Greaver Laura, Eskridge Hannah, Teagle Holly F B
Children's Hospital Colorado, Colorado Springs.
The University of North Carolina at Chapel Hill.
Am J Audiol. 2017 Jun 13;26(2):91-98. doi: 10.1044/2016_AJA-16-0051.
The purpose of this clinical report is to present case studies of children who are nontraditional candidates for cochlear implantation because they have significant residual hearing in 1 ear and to describe outcomes and considerations for their audiological management and habilitation.
Case information is presented for 5 children with profound hearing loss in 1 ear and normal or mild-to-moderate hearing loss in the opposite ear and who have undergone unilateral cochlear implantation. Pre- and postoperative assessments were performed per typical clinic routines with modifications described. Postimplant habilitation was customized for each recipient using a combination of traditional methods, newer technologies, and commercial materials.
The 5 children included in this report are consistent users of their cochlear implants and demonstrate speech recognition in the implanted ear when isolated from the better hearing ear.
Candidacy criteria for cochlear implantation are evolving. Children with single-sided deafness or asymmetric hearing loss who have traditionally not been considered candidates for cochlear implantation should be evaluated on a case-by-case basis. Audiological management of these recipients is not vastly different compared with children who are traditional cochlear implant recipients. Assessment and habilitation techniques must be modified to isolate the implanted ear to obtain accurate results and to provide meaningful therapeutic intervention.
本临床报告旨在呈现因单耳有显著残余听力而成为非传统人工耳蜗植入候选者的儿童病例研究，并描述其听力学管理及康复训练的结果与注意事项。
报告了5名单侧重度听力损失且对侧耳听力正常或轻度至中度听力损失并接受了单侧人工耳蜗植入的儿童的病例信息。术前和术后评估按照典型临床常规进行，并做了所述的调整。植入后康复训练针对每位受助者进行定制，采用传统方法、新技术和商业材料相结合的方式。
本报告纳入的5名儿童均持续使用人工耳蜗，且在将植入耳与听力较好的耳朵隔离开时，植入耳能表现出言语识别能力。
人工耳蜗植入的候选标准正在不断演变。传统上不被视为人工耳蜗植入候选者的单侧耳聋或不对称听力损失儿童应逐案评估。与传统人工耳蜗植入受助儿童相比，这些受助者的听力学管理并无太大差异。评估和康复训练技术必须进行调整，以隔离植入耳，从而获得准确结果并提供有意义的治疗干预。
