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American Cochlear Implant Alliance Task Force Guidelines for Determining Cochlear Implant Candidacy in Children. Ear Hear 2022; 43:268-282. [PMID: 35213891 PMCID: PMC8862774 DOI: 10.1097/aud.0000000000001087] [Citation(s) in RCA: 12] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
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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Maier H, Baumann U, Baumgartner WD, Beutner D, Caversaccio MD, Keintzel T, Kompis M, Lenarz T, Magele A, Mewes T, Müller A, Rader T, Rahne T, Schraven SP, Schwab B, Sprinzl GM, Strauchmann B, Todt I, Wesarg T, Wollenberg B, Plontke SK. Minimal Reporting Standards for Active Middle Ear Hearing Implants. Audiol Neurootol 2018; 23:105-115. [PMID: 30196279 DOI: 10.1159/000490878] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2017] [Accepted: 06/13/2018] [Indexed: 11/19/2022] Open
Abstract
There is currently no standardized method for reporting audiological, surgical and subjective outcome measures in clinical trials with active middle ear implants (AMEIs). It is often difficult to compare studies due to data incompatibility and to perform meta-analyses across different centres is almost impossible. A committee of ENT and audiological experts from Germany, Austria and Switzerland decided to address this issue by developing new minimal standards for reporting the outcomes of AMEI clinical trials. The consensus presented here aims to provide a recommendation to enable better inter-study comparability.
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Affiliation(s)
- Hannes Maier
- Department of Otorhinolaryngology, Hannover Medical School, Hannover, Germany
| | - Uwe Baumann
- University Hospital Frankfurt, ENT/Audiological Acoustics, Frankfurt, Germany
| | | | - Dirk Beutner
- Department of Otorhinolaryngology, Head and Neck Surgery, University Medical Center Göttingen, Göttingen, Germany
| | - Marco D Caversaccio
- University Hospital, Inselspital Department of ORL, Head and Neck Surgery, Bern, Switzerland
| | - Thomas Keintzel
- Department of Otorhinolaryngology, Klinikum Wels-Grieskirchen, Wels, Austria
| | - Martin Kompis
- University Hospital, Inselspital Department of ORL, Head and Neck Surgery, Bern, Switzerland
| | - Thomas Lenarz
- Department of Otorhinolaryngology, Hannover Medical School, Hannover, Germany
| | | | - Torsten Mewes
- Helios Dr. Horst Schmidt Kliniken Wiesbaden, Wiesbaden, Germany
| | - Alexander Müller
- Vivantes Hearing Center, ORL Department Friedrichshain Clinic, Berlin, Germany
| | - Tobias Rader
- Department of Otolaryngology and Head and Neck Surgery, Audiological Acoustics, University of Mainz, Mainz, Germany
| | - Torsten Rahne
- Department of Otolaryngology and Head and Neck Surgery, Martin Luther University Halle-Wittenberg, Halle (Saale), Germany
| | - Sebastian P Schraven
- Department of Otorhinolaryngology, Head and Neck Surgery "Otto Koerner", University Medical Center Rostock, Rostock, Germany
| | | | | | - Bernd Strauchmann
- Department of Otorhinolaryngology, UniversityHospital Zürich, Head and Neck Surgery, Zürich, Switzerland
| | - Ingo Todt
- Department of Otolaryngology, Klinikum Bielefeld, Head and Neck Surgery, Bielefeld, Germany
| | - Thomas Wesarg
- Department of Otorhinolaryngology, Head and Neck Surgery, University of Freiburg Medical Center, Freiburg, Germany
| | - Barbara Wollenberg
- Clinic for Otorhinolaryngology, Head and Neck Surgery, University Clinic Schleswig Holstein, Campus Lübeck, Lübeck, Germany
| | - Stefan K Plontke
- Department of Otolaryngology and Head and Neck Surgery, Martin Luther University Halle-Wittenberg, Halle (Saale), Germany
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Athalye S, Archbold S, Mulla I, Lutman M, Nikolopoulous T. Exploring views on current and future cochlear implant service delivery: the perspectives of users, parents and professionals at cochlear implant centres and in the community. Cochlear Implants Int 2015; 16:241-53. [DOI: 10.1179/1754762815y.0000000003] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
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