Current Issues With Pediatric Cochlear Implantation

IF 1.1 Q3 OTORHINOLARYNGOLOGY

Journal of Audiology and Otology Pub Date : 2024-04-10 DOI:10.7874/jao.2024.00073

Donald Tan, R. Fujiwara, Kenneth H. Lee

引用次数: 0

Abstract

Cochlear implants (CIs) have demonstrated a clear functional benefit in children with severe-to-profound sensorineural hearing loss (SNHL) and thus have gained wide acceptance for treating deafness in the pediatric population. When evaluating young children for cochlear implantation, there are unique considerations beyond the standard issues addressed during surgery in adults. Because of advances in genetic testing, imaging resolution, CI technology, post-implant rehabilitation, and other factors, issues related to CI surgery in children continue to evolve. Such factors have led to changes in candidacy guidelines, vaccine requirements, and lowering of age requirement for surgery. In addition, differences in the anatomy and physiology of infants require special attention to ensure safety when operating on young children. This review summarizes these issues and provides guidance for surgeons treating children with SNHL.

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小儿人工耳蜗植入的当前问题

人工耳蜗（CI）对重度至聋人感音神经性听力损失（SNHL）儿童的功能明显有益，因此在治疗儿童耳聋方面获得了广泛认可。在对幼儿进行人工耳蜗植入评估时，除了成人手术中的标准问题外，还有一些独特的考虑因素。由于基因检测、成像分辨率、CI 技术、植入后康复等方面的进步，与儿童 CI 手术相关的问题也在不断发展。这些因素已导致候选指南、疫苗要求和手术年龄要求的降低。此外，婴儿的解剖和生理差异也需要特别注意，以确保幼儿手术的安全性。本综述总结了这些问题，并为外科医生治疗 SNHL 儿童提供指导。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Audiology and Otology OTORHINOLARYNGOLOGY-

CiteScore

1.90

自引率

9.10%

发文量

期刊介绍： Journal of Audiology and Otology (JAO) (formerly known as Korean Journal of Audiology) aims to publish the most advanced findings for all aspects of the auditory and vestibular system and diseases of the ear using state-of-the-art techniques and analyses. The journal covers recent trends related to the topics of audiology, otology, and neurotology conducted by professionals, with the goal of providing better possible treatment to people of all ages, from infants to the elderly, who suffer from auditory and/or vestibular disorders and thus, improving their quality of life. This journal encourages the submission of review papers about current professional issues, research papers presenting a scientific base and clinical application, and case papers with unique reports or clinical trials. We also invite letters to the editor and papers related to the manufacture and distribution of medical devices. This journal provides integrated views from otologists, audiologists, and other healthcare practitioners, offering readers high quality scientific and clinical information. This peer-reviewed and open access journal has been the official journal of the Korean Audiological Society since 1997 and of both the Korean Audiological Society and the Korean Otological Society since 2017. It is published in English four times a year in January, April, July, and October.