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Comment & Response
September 26, 2019

Imaging for Pediatric Unilateral Sensorineural Hearing Loss—Reply

Author Affiliations
  • 1Department of Pediatrics, Leiden University Medical Center, Leiden, the Netherlands
  • 2Section of Endocrinology, Department of Medicine, Leiden University Medical Center, Leiden, the Netherlands
  • 3Department of Otorhinolaryngology, Leiden University Medical Center, Leiden, the Netherlands
JAMA Otolaryngol Head Neck Surg. 2019;145(11):1083. doi:10.1001/jamaoto.2019.2810

In Reply We thank Dr Pross for his reply to our article.1 The first point raised considers imaging in children with congenital unilateral sensorineural hearing loss (USNHL) without neurological symptoms to rule out retrocochlear malignant abnormalities. We addressed this issue in the discussion section of our review.1 One glioma was found on magnetic resonance imaging (MRI) but missed on computed tomographic (CT) scan results, in a total of 1504 included patients.1,2 A precise estimate of risk of malignant abnormality is unfortunately not possible, owing to lack of systematic inclusion of patients with congenital USNHL without neurological symptoms, and publication of inner ear imaging findings according to scientific standards. However, the risk appears to be very low.1,2

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