Aggiornamento
La presa in carico di un bambino con impianto cocleare
Care of a child with cochlear implant
Eva Orzan1, Elena Ciciriello1, Chiara Falzone1, Paola Bolzonello2, Raffaella Marchi1, Gilberto Canteri3, Alessandra Terranova4, Saba Battelino5, Enrico Muzzi1
1SC di Audiologia e Otorinolaringoiatria, Dipartimento di Pediatria, IRCCS Materno-Infantile “Burlo Garofolo”, Trieste
4Ingegnere civile, tecnico esperto in acustica; 5Unitŕ di Otorinolaringoiatria, Policlinico Medico Universitario di Ljubljana, Slovenia
Dicembre 2015 - pagg. 626 -633
Abstract
Over the past 30 years, the cochlear implant (CI) has emerged as the prosthetic surgical
instrument of choice for the treatment of childhood profound sensorineural hearing impairment.
There are more than 100,000 children in the world who received one or two
CIs. The progressive increase in cochlear implantation in childhood is due to the practical
benefits obtained over time on auditory, communicative and linguistic skills of hearing
impaired children, and on their everyday life. The CI re-establishes the hearing
threshold, supports auditory and linguistic learning and maximizes the multi-modal development.
These results are reinforced when timing of surgery and correct programming
of the instrument are associated with accurate diagnosis and selection, linked with
early and targeted rehabilitation programmes that are able to create an interdisciplinary
therapeutic alliance with the family. Cochlear implantation is today considered in ever
younger ages, in lesser degrees of hearing impairments, in hearing deficits associated
with inner ear malformations and in children with multiple disabilities or deficits. This
wider use is supported by a progressive technical refinement of the device and the
growing understanding of the neuropsychological bases of auditory-linguistic learning.
The paper describes rehabilitation and outcomes in implanted children through numerous
clinical cases treated.
Classificazione MeSH
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Corrispondenza: eva.orzan@burlo.trieste.it