Abstract
Objectives to develop a safe and effective way of qualifying children for a second device cochlear implantation.
 Material and methods. There were 50 children from two to twelve years old after unilateral cochlear implantation under our observation. During qualification, the following criteria were taken into account: audiometry results, use of the hearing aid in the non-implanted ear and benefit of the device, speech and hearing development after the first cochlear implantation.
 Results. According to our findings the second cochlear implantation was recommended for 12 (24%) patients; in 16 (32%) cases the second cochlear implantation was refused; in 22 (44%) cases it was recommended to postpone implantation of the second device.
 Conclusion. Our results demonstrate that the safe and effective way of qualifying for a second cochlear implant can restore binaural hearing that is crucial for the child's speech and hearing development and enhance integration into a world of peers.
Highlights
According to our findings the second cochlear implantation was recommended for 12 (24%) patients; in 16 (32%) cases the second cochlear implantation was refused; in 22 (44%) cases it was recommended to postpone implantation of the second device
Our results demonstrate that the safe and effective way of qualifying for a second cochlear implant can restore binaural hearing that is crucial for the child's speech and hearing development and enhance integration into a world of peers
Здоровье и образование в XXI веке. 2018;20(12):82–86]
Summary
Последовательная билатеральная кохлеарная имплантация у детей: критерии отбора пациентов для операции на втором ухе. Цель – разработать и систематизировать безопасные и эффективные критерии отбора кандидатов на установку второго импланта при проведении последовательной кохлеарной имплантации у детей. В исследовании приняли участие 50 детей после односторонней кохлеарной имплантации в возрасте от 2 до 12 лет. Изложенные нами принципы отбора пациентов на имплантацию второго уха позволяют повысить эффективность последовательной билатеральной кохлеарной имплантации через воссоздание у глухого ребенка бинаурального слуха, дающего дополнительные преимущества в становлении слухового восприятия, речи и интеграции в среду слышащих людей. Ключевые слова: последовательная билатеральная кохлеарная имплантация, дети, глухота, критерии отбора. Для цитирования: Дайхес Н.А., Балакина А.В., Мачалов А.С., Кузнецов А.О., Зуева Е.Н., Наяндина Е.И.
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