{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T00:31:04Z","timestamp":1788481864381,"version":"build-2803163510"},"reference-count":191,"publisher":"MDPI AG","issue":"9","license":[{"start":{"date-parts":[[2025,9,13]],"date-time":"2025-09-13T00:00:00Z","timestamp":1757721600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Current Oncology"],"abstract":"<jats:p>Childhood cancer treatments, including chemotherapy, radiation therapy, and combined modalities, pose significant risks to auditory function due to their ototoxic effects. Cisplatin, a chemotherapeutic agent commonly used in pediatric oncology, causes dose-dependent irreversible sensorineural hearing loss by damaging the inner ear structures, primarily through the generation of reactive oxygen species and the activation of apoptotic pathways. Radiation therapy exacerbates these effects, contributing to both sensorineural and conductive hearing loss via mechanisms such as vascular injury, inflammation, and fibrosis. The severity of hearing loss is influenced by the treatment timing, the cumulative dose, patient age, genetics, and concurrent therapies. The damaging effects of chemotherapy and radiation extend beyond the cochlea, involving the surrounding temporal bone as well as multiple levels of the auditory pathway. While pediatric patients may be candidates for bone-anchored hearing devices or cochlear implants, the need for serial imaging and the potential for implant-related MRI artifacts can complicate the timing of hearing rehabilitation. Moreover, the impact on the subcortical and cortical auditory structures may further influence the rehabilitation outcomes. This scoping review lays the foundation for future clinical and research efforts focused on the development of comprehensive pediatric guidelines for hearing preservation, monitoring, and rehabilitation, while also fostering multidisciplinary collaboration.<\/jats:p>","DOI":"10.3390\/curroncol32090509","type":"journal-article","created":{"date-parts":[[2025,9,15]],"date-time":"2025-09-15T11:51:43Z","timestamp":1757937103000},"page":"509","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Critical Review of Hearing Rehabilitation in Pediatric Oncology: Specific Considerations and Barriers"],"prefix":"10.3390","volume":"32","author":[{"given":"Guillaume","family":"Courbon","sequence":"first","affiliation":[{"name":"Sainbiose U1059, Inserm, University of Saint Etienne, Mines Saint Etienne, 42023 Saint Etienne, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laurie","family":"Lugnier","sequence":"additional","affiliation":[{"name":"Sainbiose U1059, Inserm, University of Saint Etienne, Mines Saint Etienne, 42023 Saint Etienne, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johnnie K.","family":"Bass","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Services, St. Jude Children\u2019s Research Hospital, Memphis, TN 38105, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas E.","family":"Merchant","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology, St. Jude Children\u2019s Research Hospital, Memphis, TN 38105, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4846-5232","authenticated-orcid":false,"given":"Thierry","family":"Morlet","sequence":"additional","affiliation":[{"name":"School of Communication Sciences and Disorders, University of Memphis, Memphis, TN 38152, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0001-7879","authenticated-orcid":false,"given":"Celine","family":"Richard","sequence":"additional","affiliation":[{"name":"School of Communication Sciences and Disorders, University of Memphis, Memphis, TN 38152, USA"},{"name":"Division of Pediatric Otolaryngology, St. Jude Children\u2019s Research Hospital, Memphis, TN 38105, USA"},{"name":"Department of Otolaryngology\u2014Head and Neck Surgery, University of Tennessee Health Science Center, Memphis, TN 38163, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,9,13]]},"reference":[{"key":"ref_1","unstructured":"CDC, and United States Cancer Statistics (USCS) (2025, July 21). 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