Expansion of Audiologic Criteria for Pediatric Cochlear Implantation.

Expansion of Audiologic Criteria for Pediatric Cochlear Implantation.
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DOI:
10.1016/j.otc.2021.08.002
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发表时间:
2021-12
影响因子:
1.7
通讯作者:
Gifford RH
Gifford RH
中科院分区:
医学3区
文献类型:
--
作者:
Brown C;Gifford RH

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耳蜗植入体(CI)对重度至极重度感音神经性听力损失儿童的沟通、教育和生活质量产生了巨大影响。就在几十年前,先天性重度耳聋的儿童通常被送到聋人寄宿学校学习语言、社交和学术指导。今天,先天性耳聋的儿童通常在12个月或更小的时候植入,并且能够在进入主流幼儿园之前获得与年龄相适应的言语,语言和识字前技能。1为此,CI被称为有史以来最成功的感觉神经假体。2,3 1990年6月,美国食品药品监督管理局(FDA)批准了用于双侧极重度感音神经性听力损失儿童(≥ 2岁)的CI。FDA标记的CI适应症的最低年龄后来在1998年降至18个月,2000年降至12个月,2020年降至9个月。儿童CI候选人资格的最新年龄调整花了20年时间,尽管有相当多的证据表明CI早在6个月大时就对听觉技能、言语和语言的发展有益。4–8
Cochlear implants (CIs) have dramatically impacted communication, education, and quality of life for children with severe-to-profound sensorineural hearing loss. Just a few decades ago, children born with profound deafness were routinely sent to a residential school for the deaf to acquire language, socialization, and academic instruction. Today, children with congenital deafness are routinely implanted at 12 months of age or younger and are capable of achieving age-appropriate speech, language, and preliteracy skills before entering a mainstream kindergarten. 1 To this end, CIs have been termed the most successful sensory neuroprostheses of all time. 2, 3In June 1990, the Food and Drug Administration (FDA) approved CIs for children≥ 2 years with bilateral profound sensorineural hearing loss. The minimum age for FDA-labeled CI indications was later lowered to 18 months in 1998, 12 months in 2000, and 9 months in 2020. The latest age adjustment for pediatric CI candidacy took 2 decades, despite considerable evidence for CI benefits as early as 6 months of age on development of auditory skills, speech, and language. 4–8
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