Current indications for the treatment with cochlear and brainstem implants in children. New directions and possibilities.

The publication presents the latest trends in indications for cochlear implantation in children. The principles of early detection of hearing loss in children as well as the detailed methodology and tools for diagnosis of a child before cochlear implant were discussed. Based on a review of publications from recent years, reference was made to the latest trends in implantation, taking into account: electroacoustic stimulation, electronatural stimulation, unilateral deafness, asymmetric sensorineural hearing loss, early implantation in children under 12 months of age and indications for brainstem implants in children with inner ear malformations . The significance of residual hearing in patients with cochlear implants as well as the use of appropriate electrodes for a specific clinical situation were also discussed. These factors may influence future development of speech and hearing.