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Updated: Jun 23, 2026

Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages
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Published on: March 24, 2023

Bilateral paediatric cochlear implants: a critical review.

J Cyne Johnston1, Andrée Durieux-Smith, Douglas Angus

  • 1University of Ottawa, Ottawa, ON, Canada. Cyne.johnston@albertahealthservices.ca

International Journal of Audiology
|April 22, 2009
PubMed
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Bilateral cochlear implants (CIs) show promise for children with severe hearing loss, potentially improving sound localization and speech understanding. Further research is needed to confirm benefits across various outcomes.

Area of Science:

  • Audiology
  • Pediatric Otolaryngology
  • Biomedical Engineering

Background:

  • Bilateral cochlear implantation (CI) is an emerging trend for pediatric severe to profound hearing loss.
  • Evidence supporting this trend requires systematic evaluation.

Purpose of the Study:

  • To review and synthesize existing research on the effectiveness of bilateral cochlear implantation in children.
  • To identify gaps in the current literature regarding bilateral CI outcomes.

Main Methods:

  • A systematic review of published research studies was conducted.
  • A pre-determined search protocol was used to identify relevant articles from databases, reference lists, and journals.
  • Twenty-nine articles met the inclusion criteria and were analyzed.

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Robotic Cochlear Implantation for Direct Cochlear Access
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Main Results:

  • Bilateral cochlear implants may enhance sound localization and speech recognition in noise compared to unilateral implants.
  • Evoked potential measures suggest improved outcomes with earlier implantation of the second cochlear implant.
  • This review identified additional pediatric studies contributing to the existing body of research.

Conclusions:

  • Bilateral cochlear implantation demonstrates potential benefits for pediatric hearing loss.
  • Further well-designed studies are necessary to evaluate cost-effectiveness, quality of life, speech, language, and psycho-educational outcomes.
  • Robust evidence is needed to support clinical decisions regarding bilateral cochlear implants for children.