Indikationen zur Cochlea-Implantat Versorgung bei Kindern: Wohin geht die Reise?

Abstract

The indications for cochlear implants in children were gradually expended during the last 30 years. This concerns both the age at implantation and the audiological criteria, unilateral or bilateral treatment, the treatment of unilateral deafness and of children with multiple disabilities. Due to the improvement in hearing preservation and new technical developments, it is to be expected that the indication limits will continue to shift in the coming decades.

Die Indikationen zur Cochlea-Implantat-Versorgung (CI-Versorgung) von Kindern wurden in den letzten 30 Jahren schrittweise erweitert. Dies betrifft sowohl das Alter bei Implantation als auch die audiologischen Kriterien, die uni- oder bilaterale Versorgung, die Versorgung bei einseitiger Taubheit und von Kindern mit Mehrfachbehinderungen. Durch die Verbesserung des Hörerhalts und neue technische Entwicklungen ist zu erwarten, dass sich die Indikationsgrenzen auch in den kommenden Dekaden weiter verschieben.

Schlüsselwörter

Cochlea-Implantat Versorgung - Kinder - Indikation

Key Words

Cochlear implantation - Children - indication

Publication History

Article published online:
11 March 2024

• Literatur

• 1 Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. S2k-Leitlinie Cochlea-Implantat-Versorgung von 10/2020, AWMF-Register-Nr. 017/071. Im Internet (Stand 30.10.2023): https://register.awmf.org/assets/guidelines/017-071l_S2k_Cochlea-Implantat-Versorgung-zentral-auditorische-Implantate_2020-12.pdf
• 2 Park LR, Gagnon EB, Brown KD. The Limitations of FDA Criteria: Inconsistencies with Clinical Practice, Findings, and Adult Criteria as a Barrier to Pediatric Implantation. Seminars in Hearing 2021; 42: 373-380
• 3 Deutsche Gesellschaft für Phoniatrie und Pädaudiologie. S2k-Leitlinie: Periphere Hörstörungen im Kindesalter von 09/2013, AWMF-Register-Nr. 049/010, derzeit in Überarbeitung. Im Internet (Stand 27.10.2023): http://dgpp.de/de/wp-content/files/S2k_Kindesalter_2013-09_abgelaufen.pdf
• 4 Bruijnzeel H, Ziylan F, Stegeman I. et al. A Systematic Review to Define the Speech and Language Benefit of Early (<12 Month) Pediatric Cochlear Implantation. Audiol Neurootol 2016; 21: 113-126
• 5 Kral K, Lang-Roth R, Hilger N. et al. Haben früh cochleaimplantierte Kinder eine bessere Sprachentwicklung als später versorgte Kinder?. Laryngo-Rhino-Otol 2017; 96: 160-167
• 6 Culbertson SR, Dillon MT, Richter ME. et al. Younger Age at Cochlear Implant Activation Results in Improved Auditory Skill Development for Children With Congenital Deafness. J Speech Lang Hear Res 2022; 65: 3539-3547
• 7 Chen L, Zhang JG, Zhu HY. et al. Electrically Evoked Auditory Brainstem Responses in Children Fitted with Hearing Aids Prior to Cochlear Implantation. Trends Hear 2023; 27: 1-10
• 8 Teagle HF, Roush PA, Woodard JS. et al. Cochlear implantation in children with auditory neuropathy spectrum disorder. Ear Hear 2010; 31: 325-35
• 9 Grotheer M, Bloom D, Kruper J. et al. Human white matter myelinates faster in utero than ex utero. PNAS 2023; 120: 1-10
• 10 Okumura A, Kitai Y, Arai H. et al. Auditory brainstem response in preterm infants with bilirubin encephalopathy. Early Human Development 2021; 154: 1-6
• 11 Naik AN, Varadarajan VV, Malhotra PS. Early pediatric Cochlear implantation: An update. Laryngoscope Investig Otolaryngol 2021; 6: 512-521
• 12 Pasternak Y, Ziv L, Attias J. et al. Valganciclovir Is Beneficial in Children with Congenital Cytomegalovirus and Isolated Hearing Loss. J Pediat 2018; 199: 166-170
• 13 McCrary H, Sheng X, Greene T. et al. Long-term hearing outcomes of children with symptomatic congenital CMV treated with valganciclovir. Int J Pediatr Otorhinolaryngol 2019; 118: 124-127
• 14 Philippon D, Bergeron F, Ferron P. et al. Cochlear implantation in postmeningitic deafness. Otol Neurotol 2010; 31: 83-87
• 15 Leigh J, Dettman S, Dowell R. et al. Evidence-based approach for making cochlear implant recommendations for infants with residual hearing. Ear Hear 2011; 32: 313-322
• 16 Sadadcharam M, Warner L, Henderson L. et al. Unilateral cochlear implantation in children with a potentially useable contralateral ear. Cochlear Implants Int 2016; 17 (Suppl. 01) 55-58
• 17 Arndt S, Findeis L, Wesarg T. et al. Long-Term Outcome of Cochlear Implantation in Children With Congenital, Perilingual, and Postlingual Single-Sided Deafness. Ear Hear 2023; DOI: 10.1097/AUD.0000000000001426.
• 18 Yoshimura H, Moteki H, Nishio SY. et al. Electric-acoustic stimulation with longer electrodes for potential deterioration in low-frequency hearing. Acta Otolaryngol 2020; 140: 632-638
• 19 Lenarz T, Büchner A, Illg A. Cochlea-Implantation: Konzept, Therapieergebnisse und Lebensqualität. Laryngorhinootologie 2022; 101 (Suppl. 01) 36-78
• 20 Farhood Z, Nguyen SA, Miller SC. et al. Cochlear Implantation in Inner Ear Malformations: Systematic Review of Speech Perception Outcomes and Intraoperative Findings. Otolaryngol Head Neck Surg 2017; 156: 783-793
• 21 Archbold S, Athalye S, Mulla I. et al. Cochlear implantation in children with complex needs: the perceptions of professionals at cochlear implant centres. Cochlear Implants Int 2015; 16: 303-311
• 22 Dieter A, Duque-Afonso CJ, Rankovic V. et al. Near physiological spectral selectivity of cochlear optogenetics. Nat Commun 2019; DOI: 10.1038/s41467-019-09980-7.
• 23 Wolf BJ, Kusch K, Hunniford V. et al. Is there an unmet medical need for improved hearing restoration?. EMBO Mol Med 2022; DOI: 10.15252/emmm.202215798.