Guidelines (short version) of the French Society of Otorhinolaryngology (SFORL) on pediatric cochlear implant indications |
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| Authors: | F. Simon S. Roman E. Truy 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 B. Virole N. Loundon |
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| Affiliation: | 1. Service d’ORL pédiatrique, hôpital Necker – Enfants-Malades, université Paris Descartes, 75015 Paris, France;2. Service d’ORL pédiatrique, hôpital La Timone, Aix-Marseille université, 13005 Marseille, France;3. Service ORL et chirurgie cervico-faciale, hôpital Édouard-Herriot, université Claude-Bernard Lyon 1, 69003 Lyon, France;4. Université de Toulouse, CerCo UMR 5549 CNRS, faculté de médecine de Purpan, 31000 Toulouse, France;5. Hôpital universitaire Charles-Foix, université Pierre-et-Marie-Curie, 75013 Paris, France;6. Service d’ORL pédiatrique, hôpital Arnaud-de-Villeneuve, 34090 Montpellier, France;7. Université de Tours, 37000 Tours, France;8. Service d’ORL, CHU de Strasbourg, 67200 Strasbourg, France;9. CEA-Inserm U1000 Neuroimaging and Psychiatry, service hospitalier Frédéric-Joliot, 91400 Orsay, France;10. Service d’ORL, CHU de Toulouse, 31300 Toulouse, France;11. Service d’oto-rhino-laryngologie et de chirurgie maxillo-faciale, CHU de Rennes, 35000 Rennes, France;12. Institut Arthur-Vernes, 75006 Paris, France;13. Nottingham University, Nottingham, UK;14. Service d’ORL, hôpital Purpan, CHU de Toulouse, université Paul-Sabatier, 31000 Toulouse, France;15. AP–HP, groupe hospitalier Pitié-Salpêtrière, service d’ORL, otologie, implants auditifs et chirurgie de la base du crâne, Sorbonne universités, université Pierre-et-Marie-Curie, 75013 Paris, France;p. Groupe hospitalier Pitié-Salpêtrière, unité otologie, implants auditifs et chirurgie de la base du crâne, UMR-S 1159 Inserm, université Paris 6 Pierre-et-Marie-Curie, 75013 Paris, France;q. Service d’ORL pédiatrique, hôpital Robert-Debré, université Paris-Diderot, Paris, France;r. Service d’ORL et audiophonologie infantile, hôpital Robert-Debré, 75019 Paris, France;s. Service d’ORL, CHU de Tours, 37000 Tours, France |
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| Abstract: | ObjectivesThe authors present the guidelines of the French Society of Otorhinolaryngology – Head and Neck Surgery (Société française d’oto-rhino-laryngologie et de chirurgie de la face et du cou – SFORL) on the indications for cochlear implantation in children.MethodsA multidisciplinary work group was entrusted with a review of the scientific literature on the above topic. Guidelines were drawn up, based on the articles retrieved and the group members’ individual experience. They were then read over by an editorial group independent of the work group. The guidelines were graded as A, B, C or expert opinion, by decreasing level of evidence.ResultsThe SFORL recommends that children with bilateral severe/profound hearing loss be offered bilateral cochlear implantation, with surgery before 12 months of age. In sequential bilateral cochlear implantation in children with severe/profound hearing loss, it is recommended to reduce the interval between the two implants, preferably to less than 18 months. The SFORL recommends encouraging children with unilateral cochlear implants to wear contralateral hearing aids when residual hearing is present, and recommends assessing perception with hearing-in-noise tests. It is recommended that the surgical technique should try to preserve the residual functional structures of the inner ear as much as possible. |
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| Keywords: | Corresponding author. Service d’ORL pédiatrique, hôpital Necker – Enfants-Malades, 149, rue de Sèvres, 75015 Paris, France. Child Pediatric Cochlear implant Indications Guidelines France |
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