Objective: A review of published data regarding binaural hearing after treatment of congenital unilateral conductive hearing loss (UCHL) due to aural atresia. Treatment options concern atresia surgery (reconstructive surgery), application of a bone conduction device (BCD), or application of a middle ear implant (MEI).
Data sources: Database PubMed was searched for articles published in English and German between January 1, 1994, and January 1, 2019.
Study selection: The initial search identified 52 studies, of which 9 met the inclusion criteria.
Data synthesis: Comparison of studies was based on a structured review. Meta-analysis was not feasible because of the heterogeneity of outcome measures, the limited number of relevant papers (9), and diverse types of treatment (5).
Conclusions: Treatment of UCHL results in bilateral hearing instead of binaural hearing. The large intersubject variability in benefit of treatment is unexplained with a clear improvement in the minority of listeners and a limited improvement or binaural interference in most listeners after atresia repair or amplification with a BCD or MEI.
Keywords: Aural atresia; Binaural hearing; Conductive hearing loss; Congenital hearing loss; Treatment.
© 2021 The Author(s). Published by S. Karger AG, Basel.