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Updated: Jun 28, 2026
Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages
Published on: March 24, 2023
How we do it: clinical management of the child receiving a second, bilateral cochlear implant
Karyn Louise Galvin1, Jaime Roanne Leigh, Kathryn Clare Hughes
1Department of Otolaryngology, The University of Melbourne, Australia.
Insights
Maximizing benefits from a second cochlear implant requires tailored clinical management for families and children. This involves understanding unique needs for sequential bilateral cochlear implants and informed decision-making.
Area of Science:
- Audiology
- Pediatric Otolaryngology
- Rehabilitation Medicine
Background:
- Bilateral cochlear implantation is increasingly common for pediatric hearing loss.
- Sequential implantation presents unique considerations compared to first-time implantation.
- Family-centered care is crucial for successful audiological rehabilitation.
Purpose of the Study:
- To delineate the distinct needs of families considering a second cochlear implant.
- To review essential information for informed decision-making regarding sequential bilateral cochlear implants.
- To discuss programming, post-operative responses, and strategies for optimizing outcomes with sequential implants.
Main Methods:
- Literature review focusing on sequential bilateral cochlear implantation in children.
- Analysis of clinical management adaptations for families and children.
- Discussion of programming nuances and post-operative rehabilitation strategies.
Main Results:
- The decision-making process for a second cochlear implant differs significantly from a first implant.
- Specific information is required to support informed family choices about sequential implants.
- Children's post-operative responses and the promotion of bilateral device use require targeted approaches.
Conclusions:
- Adapting clinical management to family and child needs is essential for maximizing benefits from sequential bilateral cochlear implants.
- Informed decision-making and appropriate programming are critical for successful outcomes.
- Post-operative support should focus on device use and auditory skill development.
Abstract:
For children to gain maximum benefit from a second, bilateral cochlear implant clinicians need to be aware of the special needs of the family and child, and to adapt their clinical management appropriately. This article describes how the situation of the family considering a second implant is different, and how the decision to be made differs from that for a first implant. The information specific to sequential implants that should be provided so families can make an informed decision is reviewed. Programming issues unique to sequential bilateral cochlear implants are discussed. Finally, information is provided on how children may respond post-operatively, and what can be done to promote bilateral device use and the development of listening skills with the new implant.
