European Bilateral Pediatric Cochlear Implant Forum Consensus Statement

Ramsden, James D.; Gordon, Karen A.; Aschendorff, Antje; Borucki, Łukasz; Bunne, Marie; Burdo, Sandro; Garabédian, N.; Grolman, Wilko; Irving, Richard; Lesinski‐Schiedat, Anke; Loundon, Natalie; Manrique, Manuel; Martin, Jane; Raine, Chris; Wouters, Jan; Papsin, Blake C.

doi:10.1097/mao.0b013e3182536ae2

Cited by 91 publications

(59 citation statements)

References 46 publications

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“…Generally, it may be done after the 6th month of life in the first year. Bilateral implantation should be performed in cases of bilateral deafness, if possible simultaneously or otherwise as sequential implantation with a short time interval in order to use the sensitive phase for the development of binaural hearing [28], [29]. Hearing aid fitting beside unilateral cochlear implantation is indicated in cases of asymmetric hearing with unilateral sensory hearing loss and useable hearing ability in the contralateral ear.…”

Section: Indications In Childrenmentioning

confidence: 99%

Cochlear Implant – State of the Art

2017

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Cochlear implants are the treatment of choice for auditory rehabilitation of patients with sensory deafness. They restore the missing function of Thomas Lenarz 1 inner hair cells by transforming the acoustic signal into electrical stimuli in the majority of patients including the use of the telephone. Children can achieve a near to normal speech and language development provided their deafness is detected early after onset and implantation is performed quickly thereafter. The diagnostic procedure as well as the surgical technique have been standardized and can be adapted to the individual anatomical and physiological needs both in children and adults. Special cases such as cochlear obliteration might require special measures and re-implantation, which can be done in most cases in a straight forward way. Technology upgrades count for better performance. Future developments will focus on better electrode-nerve interfaces by improving electrode technology. An increased number of electrical contacts as well as the biological treatment with regeneration of the dendrites growing onto the electrode will increase the number of electrical channels. This will give room for improved speech coding strategies in order to create the bionic ear, i.e. to restore the process of natural hearing by means of technology. The robot-assisted surgery will allow for high precision surgery and reliable hearing preservation. Biological therapies will support the bionic ear. Methods are bio-hybrid electrodes, which are coded by stem cells transplanted into the inner ear to enhance auto-production of neurotrophins. Local drug delivery will focus on suppression of trauma reaction and local regeneration. Gene therapy by nanoparticles will hopefully lead to the preservation of residual hearing in patients being affected by genetic hearing loss. Overall the cochlear implant is a very powerful tool to rehabilitate patients with sensory deafness. More than 1 million of candidates in Germany today could benefit from this high technology auditory implant. Only 50,000 are implanted so far. In the future, the procedure can be done under local anesthesia, will be minimally invasive and straight forward. Hearing preservation will be routine.Keywords: cochlear implant, sensory deafness, diagnostics, surgical procedure, results, complications, future developments SummaryCochlear implants are electronical stimulus prostheses for the functional replacement of the inner ear. Because of the rapid technical development and the good results, they could be established as standard therapy for sensory deafness. Cochlear implantation requires an interdisciplinary team and a quality-controlled concepts that reaches from the indication to the life-long control and that is fixed in the AWMF guideline on cochlear implant [1]. Current cochlear implant systems are partially implantable and equipped with a multitude of additional functions similar to hearing aids for sound pre-processing and noise elimination. The intracochlear position of the electrode allows fo...

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Section: Indications In Childrenmentioning

confidence: 99%

Cochlear Implant – State of the Art

2017

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“…Possivelmente, o aprimoramento de estratégias de codificação considerando a bilateralidade seja capaz de melhorar ainda mais os resultados (Hoesel, 2004). Ainda assim, o Fórum de Implante Coclear Bilateral Europeu de 2012 anunciou consenso de que o melhor tratamento disponível atualmente é a implantação bilateral precoce (Ramsden et al, 2012).…”

Section: Perspectivasunclassified

Implantes cocleares: aspectos tecnológicos e papel socioeconômico

Tefili

Barrault

Ferreira³

et al. 2013

RBEB

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Resumo Introdução: O grande número de defi cientes auditivos faz da perda auditiva um sério problema social, econômico e de saúde pública. Próteses auditivas e implantes cocleares representam os principais dispositivos utilizados como paliativos por pessoas com defi ciência auditiva, sendo que os implantes cocleares são muitas vezes a única opção nos casos de defi ciência auditiva severa e profunda. Nesse artigo discute-se de maneira geral os diferentes aspectos envolvendo implantes cocleares, tanto de âmbito tecnológico como seu papel socioeconômico. Métodos: Baseado em dados do SUS, IBGE e outras fontes, um levantamento qualitativo e quantitativo é feito pela primeira vez especifi camente para a população brasileira. O artigo discute ainda o estado da arte das tecnologias envolvidas no implante coclear, com base em literatura científi ca e informações de fabricantes, bem como as perspectivas para as próximas gerações de implantes cocleares. Conclusão: Há potencial e demanda para evoluções nos implantes atuais. A implantação precoce é benéfi ca para pacientes e sociedade, compensando os custos econômica e socialmente. No entanto, as políticas públicas de reabilitação necessitam se adequar para atender com efi cácia à crescente população afetada pela defi ciência auditiva.Palavras-chave Implante coclear, Processamento de sinais, Defi ciência auditiva severa e profunda, Impacto socioeconômico. Cochlear implants: technological aspects and socioeconomic role

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“…This was done in order to try to determine the minimum necessary costs which would need to be covered if an individual were to receive a cochlear implant. Currently most individuals still use one implant, though bilateral implantation is becoming the treatment of choice, especially for children (Johnston, Durieux-Smith, Angus, O'Connor & Fitzpatrick, 2009;Ramsden et al, 2012;Summerfield, Lovett, Bellenger & Batten, 2010). In this study, 30 participants (19%) were bilaterally implanted.…”

Section: Data Collectionmentioning

confidence: 99%

“…The effectiveness of cochlear implants in providing increased sound perception for this population is well documented. They result in improved auditory performance and speech perception for adults and children, with benefits extending to improvements in education, occupation and quality of life (Carpenter, 2009;Chute & Nevins, 2006;Ramsden et al, 2012). Cochlear implants have become the treatment of choice for many individuals with severe or profound sensorineural hearing loss (Chute & Nevins, 2006;Carpenter, 2009).…”

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confidence: 99%

Costs involved in using a cochlear implant in South Africa

Kerr

Tuomi

Müller

2012

South African Journal of Communication Disorders

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Cochlear implantation is an expensive but effective lifelong intervention for individuals with a severe-to-profound hearing loss. The primary aim of this study was to survey the short-and long-term costs of cochlear implantation. Individuals (N=154) using cochlear implants obtained from the University of Stellenbosch-Tygerberg Hospital Cochlear Implant Unit in Cape Town, South Africa were surveyed using a questionnaire and patient record review. The questionnaire used a combination of closed and open-ended questions to gather both quantitative and qualitative information. Costs were categorised as short-and long-term costs. All costs were converted to constant rands (June 2010) using the Consumer Price Index to allow for comparison in real terms over time. In the first 10 years of implantation the average estimated costs incurred by adults totalled R379 626, and by children R455 225. The initial purchase of the implant system was the most substantial cost, followed by upgrading of the processor. Travel and accommodation costs peaked in the first 2 years. On average the participants spent R2 550 per year on batteries and spares. Rehabilitation for children cost an average of R7 200. Insurance costs averaged R4 040 per year, and processor repairs R3 000 each. In addition to the upfront expense of obtaining the cochlear implant system, individuals using a cochlear implant in South Africa should be prepared for the long-term costs of maintenance, accessing the unit, support services and additional costs associated with use. Knowledge of these costs is important to ensure that individuals are successful users of their cochlear implants in the long term.

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European Bilateral Pediatric Cochlear Implant Forum Consensus Statement

Cited by 91 publications

References 46 publications

Cochlear Implant – State of the Art

Cochlear Implant – State of the Art

Implantes cocleares: aspectos tecnológicos e papel socioeconômico

Costs involved in using a cochlear implant in South Africa

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