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Task force Guideline of Brazilian Society of Otology ---hearing loss in children --- Part II ---- Treatment

Vagner Antonio Rodrigues Silva a,∗, Henrique Furlan Pauna b, Joel Lavinsky c, Miguel Angelo Hyppolito d, Melissa Ferreira Vianna e, Mariana Leal f , Eduardo Tanaka Massuda d, Rogério Hamerschmidt g, Fayez Bahmad Jr h,i , Renato Valério Cal j , André Luiz Lopes Sampaio k, Felippe Felix l , Carlos Takahiro Chone a, Arthur Menino Castilho


Objectives: To provide an overview of the main evidence-based recommendations for the diagnosis of hearing loss in children and adolescents aged 0---18 years. Methods: Task force members were educated 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 childhood hearing loss 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 2 parts: (1) treatment of sensorineural hearing loss: individual hearing aids, bilateral cochlear implants, cochlear implants in young children, unilateral hearing loss, and auditory neuropathy spectrum disorder; and (2) treatment of conductive/mixed hearing loss: external/middle ear malformations, ventilation tube insertion, and tympanoplasty in children. Conclusions: In children with hearing loss, in addition to speech therapy, Hearing AIDS (HAs) or implantable systems may be indicated. Even in children with profound hearing loss, both the use of HAs and behavioral assessments while using the device are important. © 2022 Published by Elsevier Editora Ltda. on behalf of Associac¸ao˜ Brasileira de Otorrinolaringologia e Cirurgia Cervico-Facial. ´ This is an open access article under the CC BY license (

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