible option with benefits in selected listening situations but limited effects on localization. Bone conduction devices may improve hearing in noise and some functional outcomes, especially in conductive indications. CI appears to provide the greatest opportunity to restore bilateral auditory input, particularly when performed early in congenital SSD.