Cochlear implantation in infants below 12 months of age
Objectives: To provide safety and efficacy data on infants implanted below 12 months of age. Methods: With the wide application of newborn hearing screening programs, infants with deafness are being identified at birth. When a hearing aid trial fails, cochlear implantation is the only option to rest...
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KeAi Communications Co., Ltd.
2017
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oai:doaj.org-article:cdaaf7cea5934ea893bedd191d354adf2021-12-02T14:18:34ZCochlear implantation in infants below 12 months of age2095-881110.1016/j.wjorl.2017.12.001https://doaj.org/article/cdaaf7cea5934ea893bedd191d354adf2017-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2095881117301361https://doaj.org/toc/2095-8811Objectives: To provide safety and efficacy data on infants implanted below 12 months of age. Methods: With the wide application of newborn hearing screening programs, infants with deafness are being identified at birth. When a hearing aid trial fails, cochlear implantation is the only option to restore hearing. Mounting evidence suggests that age at implantation is a strong predictor of language outcomes. Using the minimally invasive surgical technique we have employed for nearly two decades, a limited clinical trial was initiated in the year 2000 because this age limitation fell outside of FDA guidelines. The infants were initially assessed using the preferential listening paradigm to confirm that they could learn associations between speech sounds and objects. Sufficient time was allowed to pass to administer more traditional language measures. Results: No surgical or anesthetic complications occurred in this group of infants. The pattern of listening skill development mirrored that seen in normal hearing infants. Long-term language assessments using the Peabody Picture Vocabulary Test (PPVT) and other measures have demonstrated that many of infants achieved age appropriate language skills. Conclusion: Cochlear implantation in children less than 12 months of age is safe and efficacious as demonstrated by long-term PPVT language data. Keywords: Infants, Cochlear implantation, Treatment outcomeRichard T. MiyamotoBethany ColsonShirley HenningDavid PisoniKeAi Communications Co., Ltd.articleOtorhinolaryngologyRF1-547SurgeryRD1-811ENWorld Journal of Otorhinolaryngology-Head and Neck Surgery, Vol 3, Iss 4, Pp 214-218 (2017) |
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Otorhinolaryngology RF1-547 Surgery RD1-811 Richard T. Miyamoto Bethany Colson Shirley Henning David Pisoni Cochlear implantation in infants below 12 months of age |
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Objectives: To provide safety and efficacy data on infants implanted below 12 months of age. Methods: With the wide application of newborn hearing screening programs, infants with deafness are being identified at birth. When a hearing aid trial fails, cochlear implantation is the only option to restore hearing. Mounting evidence suggests that age at implantation is a strong predictor of language outcomes. Using the minimally invasive surgical technique we have employed for nearly two decades, a limited clinical trial was initiated in the year 2000 because this age limitation fell outside of FDA guidelines. The infants were initially assessed using the preferential listening paradigm to confirm that they could learn associations between speech sounds and objects. Sufficient time was allowed to pass to administer more traditional language measures. Results: No surgical or anesthetic complications occurred in this group of infants. The pattern of listening skill development mirrored that seen in normal hearing infants. Long-term language assessments using the Peabody Picture Vocabulary Test (PPVT) and other measures have demonstrated that many of infants achieved age appropriate language skills. Conclusion: Cochlear implantation in children less than 12 months of age is safe and efficacious as demonstrated by long-term PPVT language data. Keywords: Infants, Cochlear implantation, Treatment outcome |
format |
article |
author |
Richard T. Miyamoto Bethany Colson Shirley Henning David Pisoni |
author_facet |
Richard T. Miyamoto Bethany Colson Shirley Henning David Pisoni |
author_sort |
Richard T. Miyamoto |
title |
Cochlear implantation in infants below 12 months of age |
title_short |
Cochlear implantation in infants below 12 months of age |
title_full |
Cochlear implantation in infants below 12 months of age |
title_fullStr |
Cochlear implantation in infants below 12 months of age |
title_full_unstemmed |
Cochlear implantation in infants below 12 months of age |
title_sort |
cochlear implantation in infants below 12 months of age |
publisher |
KeAi Communications Co., Ltd. |
publishDate |
2017 |
url |
https://doaj.org/article/cdaaf7cea5934ea893bedd191d354adf |
work_keys_str_mv |
AT richardtmiyamoto cochlearimplantationininfantsbelow12monthsofage AT bethanycolson cochlearimplantationininfantsbelow12monthsofage AT shirleyhenning cochlearimplantationininfantsbelow12monthsofage AT davidpisoni cochlearimplantationininfantsbelow12monthsofage |
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