Nonorganic hearing loss in children: audiometry, clinical characteristics, biographical history and recovery of hearing thresholds

International Journal of Pediatric Otorhinolaryngology
Claus-Michael SchmidtD Deuster

Abstract

The term "nonorganic hearing loss" (NOHL) (pseudohypacusis, functional or psychogenic hearing loss) describes a hearing loss without a detectable corresponding pathology in the auditory system. It is characterized by a discrepancy between elevated pure tone audiometry thresholds and normal speech discrimination. The recommended audiological management of NOHL in children comprises history taking, diagnosis, and counseling. According to the literature, prognosis depends on the severity of the patient's school and/or personal problems. Routine referral to a child psychiatrist is discussed as being controversial. The clinical history of 34 children with NOHL was retrospectively evaluated. In 15 children, follow up audiometry was performed. Results of biographical history, subjective and objective audiometry, additional speech and language assessment, psychological investigations and follow up audiometry are presented and discussed. The prevalence of NOHL was 1.8% in children with suspected hearing loss. Mean age at diagnosis was 10.8 years. Girls were twice as often affected as boys. Patient history showed a high prevalence of emotional and school problems. Pre-existing organic hearing loss can be worsened by nonorganic causes. Ch...Continue Reading

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Citations

Jun 4, 2013·International Journal of Pediatric Otorhinolaryngology·Claus-Michael SchmidtDirk Deuster
Aug 17, 2021·International Journal of Audiology·Christina PflugAlmut Niessen

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