Abstract：
OBJECTIVE: 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.
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.
摘要：
目的：概述用于诊断0-18岁儿童和青少年听力损失的主要循证建议。
方法：对工作组成员进行了知识综合方法的教育，包括电子数据库搜索，审查和选择相关引文，以及对选定研究的批判性评估。用英语或葡萄牙语撰写的有关儿童听力损失的文章有资格纳入。美国医师学会的指南分级系统和美国甲状腺协会的指南标准被用于对治疗干预措施的证据和建议的关键评估。
结果：主题分为2部分：（1）感觉神经性听力损失的治疗：个人助听器，双侧人工耳蜗植入,幼儿人工耳蜗植入,单侧听力损失,和听觉神经病变谱系障碍；（2）传导性/混合性听力损失的治疗：外/中耳畸形，通风管插入,和儿童鼓室成形术。
结论：听力损失儿童，除了言语治疗,可指示助听器(HA)或可植入系统。即使是严重听力损失的儿童，使用HAs和使用器械时的行为评估都很重要.
方法：对工作组成员进行了知识综合方法的教育，包括电子数据库搜索，审查和选择相关引文，以及对选定研究的批判性评估。用英语或葡萄牙语撰写的有关儿童听力损失的文章有资格纳入。美国医师学会的指南分级系统和美国甲状腺协会的指南标准被用于对治疗干预措施的证据和建议的关键评估。
结果：主题分为2部分：（1）感觉神经性听力损失的治疗：个人助听器，双侧人工耳蜗植入,幼儿人工耳蜗植入,单侧听力损失,和听觉神经病变谱系障碍；（2）传导性/混合性听力损失的治疗：外/中耳畸形，通风管插入,和儿童鼓室成形术。
结论：听力损失儿童，除了言语治疗,可指示助听器(HA)或可植入系统。即使是严重听力损失的儿童，使用HAs和使用器械时的行为评估都很重要.
