Guidelines (short version) of the French Society of Otorhinolaryngology (SFORL) on pediatric cochlear implant indications

Simon, François; Roman, S.; Truy, Éric; Barone, Pascal; Belmin, Joël; Blanchet, C.; Borel, Stéphanie; Charpiot, Anne; Coëz, Arnaud; Deguine, Olivier; Farinetti, A.; Godey, Benoît; Lazard, Diane S.; Marx, Mathieu; Mosnier, Isabelle; Nguyen, Yann; Teissier, Natacha; Virole, Benoît; Lescanne, E.; Loundon, Natalie

doi:10.1016/j.anorl.2019.05.018

Cited by 18 publications

(14 citation statements)

References 47 publications

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“…We found a correlation between interimplant interval and 3D error under the HI condition, which remained significant after controlling for chronological age at test. Since 2012, bilateral cochlear implantation is standard practice in France ( Simon et al 2019 ), thus only the youngest children in our cohort benefitted from a sequential cochlear implantation with a short delay. This observation is in keeping with a recent study ( Killan et al 2019 ) which showed that a longer interimplant delay was a poor prognostic for spatial hearing abilities, mainly due to asymmetric brain processing after a 24-month interval ( Gordon et al 2008 , 2013 ; Kral et al 2019 ).…”

Section: Discussionmentioning

confidence: 99%

Spatial Hearing Difficulties in Reaching Space in Bilateral Cochlear Implant Children Improve With Head Movements

et al. 2021

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Section: Discussionmentioning

confidence: 99%

Spatial Hearing Difficulties in Reaching Space in Bilateral Cochlear Implant Children Improve With Head Movements

et al. 2021

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“…A monocentric retrospective cohort study was conducted in a tertiary referral center and included patients with unilateral or bilateral cochlear implant for a prelingual bilateral profound hearing loss, which were implanted over 15 years old without an upper age limit, between 2004 and 2019. The decision for a cochlear implantation was made after a multidisciplinary evaluation that included clinical, audiometric, speech, psychological and radiological assessments, and in accordance with the national guidelines for cochlear implantation [ 6 , 7 , 20 ], i.e., a speech discrimination ≤50% at 60 dB for disyllabic words in silence in the best-aided conditions. Patients were selected among a cohort of all cochlear implant recipients operated on in our department and noted as “congenital hearing loss” ( Figure 1 ).…”

Section: Methodsmentioning

confidence: 99%

“…Because of the short sensitive period for language development in infants, the shorter the auditory deprivation, the better the auditory performance and oral language acquisition that would be achieved after cochlear implantation [ 4 , 5 ]. Indeed, late cochlear implantation (after 5 years of age) is usually not recommended for non-progressive congenital or prelingual profound hearing loss [ 6 , 7 ], as prelingual profoundly deaf patients implanted when adults achieved lower auditory performance with their cochlear implant than those of post-lingual cochlear implanted users [ 8 , 9 ], although several studies have emphasized some benefits in auditory scores [ 8 , 10 , 11 , 12 , 13 , 14 , 15 ], quality of life [ 16 , 17 ], or self-esteem [ 11 ] in these late-implanted prelingual profoundly deaf patients. However, some patients implanted when adult who achieved poor performance after cochlear implantation have been reported to abandon the device [ 13 ], raising the question of who would be the prelingual profoundly deaf adult candidates to achieve sufficient benefit for a daily use.…”

Section: Introductionmentioning

confidence: 99%

Candidacy for Cochlear Implantation in Prelingual Profoundly Deaf Adult Patients

Lahlou

Daoudi

Ferrary

et al. 2022

JCM

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Cochlear implantation is usually not recommended for prelingual profoundly deaf adults, although some of these patients might benefit from it. This study aims to define the candidates for cochlear implantation in this population. This retrospective study reviewed 34 prelingual profoundly deaf patients who had received a cochlear implant at 32 ± 1.7 years old (16–55), with at least 1 year of follow-up. Speech perception and quality of life were assessed before and 3, 6, and 12 months after cochlear implantation, then every year thereafter. According to the word speech intelligibility in quiet (WSI) 1 year after implantation, two groups were identified: good performer (GP) with WSI ≥ 50% (n = 15), and poor performer (PP) with WSI ≤ 40% (n = 19). At the 1 year mark, mean WSI improved by 28 ± 4.6% (−20–100) (p < 0.0001). In GP, the intelligibility for words and sentences, communication and quality of life scales improved. In PP, the communication scale improved, but not auditory performance or quality of life. GP and PP differed pre-operatively in speech production, communication abilities, and WSI in best-aided conditions. In prelingual profoundly deaf adults, a dramatic auditory performance benefit could be expected after cochlear implantation if the patients have some degree of speech intelligibility in aided conditions and have developed oral communication and speech production.

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“…Some efforts have been made in this direction. For example, Belgium has implemented a vestibular defect screening test for children with hearing impairment ( 129 ) and the French Society for Otorhinolaryngology (SFORL) recommends a vestibular assessment for all children undergoing cochlear implantation in its latest guidelines on pediatric cochlear implantation ( 130 ).…”

Section: Vestibular Disorders Associated With Hearing Loss: Diversity...mentioning

confidence: 99%

Vestibular Deficits in Deafness: Clinical Presentation, Animal Modeling, and Treatment Solutions

2022

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The inner ear is responsible for both hearing and balance. These functions are dependent on the correct functioning of mechanosensitive hair cells, which convert sound- and motion-induced stimuli into electrical signals conveyed to the brain. During evolution of the inner ear, the major changes occurred in the hearing organ, whereas the structure of the vestibular organs remained constant in all vertebrates over the same period. Vestibular deficits are highly prevalent in humans, due to multiple intersecting causes: genetics, environmental factors, ototoxic drugs, infections and aging. Studies of deafness genes associated with balance deficits and their corresponding animal models have shed light on the development and function of these two sensory systems. Bilateral vestibular deficits often impair individual postural control, gaze stabilization, locomotion and spatial orientation. The resulting dizziness, vertigo, and/or falls (frequent in elderly populations) greatly affect patient quality of life. In the absence of treatment, prosthetic devices, such as vestibular implants, providing information about the direction, amplitude and velocity of body movements, are being developed and have given promising results in animal models and humans. Novel methods and techniques have led to major progress in gene therapies targeting the inner ear (gene supplementation and gene editing), 3D inner ear organoids and reprograming protocols for generating hair cell-like cells. These rapid advances in multiscale approaches covering basic research, clinical diagnostics and therapies are fostering interdisciplinary research to develop personalized treatments for vestibular disorders.

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Guidelines (short version) of the French Society of Otorhinolaryngology (SFORL) on pediatric cochlear implant indications

Cited by 18 publications

References 47 publications

Spatial Hearing Difficulties in Reaching Space in Bilateral Cochlear Implant Children Improve With Head Movements

Spatial Hearing Difficulties in Reaching Space in Bilateral Cochlear Implant Children Improve With Head Movements

Candidacy for Cochlear Implantation in Prelingual Profoundly Deaf Adult Patients

Vestibular Deficits in Deafness: Clinical Presentation, Animal Modeling, and Treatment Solutions

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