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Bioethics and medical/legal considerations on cochlear implants in children
Cochlear implants are the best treatment for congenital profound deafness. Pediatric candidates to implantation are seen as vulnerable citizens, and the decision of implanting cochlear devices is ultimately in the hands of their parents/guardians. The Brazilian Penal Code dictates that deaf people m...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9446261/ https://www.ncbi.nlm.nih.gov/pubmed/22714850 http://dx.doi.org/10.1590/S1808-86942012000300013 |
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author | Miziara, Ivan Dieb Miziara, Carmen Silvia Molleis Galego Tsuji, Robson Koji Bento, Ricardo Ferreira |
author_facet | Miziara, Ivan Dieb Miziara, Carmen Silvia Molleis Galego Tsuji, Robson Koji Bento, Ricardo Ferreira |
author_sort | Miziara, Ivan Dieb |
collection | PubMed |
description | Cochlear implants are the best treatment for congenital profound deafness. Pediatric candidates to implantation are seen as vulnerable citizens, and the decision of implanting cochlear devices is ultimately in the hands of their parents/guardians. The Brazilian Penal Code dictates that deaf people may enjoy diminished criminal capacity. Many are the bioethical controversies around cochlear implants, as representatives from the deaf community have seen in them a means of decimating their culture and intrinsic values. OBJECTIVE: This paper aims to discuss, in bioethical terms, the validity of implanting cochlear hearing aids in children by analyzing their vulnerability and the social/cultural implications of the procedure itself, aside from looking into the medical/legal aspects connected to their criminal capacity. MATERIALS AND METHODS: The topic was searched on databases Medline and Lilacs; ethical analysis was done based on principialist bioethics. RESULTS: Cochlear implants are the best therapeutic option for people with profound deafness and are morally justified. The level of criminal capacity attributed to deaf people requires careful analysis of the subject's degree of understanding and determination when carrying out the acts for which he/she has been charged. CONCLUSION: Cochlear implants are morally valid. Implantations must be analyzed on an each case basis. ENT physicians bear the ethical responsibility for indicating cochlear implants and must properly inform the child's parents/guardians and get their written consent before performing the procedure. |
format | Online Article Text |
id | pubmed-9446261 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-94462612022-09-09 Bioethics and medical/legal considerations on cochlear implants in children Miziara, Ivan Dieb Miziara, Carmen Silvia Molleis Galego Tsuji, Robson Koji Bento, Ricardo Ferreira Braz J Otorhinolaryngol Original Article Cochlear implants are the best treatment for congenital profound deafness. Pediatric candidates to implantation are seen as vulnerable citizens, and the decision of implanting cochlear devices is ultimately in the hands of their parents/guardians. The Brazilian Penal Code dictates that deaf people may enjoy diminished criminal capacity. Many are the bioethical controversies around cochlear implants, as representatives from the deaf community have seen in them a means of decimating their culture and intrinsic values. OBJECTIVE: This paper aims to discuss, in bioethical terms, the validity of implanting cochlear hearing aids in children by analyzing their vulnerability and the social/cultural implications of the procedure itself, aside from looking into the medical/legal aspects connected to their criminal capacity. MATERIALS AND METHODS: The topic was searched on databases Medline and Lilacs; ethical analysis was done based on principialist bioethics. RESULTS: Cochlear implants are the best therapeutic option for people with profound deafness and are morally justified. The level of criminal capacity attributed to deaf people requires careful analysis of the subject's degree of understanding and determination when carrying out the acts for which he/she has been charged. CONCLUSION: Cochlear implants are morally valid. Implantations must be analyzed on an each case basis. ENT physicians bear the ethical responsibility for indicating cochlear implants and must properly inform the child's parents/guardians and get their written consent before performing the procedure. Elsevier 2015-10-14 /pmc/articles/PMC9446261/ /pubmed/22714850 http://dx.doi.org/10.1590/S1808-86942012000300013 Text en . https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Original Article Miziara, Ivan Dieb Miziara, Carmen Silvia Molleis Galego Tsuji, Robson Koji Bento, Ricardo Ferreira Bioethics and medical/legal considerations on cochlear implants in children |
title | Bioethics and medical/legal considerations on cochlear implants in children |
title_full | Bioethics and medical/legal considerations on cochlear implants in children |
title_fullStr | Bioethics and medical/legal considerations on cochlear implants in children |
title_full_unstemmed | Bioethics and medical/legal considerations on cochlear implants in children |
title_short | Bioethics and medical/legal considerations on cochlear implants in children |
title_sort | bioethics and medical/legal considerations on cochlear implants in children |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9446261/ https://www.ncbi.nlm.nih.gov/pubmed/22714850 http://dx.doi.org/10.1590/S1808-86942012000300013 |
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