両側人工内耳；両耳装用の手順と日常のきこえ

概要

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We have undertaken pediatric bilateral cochlear implantation (PBCI) in 29 (17%) of 169 children who were receiving Auditory-Verbal/Oral therapy at our cochlear implant center. We report herein on the effectiveness of PBCI based on our experience, patients' background, their/their parents' hope, guidance and counseling about a second CI, mapping technique and instructions for stabilization about, and daily hearing after, the second CI. The clinical effects with binaural hearing are well known as binaural summation, the head shadow effect, binaural squelch, and there is strong evidence for a better hearing performance under noise. Our experience was in accord with the previous results and PBCI shows a large degree of effectiveness in a classroom environment such as a school or kindergarten.
耳鼻咽喉科臨床学会の論文