Cochlear implantation in children 12 months of age and younger

Michelle A. Holman, Matthew L. Carlson, Colin L W Driscoll, Kendra J. Grim, Rajanya S. Petersson, Douglas P. Sladen, Randall Flick

Research output: Contribution to journalArticle

31 Citations (Scopus)

Abstract

OBJECTIVE: To investigate surgical, anesthetic, and device-related complications as well as auditory and speech-language development outcomes associated with cochlear implantation (CI) in children 12 months of age and younger. STUDY DESIGN: Retrospective chart review. SETTING: Tertiary academic referral center. PATIENTS: All children with severe-to-profound sensorineural hearing loss who underwent cochlear implantation at 12 months of age or younger and an audiometric control group implanted between 13 and 24 months of age. MAIN OUTCOME MEASURES: Anesthetic and surgical course; major and minor surgical, anesthetic and device-related complications; postoperative disposition; postoperative auditory receptive and expressive language development. RESULTS: Twenty-six patients (41 ears) met criteria. The median duration of follow-up was 58 months. No major surgical or anesthetic complications occurred. One patient (4%) experienced device failure, which required revision surgery and implant exchange. Two other patients (8%) had individual electrode anomalies that were treated with map exclusion. At the last recorded follow-up, 73% of patients were performing at or above the level of normal-hearing age-matched peers. Patients that were implanted at 12 months of age or younger reached age-appropriate speech and language skills by 24 months of age compared with 40 months for the older pediatric control group. CONCLUSION: The current study demonstrates that CI provides substantial benefit among infant recipients. Furthermore, when performed by an experienced cochlear implant and pediatric anesthesia team, the surgical and anesthetic risks are similar to that expected with both older pediatric and adult patients.

Original languageEnglish (US)
Pages (from-to)251-258
Number of pages8
JournalOtology and Neurotology
Volume34
Issue number2
DOIs
StatePublished - Feb 2013

Fingerprint

Cochlear Implantation
Anesthetics
Language Development
Pediatrics
Equipment Failure
Equipment and Supplies
Control Groups
Cochlear Implants
Sensorineural Hearing Loss
Reoperation
Tertiary Care Centers
Hearing
Ear
Electrodes
Language
Anesthesia

Keywords

  • Cochlear implantation
  • Hearing rehabilitation
  • Pediatric

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Clinical Neurology
  • Sensory Systems
  • Medicine(all)

Cite this

Holman, M. A., Carlson, M. L., Driscoll, C. L. W., Grim, K. J., Petersson, R. S., Sladen, D. P., & Flick, R. (2013). Cochlear implantation in children 12 months of age and younger. Otology and Neurotology, 34(2), 251-258. https://doi.org/10.1097/MAO.0b013e31827d0922

Cochlear implantation in children 12 months of age and younger. / Holman, Michelle A.; Carlson, Matthew L.; Driscoll, Colin L W; Grim, Kendra J.; Petersson, Rajanya S.; Sladen, Douglas P.; Flick, Randall.

In: Otology and Neurotology, Vol. 34, No. 2, 02.2013, p. 251-258.

Research output: Contribution to journalArticle

Holman, MA, Carlson, ML, Driscoll, CLW, Grim, KJ, Petersson, RS, Sladen, DP & Flick, R 2013, 'Cochlear implantation in children 12 months of age and younger', Otology and Neurotology, vol. 34, no. 2, pp. 251-258. https://doi.org/10.1097/MAO.0b013e31827d0922
Holman MA, Carlson ML, Driscoll CLW, Grim KJ, Petersson RS, Sladen DP et al. Cochlear implantation in children 12 months of age and younger. Otology and Neurotology. 2013 Feb;34(2):251-258. https://doi.org/10.1097/MAO.0b013e31827d0922
Holman, Michelle A. ; Carlson, Matthew L. ; Driscoll, Colin L W ; Grim, Kendra J. ; Petersson, Rajanya S. ; Sladen, Douglas P. ; Flick, Randall. / Cochlear implantation in children 12 months of age and younger. In: Otology and Neurotology. 2013 ; Vol. 34, No. 2. pp. 251-258.
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