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Updated: Jan 27, 2026

Electrically Evoked Stapedius Reflex Measurements in Cochlear Implantation and Its Application in the Postoperative Fitting Process
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[Cochlear implant in children].

Édouard Bouquillon1, Marie-Suzanne Le Gac2, Benoit Godey3

  • 1Service ORL, CHU de Caen, Caen, France.

La Revue Du Praticien
|March 15, 2019
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Summary

Cochlear implantation in children with severe to profound hearing loss can significantly improve speech understanding and production. Early intervention is key for optimal outcomes, enabling mainstream schooling for most recipients.

Keywords:
childcochlear implantdeafness

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Area of Science:

  • Otolaryngology
  • Pediatric Audiology
  • Neuroscience

Background:

  • Congenital severe or profound hearing loss in children can impede central auditory development.
  • Hearing aids may be insufficient for auditory stimulation when thresholds are extremely low.

Purpose of the Study:

  • To evaluate the efficacy of cochlear implantation in children with severe to profound hearing loss.
  • To highlight the importance of early intervention and long-term rehabilitation.

Main Methods:

  • Cochlear implantation involves surgically placing an internal device and an external processor to stimulate auditory pathways.
  • Implantation is performed in multidisciplinary centers, followed by long-term fitting and speech therapy.

Main Results:

  • 25 years of clinical experience demonstrate good speech understanding and production in the majority of implanted children.
  • Successful cochlear implantation facilitates mainstream schooling for children with hearing loss.

Conclusions:

  • Cochlear implantation is an effective treatment for severe to profound hearing loss in children.
  • Early implantation is crucial for maximizing speech, language, and educational benefits.
  • Contraindications include cochlear ossification, inner ear malformations, auditory neuropathy, and additional handicaps.