Author/Editor     Orzan, Eva; Ciciriello, Elena; Falzone, Chiara; Bolzonello, Paola; Marchi, Raffaella; Canteri, Gilberto; Terranova, Alessandra; Battelino, Saba; Muzzi, Enrico
Title     La presa in carico di un bambino con impianto cocleare
Type     članek
Vol. and No.     Letnik 34, št. 10
Publication year     2015
Volume     str. 1-8
Language     ita
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 of 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 various contexts of 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 programs 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. This review is divided into two parts. The first, published in the electronic pages of the journal to which we refer, illustrates technical and surgical issues of interest to a pediatrician. The second part, presented here, describes rehabilitation and outcomes that are obtained in implanted children through numerous clinical cases treated at our facility.
Keywords     children
cochlear implantation
auditory rehabilitation
otroci
kohlearna implatacija
rehabilitacija sluha