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French Society of ENT (SFORL) guidelines. Indications for cochlear implantation in adults
Authors:R. Hermann  E. Lescanne  N. Loundon  P. Barone  J. Belmin  C. Blanchet  S. Borel  A. Charpiot  A. Coez  O. Deguine  A. Farinetti  B. Godey  D. Lazard  M. Marx  I. Mosnier  Y. Nguyen  N. Teissier  M.B. Virole  E. Truy
Affiliation:1. Service ORL et chirurgie cervico-faciale, hôpital Edouard Herriot, HCL, 5, place d’Arsonval, 69003 Lyon, France;2. Service ORL et chirurgie cervico-faciale, CHRU de Tours, boulevard Tonnellé, 37044 Tours, France;3. Service ORL et chirurgie cervico-faciale, hôpital Necker-Enfants–Malades, AP–HP, 149, rue de Sèvres, 75743 Paris, France;4. Laboratoire CerCo, UMR 5549, CHU de Purpan, Pavillon Baudot, place du Dr Joseph Baylac, 31300 Toulouse, France;5. Service de gériatrie, hôpital Charles-Foix, 7, avenue de la République, 94200 Ivry-sur-Seine, France;6. Service ORL et chirurgie cervico-faciale, CHRU de Montpellier, 80, avenue Augustin Fliche, 34090 Montpellier, France;7. Université de Tours, boulevard Tonnellé, 37032 Tours cedex 1, France;8. Service ORL et chirurgie cervico-faciale, hôpital de Hautepierre, 1, avenue de Molière, 67200 Strasbourg, France;9. Société française d’audiologie, 20, rue Thérèse, 75001 Paris, France;10. Service ORL et chirurgie cervico-faciale, CHU de Toulouse, place du Dr Joseph Baylac, 31300 Toulouse, France;11. Service ORL et chirurgie cervico-faciale pédiatrique, hôpital de la Timone, 278, rue Saint-Pierre, 13005 Marseille, France;12. Service ORL et chirurgie cervico-faciale, hôpital Pontchaillou, 2, rue Henri Le Guilloux, 35033 Rennes cedex 09, France;13. Service ORL et chirurgie cervico-faciale, hôpital Pitié-Salpêtrière, AP–HP, 47-83, boulevard de l’Hôpital, 75013 Paris, France;14. Service ORL et chirurgie cervico-faciale, hôpital Robert-Debré, AP–HP, 48, boulevard Sérurier, 75019 Paris, France;15. Service ORL et d’audiophonologie, hôpital Robert-Debré, AP–HP, 48, boulevard Sérurier, 75019 Paris, France
Abstract:
The authors present the guidelines of the French Society of ENT and Head and Neck Surgery (SFORL) regarding indications for cochlear implantation in adults. After a literature review by a multidisciplinary workgroup, guidelines were drawn up based on retrieved articles and group-members’ experience, then read over by an independent reading group to edit the final version. Guidelines were graded A, B, C or “expert opinion” according to decreasing level of evidence. There is no upper age limit to cochlear implantation in the absence of proven dementia and if autonomy is at least partial. Bilateral implantation may be proposed if unilateral implantation fails to provide sufficiently good spatial localization, speech perception in noise and quality of life, and should be preceded by binaural hearing assessment. Rehabilitation by acoustic and electrical stimulation may be proposed when low-frequency hearing persists. Quality of life should be assessed before and after implantation.
Keywords:Corresponding author.  Otology  Cochlear implantation  Adult
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