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Updated: May 27, 2026
Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages
Published on: March 24, 2023
Pediatric cochlear implantation: candidacy evaluation, medical and surgical considerations, and expanding criteria
Selena E Heman-Ackah1, J Thomas Roland, David S Haynes
1Department of Otolaryngology, New York University Cochlear Implant Center, New York University School of Medicine, 660 First Avenue, 7th Floor, New York, NY 10016, USA.
Insights
Cochlear implant technology has advanced significantly since the 1980s, evolving patient selection, evaluation, and rehabilitation for pediatric hearing loss. This review covers current practices and expanding criteria for pediatric cochlear implantation.
Area of Science:
- Otolaryngology
- Biomedical Engineering
- Pediatric Audiology
Background:
- The first cochlear implant was approved by the US Food and Drug Administration in the early 1980s.
- Significant technological advancements have been made in cochlear implant devices since their inception.
- Patient selection, preoperative assessment, and rehabilitation strategies for cochlear implantation are continuously evolving.
Purpose of the Study:
- To describe current practices in evaluating pediatric candidates for cochlear implantation.
- To review medical and surgical considerations pertinent to pediatric cochlear implantation.
- To explore the expanding criteria for cochlear implantation in the pediatric population.
Main Methods:
- Literature review of current practices and advancements in pediatric cochlear implantation.
- Analysis of evolving patient selection criteria.
- Examination of medical and surgical considerations.
Main Results:
- Pediatric cochlear implant candidacy evaluation is dynamic and influenced by technological progress.
- Medical and surgical aspects require careful consideration for safe and effective implantation in children.
- The criteria for pediatric cochlear implantation are broadening, allowing more children to benefit.
Conclusions:
- Cochlear implant technology has progressed substantially, impacting pediatric care.
- Ongoing evolution in candidacy evaluation and surgical considerations optimizes outcomes.
- Expanding criteria enhance access to cochlear implantation for a wider pediatric group.
Abstract:
Since the first cochlear implant approved by the US Food and Drug Administration in the early 1980s, great advances have occurred in cochlear implant technology. With these advances, patient selection, preoperative evaluation, and rehabilitation consideration continue to evolve. This article describes the current practice in pediatric candidacy evaluation, reviews the medical and surgical considerations in pediatric cochlear implantation, and explores the expanding criteria for cochlear implantation within the pediatric population.