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Updated: May 22, 2026

Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages
Published on: March 24, 2023
European Bilateral Pediatric Cochlear Implant Forum consensus statement
James D Ramsden1, Karen Gordon, Antje Aschendorff
1ENT Department, Oxford University Hospitals, Oxford, UK. james.ramsden@ouh.nhs.uk
Insights
Infants and children with clear candidacy for cochlear implants should receive simultaneous bilateral cochlear implants early for optimal auditory development. Atraumatic surgical techniques preserving cochlear function and allowing re-implantation are recommended.
Area of Science:
- Otolaryngology
- Pediatric Audiology
- Neurosurgery
Background:
- Bilateral cochlear implantation in children is a rapidly evolving field.
- Understanding current consensus is crucial for clinical practice.
- Optimizing auditory development in pediatric hearing loss is a priority.
Abstract:
This is a consensus statement on pediatric cochlear implantation by the European Bilateral Pediatric Cochlear Implant Forum. The consensus statement was determined by review of current scientific literature to identify areas of scientific and clinical agreement of current understanding of bilateral cochlear implantation. The statement is "Currently we feel that the infant or child with unambiguous cochlear implant candidacy should receive bilateral cochlear implants simultaneously as soon as possible after definitive diagnosis of deafness to permit optimal auditory development; an atraumatic surgical technique designed to preserve cochlear function, minimize cochlear damage, and allow easy, possibly repeated re-implantation is recommended."
