Considerations for Pediatric Cochlear Implant Recipients With Unilateral or Asymmetric Hearing Loss: Assessment, Device Fitting, and Habilitation Purpose 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. Method Case information is presented for ... Clinical Focus
Clinical Focus  |   June 13, 2017
Considerations for Pediatric Cochlear Implant Recipients With Unilateral or Asymmetric Hearing Loss: Assessment, Device Fitting, and Habilitation
 
Author Affiliations & Notes
  • Laura Greaver
    Children's Hospital Colorado, Colorado Springs
  • Hannah Eskridge
    The University of North Carolina at Chapel Hill
  • Holly F. B. Teagle
    The University of North Carolina at Chapel Hill
  • Disclosure: Holly F. B. Teagle is a member of a Cochlear Corporation Audiology Advisory Board. For the other authors, no conflicts of interest were declared.
    Disclosure: Holly F. B. Teagle is a member of a Cochlear Corporation Audiology Advisory Board. For the other authors, no conflicts of interest were declared. ×
  • Correspondence to Holly F. B. Teagle: holly_teagle@med.unc.edu
  • Editor: Sumitrajit Dhar
    Editor: Sumitrajit Dhar×
  • Associate Editor: Ryan McCreery
    Associate Editor: Ryan McCreery×
Article Information
Hearing Disorders / Hearing Aids, Cochlear Implants & Assistive Technology / Audiologic / Aural Rehabilitation / Clinical Focus
Clinical Focus   |   June 13, 2017
Considerations for Pediatric Cochlear Implant Recipients With Unilateral or Asymmetric Hearing Loss: Assessment, Device Fitting, and Habilitation
American Journal of Audiology, June 2017, Vol. 26, 91-98. doi:10.1044/2016_AJA-16-0051
History: Received May 3, 2016 , Revised August 24, 2016 , Accepted September 16, 2016
 
American Journal of Audiology, June 2017, Vol. 26, 91-98. doi:10.1044/2016_AJA-16-0051
History: Received May 3, 2016; Revised August 24, 2016; Accepted September 16, 2016

Purpose 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.

Method 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.

Results 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.

Conclusions 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.

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