Unilateral cochlear implantation in children with a potentially useable contralateral ear.
Increasingly, children are considered for a unilateral CI, even if the contralateral ear falls outside current audiological guidelines, especially if they are not considered to be reaching their educational potential. The primary aim was to investigate the benefit of unilateral CI in children currently outside UK [National Institute for Health and Care Excellence Technology Appraisal Guidance. 2009. Cochlear implants for children and adults with severe to profound deafness. NICE technology appraisal guidance [TAG166]. Available January 29, 2016 from http://www.nice.org.uk/ta166 ] audiological guidelines in the contralateral ear. The secondary aim was to measure compliance. A retrospective case review with standard demographic data was performed. Forty-seven children were identified as having received a unilateral CI with the contralateral ear falling outside of current UK audiological criteria. These children were allocated to two groups; with hearing between 50 and 70 dB, and 70 and 90 dB at 2 and 4 kHz in the contralateral ear, respectively. Categories of auditory performance (CAP) were assessed. Pre- and post-operative CAP scores demonstrated a statistically significant improvement in auditory perception. We would suggest that assessing candidacy in individual ears and subsequent unilateral CI, has given these children a benefit they may not otherwise have acquired if they only had bilateral hearing aid.
a Paediatric ENT Department, Royal Manchester Children's Hospital , Central Manchester University Hospitals NHS Foundation Trust, Manchester Academic Health Science Centre , UK.
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Sadadcharam
a Paediatric ENT Department, Royal Manchester Children's Hospital , Central Manchester University Hospitals NHS Foundation Trust, Manchester Academic Health Science Centre , UK.
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Warner
b Richard Ramsden Centre for Auditory Implants , Central Manchester University Hospitals NHS Foundation Trust, Manchester Academic Health Science Centre , UK.
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Henderson
a Paediatric ENT Department, Royal Manchester Children's Hospital , Central Manchester University Hospitals NHS Foundation Trust, Manchester Academic Health Science Centre , UK.
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Brown
a Paediatric ENT Department, Royal Manchester Children's Hospital , Central Manchester University Hospitals NHS Foundation Trust, Manchester Academic Health Science Centre , UK.|b Richard Ramsden Centre for Auditory Implants , Central Manchester University Hospitals NHS Foundation Trust, Manchester Academic Health Science Centre , UK.
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Bruce
D000293:Adolescent; D001307:Auditory Perception; D002648:Child; D002675:Child, Preschool; D019929:Cochlear Implantation / Q000379:methods*; D003054:Cochlear Implants; D003131:Combined Modality Therapy; D012048:Correction of Hearing Impairment / Q000379:methods*; D004423:Ear / Q000503:physiopathology; D005260:Female; D006310:Hearing Aids; D006319:Hearing Loss, Sensorineural / Q000503:physiopathology / Q000534:rehabilitation*; D046088:Hearing Loss, Unilateral / Q000503:physiopathology / Q000534:rehabilitation*; D006320:Hearing Tests; D006801:Humans; D008297:Male; D018579:Patient Selection; D012189:Retrospective Studies; D013067:Speech Perception; D016896:Treatment Outcome
Asymmetric hearing loss; Bimodal; Categories of auditory performance; Cochlear implantation