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American Cochlear Implant Alliance Task Force Guidelines for Determining Cochlear Implant Candidacy in Children

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1.  The FDA has approved indications for children as young as:
  1. 6 months
  2. 9 months
  3. 12 months
  4. 24 months
2.  The recommended audiologic referral criteria for pediatric cochlear implant candidacy includes:
  1. ≥ 50 dB HL audiometric thresholds and ≤50% correct word recognition
  2. ≥ 50 dB HL audiometric thresholds and ≤70% correct word recognition
  3. ≥ 70 dB HL audiometric thresholds and ≤50% correct word recognition
  4. ≥ 70 dB HL audiometric thresholds and ≤70% correct word recognition
3.  The “plus” in the 50/70+ recommended referral criteria for pediatric cochlear implant candidacy includes:
  1. Poor functional performance
  2. Limited progress in audiologic, speech, or language skill acquisition
  3. Poor quality of life
  4. All of the above
4.  Because the presence of comorbid conditions may affect a child’s ability to develop spoken language, clinicians should consider using non-traditional measures of success such as:
  1. Child affect and speech recognition
  2. Social engagement and speech recognition
  3. Daily device use, child affect, and social engagement
  4. Daily device use and sound awareness
5.  Other non-traditional considerations for referring for pediatric cochlear implantation include:
  1. Asymmetric hearing loss
  2. Technology in the contralateral ear
  3. Extent of residual hearing
  4. All of the above

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