Parental and program's decision making in paediatric simultaneous bilateral cochlear implantation: Who says no and why?

Ramsden, James D.; Papaioannou, Vicky; Gordon, Karen A.; James, Adrian; Papsin, Blake C.

doi:10.1016/j.ijporl.2009.05.001

Cited by 19 publications

(14 citation statements)

References 19 publications

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“…Furthermore, there is no physiologic advantage to support submitting a child to 2 operations if the decision has been made to proceed with bilateral implantation after diagnosis of bilateral deafness. Occasionally, families may have other reasons for preferring single or sequential implantation in a small number of cases (45).…”

Section: Clinical Considerations For Simultaneous Bilateral Cochlear mentioning

confidence: 99%

European Bilateral Pediatric Cochlear Implant Forum Consensus Statement

Ramsden¹,

Gordon²,

Aschendorff³

et al. 2012

Otology &Amp; Neurotology

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This is a consensus statement on pediatric cochlear implantation by the European Bilateral Pediatric Cochlear Implant Forum. The consensus statement was determined by review of current scientific literature to identify areas of scientific and clinical agreement of current understanding of bilateral cochlear implantation. The statement is "Currently we feel that the infant or child with unambiguous cochlear implant candidacy should receive bilateral cochlear implants simultaneously as soon as possible after definitive diagnosis of deafness to permit optimal auditory development; an atraumatic surgical technique designed to preserve cochlear function, minimize cochlear damage, and allow easy, possibly repeated re-implantation is recommended."

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Section: Clinical Considerations For Simultaneous Bilateral Cochlear mentioning

confidence: 99%

European Bilateral Pediatric Cochlear Implant Forum Consensus Statement

Ramsden¹,

Gordon²,

Aschendorff³

et al. 2012

Otology &Amp; Neurotology

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“…(13)(14)(15)(16)(17) Nowadays bilateral implants have become a highly recommended option, thus the parents has to decide not only on whether to have the implant or not, also whether the implant will be bilateral and whether it will be simultaneous or sequential. (18,19) The most significant inhibiting factor of cochlear implant surgery is the cost of the device. It is difficult for a common man to afford a cochlear implant, maximum parents (98.3%) said that cost was the barrier which prevented cochlear implant surgery of their child at early age.…”

Section: Discussionmentioning

confidence: 99%

Cochlear Implantation: My Experience

Shankar¹

2015

jemds

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Cochlear implant is a small, surgically implanted complex electronic device that can help to provide a sense of sound to a person with severe to profound sensorineural hearing loss. This type of hearing loss, typically involves damage to hair cells in the cochlea, as a result sound cannot reach the auditory nerve which usually receives information from hair cells. A cochlear implant skips the damaged hair cells and to stimulate the auditory nerve directly. An implant does not restore normal hearing, instead it can give a deaf person a useful representation of sounds in the environment and help him or her to understand speech. I am here presenting this article in relation to the indications, intraoperative and postoperative complications of cochlear implantation in our institute since January 2013. Children who receive implants at earlier age, outperform their peers who are implanted at a later age. This is reflected in all the areas of speech and language development.

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“…This study continues to highlight the importance of allowing parents the opportunity to voice and further explore these concerns during the candidacy and counselling process. Little is known about whether simultaneous surgery may offer some advantage by reducing parental stress to one surgery period versus two but there is some indication in the literature that families have found sequential implantation which involved less than one-year delay between the two implants to be a stressful experience (Ramsden et al, 2009). Several parents expressed their preference for simultaneous surgery if it had been available at the time of their child ' s surgery.…”

Section: Discussionmentioning

confidence: 99%

“…Researchers have proposed that parents may fi nd the decision for a second implant diffi cult because of the uncertainty of benefi ts for a given child, the disadvantages of destroying residual hearing, and the addition of new equipment (Galvin et al, 2008). A recent Canadian study reported that 6 of 23 eligible families declined simultaneous bilateral implantation due to concerns about appearance, concerns about losing residual hearing, and parental uncertainty (Ramsden et al, 2009). Considerable uncertainty was expressed by parents of children with unilateral implants who were interviewed about their views on the choice of a second implant (Johnston et al, 2008).…”

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confidence: 99%