Cochlear implant candidacy in the United States: Prevalence in children 12 months to 6 years of age
详细信息    查看全文
文摘
Retrospective review of children who underwent cochlear implantation before 12 months of age.

Setting

Patients were identified from a database of pediatric cochlear implant patients at a tertiary care center. All patients were diagnosed with severe to profound hearing loss by otoacoustic emission and auditory brainstem response. Follow-up ranged from 2 months to 5 years.

Results

Fourteen of 15 patients had full insertions of the electrode hardware. Less than full insertion and post-operative CSF otorrhea occurred in one patient with severe cochlear abnormalities. There were no other perioperative surgical complications. The average speech detection threshold was 27.6 dB (20–45 dB) at approximately 1–3 months post-stimulation and 25 dB (15–30 dB) at approximately 5–7 months.

Conclusion

In our experience, we feel cochlear implantation is safe for infants as young as 6 months of age. The current standard at our institution is to implant by 7 months of age for prelingual deafness as opposed to waiting additional time until 12 months of age before the brain is presented with speech.


Purchase PDF (151 K)
Cochlear implants: Referral, selection and rehabilitati...
Current Paediatrics

Cochlear implants: Referral, selection and rehabilitation
Current PaediatricsVolume 16, Issue 5October 2006, Pages 360-365
D. Owens, A. Espeso, J. Hayes, R.G. Williams

Abstract

Summary

Profound bilateral hearing loss is an uncommon but significant cause of morbidity in the paediatric community. Without adequate treatment, children fail to develop the ability to develop linguistic and communicative skills, with a significant impact on education, socio-emotional development and future professional prospects. Cochlear implants have dramatically changed the prospects for profoundly deaf children. This article reviews cochlear implantation in respect to candidate selection, the procedure, its complications and rehabilitation.

Purchase PDF (253 K)
Cochlear implantation in infants younger than 12 months
International Congress Series

Cochlear implantation in infants younger than 12 months
International Congress SeriesVolume 1273November 2004, Pages 376-379
William M. Luxford, Laurie S. Eisenberg, Karen C. Johnson, Erin M. Mahnke

Abstract
In recent years, the Food and Drug Administration has lowered the approved age for cochlear implantation to 12 months. However, data from implant manufacturers reveals that children even younger than 12 months of age have been implanted within the past few years, including 137 infants in the United States and over 500 infants worldwide. Implantation of infants has raised significant concerns about pre-implant hearing assessment, surgical risks, and post-implant programming. Although caution is warranted when implanting very young children, the benefits of early implantation in carefully selected infants may mitigate the concerns.

Purchase PDF (109 K)
View More Related Articles
doi:10.1016/j.ijporl.2008.03.005
Copyright © 2008 Elsevier Ireland Ltd All rights reserved.

Cochlear implant candidacy in the United States: Prevalence in children 12 months to 6 years of age

© 2004-2018 中国地质图书馆版权所有 京ICP备05064691号 京公网安备11010802017129号

地址:北京市海淀区学院路29号 邮编:100083

电话:办公室:(+86 10)66554848;文献借阅、咨询服务、科技查新:66554700