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This study reviewed its prevalence, risk factors, early diagnosis, and management strategies. A literature review was conducted to assess the effects of ototoxic chemotherapy, screening methods, and treatment approaches. Various grading scales and rehabilitation strategies were analyzed. Platinum-based chemotherapy causes ototoxic hearing loss in approximately 100% of cases, including high-frequency and delayed-onset losses. Younger age, higher cumulative dose, and cranial irradiation increased the risk. Screening adherence remains suboptimal, despite guidelines recommending early detection through high-frequency audiometry. Sodium thiosulfate may reduce ototoxicity in nonmetastatic cases. If appropriate, hearing aids and cochlear implants can support communication and language development. Ototoxic hearing loss is a prevalent, yet underdiagnosed, complication of pediatric cancer treatment. Standardized screening, otoprotective strategies, and early rehabilitation are essential to minimize their impact on language and quality of life. Greater awareness and national guidelines are required to improve the care of pediatric cancer survivors.<\/jats:p>","DOI":"10.7874\/jao.2025.00073","type":"journal-article","created":{"date-parts":[[2025,4,21]],"date-time":"2025-04-21T01:38:46Z","timestamp":1745199526000},"page":"79-85","update-policy":"https:\/\/doi.org\/10.7874\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Assessment and Management of Chemotherapy-Induced Ototoxicity in Children"],"prefix":"10.7874","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2596-4140","authenticated-orcid":true,"given":"Heonjeong","family":"Oh","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8635-797X","authenticated-orcid":true,"given":"Moo Kyun","family":"Park","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"4621","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.24095\/hpcdp.37.11.04"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1016\/j.tips.2013.05.006"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.2165\/00002018-199513040-00003"},{"key":"ref4","first-page":"1007","volume-title":"Platinum compounds in children with cancer: toxicity and clinical management","author":"Ruggiero","year":"2013"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1016\/s1470-2045(18)30858-1"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.3109\/14992027.2010.485595"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1093\/neuonc\/nou006"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.29604"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1200\/jco.18.01358"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1002\/pbc.26877"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1200\/jco.2011.36.9744"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1200\/jco.2015.63.6738"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2018.01.028"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.3389\/fonc.2018.00363"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1080\/14992027.2018.1460495"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1044\/2021_aja-21-00006"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1101\/cshperspect.a033548"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1016\/j.molmed.2019.08.002"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.3342\/kjorl-hns.2022.00507"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.3345\/kjp.2010.53.2.210"},{"key":"ref21","volume-title":"Common Terminology Criteria for Adverse Events (CTCAE) v5.0 [Internet]","year":"025 [cited"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.1002\/mpo.2950190415"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.1055\/s-0039-1684044"},{"key":"ref24","volume-title":"Long-term follow-up guidelines for survivors of childhood, adolescent, and young adult cancers. 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