Evidence for the Expansion of Pediatric Cochlear Implant Candidacy

Abstract

Non-traditional pediatric implant recipients derive significant benefit from cochlear implantation. A large-scale reassessment of pediatric cochlear implant candidacy, including less severe hearing losses and higher preoperative speech recognition, is warranted to allow more children access to the benefits of cochlear implantation.

Hearing Preservation Outcomes With a Mid-Scala Electrode in Cochlear Implantation

“…Indications for cochlear implantation are expanding, with many centers offering implantation to patients with residual hearing (1). In those patients, several studies have demonstrated benefit to patients in music appreciation, directional cues, and speech recognition in noise situations (2)(3)(4)(5)(6)(7)(8).…”

Effects of Removing Low-Frequency Electric Information on Speech Perception With Bimodal Hearing

“…Cochlear implantation has led to significant improvements over preimplantation amplification for many individuals, including providing improved open set recognition (Carlson et al, 2015;Firszt, Holden, Reeder, Cowdrey, & King, 2012;Gifford et al, 2010). With these improved outcomes, cochlear implant (CI) candidacy guidelines for various companies have recently expanded to include individuals with HL in the moderate as well as the severe-to-profound HL range.…”

“…C ochlear implantation criteria currently include individuals who have aidable hearing-that is, bilateral severe-to-profound sensorineural hearing loss (HL) across the speech frequencies 250-8000 Hz (Carlson et al, 2015;Gifford, Dorman, Shallop, & Sydlowski, 2010;HemanAckah, Roland, Haynes, & Waltzman, 2012;Sampaio, Araújo, & Oliveira, 2011). Cochlear implantation has led to significant improvements over preimplantation amplification for many individuals, including providing improved open set recognition (Carlson et al, 2015;Firszt, Holden, Reeder, Cowdrey, & King, 2012;Gifford et al, 2010).…”

A influência das respostas auditivas do estado estável nas respostas auditivas ao implante coclear

“…É indicado principalmente para indivíduos com perda auditiva severa ou profunda que não tenham benefício funcional com o uso de aparelhos de amplificação sonora individual (AASI) (Carlson et al, 2014;Bushman;Adunka, 2017 Gupta, 2012).…”

“…A indicação e opção pelo IC em crianças pequenas com ausência de resposta ao PEATE, sem benefício funcional com uso de AASI e respostas à audiometria comportamental apenas em fortes intensidades é evidenciada em diversos estudos, considerando-se o benefício proporcionado pelo dispositivo nesta população (Carlson et al, 2014;Bushman;Adunka, 2017 (Rance et al, 1998;Swanepoel;Hugo, 2003;Kandongan;Dalgic, 2013 (Seyle;Brown, 2002).…”