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Cochlear Implants International
An Interdisciplinary Journal for Implantable Hearing Devices
Volume 19, 2018 - Issue 1
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Original articles

Hearing preservation cochlear implantation in children: The HEARRING Group consensus and practice guide

Gunesh RajanDepartment of Otolaryngology, Head and Neck Surgery, School of Surgery, University of Western Australia, Murdoch, AustraliaCorrespondence[email protected]
ORCID Iconhttp://orcid.org/0000-0002-7413-1623
ORCID Icon,
Dayse Tavora-VieiraDepartment of Otolaryngology, Head and Neck Surgery, School of Surgery, University of Western Australia, Murdoch, Australia
,
Wolf-Dieter BaumgartnerMedizinische Universität Wien, Universitätsklinik für Hals-, Nasen- und Ohrenkrankheiten, Wien, Austria
,
Benoit GodeyCHU – Centre Hospitalier Universitaire de Rennes, Rennes, France
,
Joachim MüllerKlinik und Poliklinik für Hals-Nasen-Ohrenheilkunde, Klinikum Großhadern, München, Germany
,
Martin O'DriscollCentral Manchester University Hospitals, Manchester Auditory Implant Center, The Ellen Wilkinson Building, Devas Street, The University of Manchester, Manchester, UK
,
Henryk SkarzynskiInstitute of Physiology and Pathology of Hearing, Kajetany, Poland
,
Piotr SkarzynskiInstitute of Physiology and Pathology of Hearing, Kajetany, Poland
,
Shin-Ichi UsamiShinshu University School of Medicine, Matsumoto, Japan
,
Oliver AdunkaThe Ohio State University Wexner Medical Center, Department of Otolaryngology, Head and Neck Surgery, Columbus, OH, USA
,
Sumit AgrawalLondon Health Sciences Centre, London, Ontario, Canada
,
Iain BruceCentral Manchester University Hospitals, Manchester Auditory Implant Center, The Ellen Wilkinson Building, Devas Street, The University of Manchester, Manchester, UK
,
Marc De BodtAntwerp University Hospital, Antwerp, Belgium
,
Marco CaversaccioUniversitätsklinik für HNO, Kopf- und Halschirurgie, Inselspital Bern, Bern, Switzerland
,
Harold PilsburyThe University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC, USA
,
Javier GavilánHospital La Paz, Madrid, Spain
,
Rudolf HagenKlinik und Poliklinik für Hals-, Nasen- und Ohren-Krankheiten, Universität Würzburg, Wurzburg, Germany
,
Abdulrahman HagrKing Saud University KSU, King Abdulaziz University Hospital, Riyadh, Saudi Arabia
,
Mohan KameswaranMadras ENT Research Foundation (MERF), Chennai, Tamil Nadu, India
,
Eva KarltorpKarolinska University Hospital, Stockholm, Sweden
,
Martin KompisUniversitätsklinik für HNO, Kopf- und Halschirurgie, Inselspital Bern, Bern, Switzerland
,
Vlad KuzovkovSt. Petersburg ENT and Speech Research Institute, St. Petersburg, Russia
,
Luis LassalettaHospital La Paz, Madrid, Spain
,
Li YongxinCapital Medical University, Beijing Tongren Hospital, Beijing, People’s Republic of China
,
Artur LorensInstitute of Physiology and Pathology of Hearing, Kajetany, Poland
,
Manikoth ManojENT Super Speciality Institute and Research Center, Calicut, India
,
Jane MartinBradford Royal Infirmary, Bradford, UK
,
Griet MertensAntwerp University Hospital, Antwerp, Belgium
,
Robert MlynskiKlinik und Poliklinik für Hals-, Nasen-, Ohrenheilkunde, Kopf- und Halschirurgie Otto Körner, Universitätsmedizin Rostock, Rostock, Germany
,
Lorne ParnesLondon Health Sciences Centre, London, Ontario, Canada
,
Sasidharan PulibalathingalENT Super Speciality Institute and Research Center, Calicut, India
,
Andreas RadeloffKing Saud University KSU, King Abdulaziz University Hospital, Riyadh, Saudi Arabia
,
Christopher H. RaineBradford Royal Infirmary, Bradford, UK
,
Ranjith RajeswaranKarolinska University Hospital, Stockholm, Sweden
,
Joachim SchmutzhardUniversitätsklinik für Hals- Nasen- Ohrenheilkunde Innsbruck, Innsbruck, Austria
,
Georg SprinzlLandesklinikum St. Pölten, HNO Abteilung, St. Pölten, Austria
,
Hinrich StaeckerKansas University Center for Hearing and Balance Disorders, Kansas City, USA
,
Kurt StephanUniversitätsklinik für Hör-, Stimm- und Sprachstörungen, Innsbruck, Austria
,
Serafima SugarovaCapital Medical University, Beijing Tongren Hospital, Beijing, People’s Republic of China
,
Mario ZernottiSanatorio Allende, Cordoba, Argentina
,
Patrick ZorowkaUniversitätsklinik für Hör-, Stimm- und Sprachstörungen, Innsbruck, Austria
&
Paul Van de HeyningAntwerp University Hospital, Antwerp, Belgium
 show all
Pages 1-13 | Published online: 26 Oct 2017
 
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Abstract

Objectives: To provide multidisciplinary cochlear implant teams with a current consensus statement to support hearing preservation cochlear implantation (HPCI) in children, including those children with symptomatic partial deafness (PD) where the intention is to use electric-acoustic stimulation (EAS). The main objectives are to provide guidelines on who is a candidate, how to assess these children and when to implant if Med-El Flex electrode arrays are chosen for implantation.

Methods: The HEARRING group reviewed the current evidence and practice regarding the management of children to be considered for HPCI surgery emphasizing the assessment needed prior to implantation in order to demonstrate the benefits in these children over time. The consensus statement addresses following three key questions: (1) Should these children be treated? (2) How to identify these children? (3) How to manage these children?

Summary: The HEARRING group concludes that irrespective of the degree of residual hearing present, the concepts of hearing and structure preservation should be applied in every child undergoing cochlear implantation and that HPCI is a safe and reliable treatment option. Early detection and multidisciplinary assessment are key to the identification of children with symptomatic PD, these children should undergo HPCI as early as possible.

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