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Cochlear implantation in unique pediatric populations.
[pendred syndrome]
Over
the
last
decade
,
the
selection
criteria
for
cochlear
implantation
have
expanded
to
include
children
with
special
auditory
,
otologic
,
and
medical
problems
.
Included
within
this
expanded
group
of
candidates
are
those
children
with
auditory
neuropathy
spectrum
disorder
,
cochleovestibular
malformations
,
cochlear
nerve
deficiency
,
associated
syndromes
,
as
well
as
multiple
medical
and
developmental
disorders
.
Definitive
indications
for
cochlear
implantation
in
these
unique
pediatric
populations
are
in
evolution
.
This
review
will
provide
an
overview
of
managing
and
habilitating
hearing
loss
within
these
populations
with
specific
focus
on
cochlear
implantation
as
a
treatment
option
.
Cochlear
implants
have
been
successfully
implanted
in
children
within
unique
populations
with
variable
results
.
Evaluation
for
cochlear
implant
candidacy
includes
the
core
components
of
a
full
medical
,
audiologic
,
and
speech
and
language
evaluations
.
When
considering
candidacy
in
these
children
,
additional
aspects
to
consider
include
disorder-
specific
surgical
considerations
and
child
/
caregiver
counseling
regarding
reasonable
postimplantation
outcome
expectations
.
Cochlear
implants
are
accepted
as
the
standard
of
care
for
improving
hearing
and
speech
development
in
children
with
severe
-
to
-
profound
hearing
loss
.
However
,
children
with
sensorineural
hearing
loss
who
meet
established
audiologic
criteria
for
cochlear
implantation
may
have
unique
audiologic
,
medical
,
and
anatomic
characteristics
that
necessitate
special
consideration
regarding
cochlear
implantation
candidacy
and
outcome
.
Individualized
preoperative
candidacy
and
counseling
,
surgical
evaluation
,
and
reasonable
postoperative
outcome
expectations
should
be
taken
into
account
in
the
management
of
these
children
.
Diseases
Validation
Diseases presenting
"reasonable postoperative outcome expectations"
symptom
pendred syndrome
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