scholarly journals Evolving Criteria for Adult and Pediatric Cochlear Implantation

2020 ◽  
Vol 100 (1) ◽  
pp. 31-37
Author(s):  
Varun V. Varadarajan ◽  
Sarah A. Sydlowski ◽  
Michael M. Li ◽  
Samantha Anne ◽  
Oliver F. Adunka

The indications for cochlear implantation have gradually expanded as advancements in technology have evolved, resulting in improved audiologic outcomes for both adult and children. There remains a significant underutilization of cochlear implant technology in the United States, and recognition of the potential benefits of cochlear implantation for non-traditional indications is critical for encouraging the evolution of candidacy criteria. Adult cochlear implantation candidacy has progressed from patients with bilateral profound sensorineural hearing loss (SNHL) to include patients with greater degrees of residual hearing, single-sided deafness and asymmetric hearing, and atypical etiologies of hearing loss (eg, vestibular schwannoma, Ménière’s disease, and otosclerosis). Indications for pediatric cochlear implantation have similarly evolved from children with bilateral severe to profound SNHL to implanting children at a younger age, including those with residual hearing, asymmetric hearing loss, inner ear malformations, as well as cochlear nerve deficiency. In this editorial, the literature investigating cochlear implantation for nontraditional indications is reviewed with an aim to use the best available evidence to encourage the evolution of candidacy criteria.

2017 ◽  
Vol 26 (2) ◽  
pp. 91-98 ◽  
Author(s):  
Laura Greaver ◽  
Hannah Eskridge ◽  
Holly F. B. Teagle

Purpose The purpose of this clinical report is to present case studies of children who are nontraditional candidates for cochlear implantation because they have significant residual hearing in 1 ear and to describe outcomes and considerations for their audiological management and habilitation. Method Case information is presented for 5 children with profound hearing loss in 1 ear and normal or mild-to-moderate hearing loss in the opposite ear and who have undergone unilateral cochlear implantation. Pre- and postoperative assessments were performed per typical clinic routines with modifications described. Postimplant habilitation was customized for each recipient using a combination of traditional methods, newer technologies, and commercial materials. Results The 5 children included in this report are consistent users of their cochlear implants and demonstrate speech recognition in the implanted ear when isolated from the better hearing ear. Conclusions Candidacy criteria for cochlear implantation are evolving. Children with single-sided deafness or asymmetric hearing loss who have traditionally not been considered candidates for cochlear implantation should be evaluated on a case-by-case basis. Audiological management of these recipients is not vastly different compared with children who are traditional cochlear implant recipients. Assessment and habilitation techniques must be modified to isolate the implanted ear to obtain accurate results and to provide meaningful therapeutic intervention.


B-ENT ◽  
2021 ◽  
Vol 16 (4) ◽  
pp. 209-216
Author(s):  
Dayse Távora-Vieira ◽  
◽  
Gunesh Rajan ◽  
Paul Van de Heyning ◽  
Griet Mertens ◽  
...  

2021 ◽  
pp. 1-7
Author(s):  
Sang-Youp Lee ◽  
Goun Choe ◽  
Sang-Yeon Lee ◽  
Namju Justin Kim ◽  
Marge Carandang ◽  
...  

2018 ◽  
Vol 39 (5) ◽  
pp. 576-581 ◽  
Author(s):  
Douglas P. Sladen ◽  
Matthew L. Carlson ◽  
Brittany P. Dowling ◽  
Amy P. Olund ◽  
Melissa D. DeJong ◽  
...  

2015 ◽  
Vol 36 (3) ◽  
pp. 409-415 ◽  
Author(s):  
Emily Franko-Tobin ◽  
Phillip Ryan Camilon ◽  
Elizabeth Camposeo ◽  
Meredith A. Holcomb ◽  
Ted A. Meyer

2020 ◽  
Author(s):  
Mathieu Marx ◽  
Isabelle Mosnier ◽  
Christophe Vincent ◽  
Nicolas‐Xavier Bonne ◽  
David Bakhos ◽  
...  

2016 ◽  
Vol 130 (S3) ◽  
pp. S111-S111
Author(s):  
Susan Arndt ◽  
Frederike Hassepass ◽  
Thomas Wesarg ◽  
Antje Aschendorff ◽  
Roland Laszig

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