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American Cochlear Implant Alliance Task Force Guidelines for Determining Cochlear Implant Candidacy in Children

This article summarizes the available evidence on pediatric cochlear implantation to provide current guidelines for clinical protocols and candidacy recommendations in the United States. Candidacy determination involves specification of audiologic and medical criteria per guidelines of the Food and...

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Autores principales: Warner-Czyz, Andrea D., Roland, J. Thomas, Thomas, Denise, Uhler, Kristin, Zombek, Lindsay
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8862774/
https://www.ncbi.nlm.nih.gov/pubmed/35213891
http://dx.doi.org/10.1097/AUD.0000000000001087
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author Warner-Czyz, Andrea D.
Roland, J. Thomas
Thomas, Denise
Uhler, Kristin
Zombek, Lindsay
author_facet Warner-Czyz, Andrea D.
Roland, J. Thomas
Thomas, Denise
Uhler, Kristin
Zombek, Lindsay
author_sort Warner-Czyz, Andrea D.
collection PubMed
description This article summarizes the available evidence on pediatric cochlear implantation to provide current guidelines for clinical protocols and candidacy recommendations in the United States. Candidacy determination involves specification of audiologic and medical criteria per guidelines of the Food and Drug Administration. However, recommendations for a cochlear implant evaluation also should maintain flexibility and consider a child’s skill progression (i.e., month-for-month progress in speech, language, and auditory development) and quality of life with appropriately fit hearing aids. Moreover, evidence supports medical and clinical decisions based on other factors, including (a) ear-specific performance, which affords inclusion of children with asymmetric hearing loss and single-sided deafness as implant candidates; (b) ear-specific residual hearing, which influences surgical technique and device selection to optimize hearing; and (c) early intervention to minimize negative long-term effects on communication and quality of life related to delayed identification of implant candidacy, later age at implantation, and/or limited commitment to an audiologic rehabilitation program. These evidence-based guidelines for current clinical protocols in determining pediatric cochlear implant candidacy encourage a team-based approach focused on the whole child and the family system.
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spelling pubmed-88627742022-02-24 American Cochlear Implant Alliance Task Force Guidelines for Determining Cochlear Implant Candidacy in Children Warner-Czyz, Andrea D. Roland, J. Thomas Thomas, Denise Uhler, Kristin Zombek, Lindsay Ear Hear ACIA Guidelines This article summarizes the available evidence on pediatric cochlear implantation to provide current guidelines for clinical protocols and candidacy recommendations in the United States. Candidacy determination involves specification of audiologic and medical criteria per guidelines of the Food and Drug Administration. However, recommendations for a cochlear implant evaluation also should maintain flexibility and consider a child’s skill progression (i.e., month-for-month progress in speech, language, and auditory development) and quality of life with appropriately fit hearing aids. Moreover, evidence supports medical and clinical decisions based on other factors, including (a) ear-specific performance, which affords inclusion of children with asymmetric hearing loss and single-sided deafness as implant candidates; (b) ear-specific residual hearing, which influences surgical technique and device selection to optimize hearing; and (c) early intervention to minimize negative long-term effects on communication and quality of life related to delayed identification of implant candidacy, later age at implantation, and/or limited commitment to an audiologic rehabilitation program. These evidence-based guidelines for current clinical protocols in determining pediatric cochlear implant candidacy encourage a team-based approach focused on the whole child and the family system. Lippincott Williams & Wilkins 2022-02-22 /pmc/articles/PMC8862774/ /pubmed/35213891 http://dx.doi.org/10.1097/AUD.0000000000001087 Text en Copyright © 2022 The Authors. Ear & Hearing is published on behalf of the American Auditory Society, by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (https://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle ACIA Guidelines
Warner-Czyz, Andrea D.
Roland, J. Thomas
Thomas, Denise
Uhler, Kristin
Zombek, Lindsay
American Cochlear Implant Alliance Task Force Guidelines for Determining Cochlear Implant Candidacy in Children
title American Cochlear Implant Alliance Task Force Guidelines for Determining Cochlear Implant Candidacy in Children
title_full American Cochlear Implant Alliance Task Force Guidelines for Determining Cochlear Implant Candidacy in Children
title_fullStr American Cochlear Implant Alliance Task Force Guidelines for Determining Cochlear Implant Candidacy in Children
title_full_unstemmed American Cochlear Implant Alliance Task Force Guidelines for Determining Cochlear Implant Candidacy in Children
title_short American Cochlear Implant Alliance Task Force Guidelines for Determining Cochlear Implant Candidacy in Children
title_sort american cochlear implant alliance task force guidelines for determining cochlear implant candidacy in children
topic ACIA Guidelines
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8862774/
https://www.ncbi.nlm.nih.gov/pubmed/35213891
http://dx.doi.org/10.1097/AUD.0000000000001087
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