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SEND advice and guidance

Unilateral hearing loss


Unilateral deafness is a term to describe a level of deafness in one ear, and the deafness can range from mild to profound in the ear concerned. as a rule, children and young people with unilateral deafness manage well at home and in social and educational settings.

Possible difficulties resulting from unilateral deafness are as follows:

  • identifying sound sources, directions and distances
  • discriminating speech sounds in the presence of background noise
  • language gaps as a result of missed overhearing
  • tiredness from extra effort for listening; they will use lip-reading to assist listening

Health and safety risks for consideration:

  • pay attention to care of both ears
  • ear infections dealt with as soon as possible
  • protect from sustained loud noises, e.g. slammed doors, inappropriate audio device volume
  • attendance at any audiology appointments

Road Safety:

  • perception of the direction and speed of traffic will be difficult for safe crossing of the road and for bike riding

Making listening easier

Speaker should:

  • be positioned closest to the better ear where possible
  • make sure the child or young person has your attention
  • face child or young person and ensure eye contact at their eye level
  • avoid standing with back to windows as it will make lip-reading difficult
  • pay attention to pace and clarity of speech
  • reduce background noise as much as possible
  • check that the child or young person has understood you

Download a pdf version of this page.

For further information or training, please contact your local Teacher of the Deaf.

Useful links

National Deaf Children’s Society website and materials available from www.ndcs.org.uk.