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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: 6 months 9 months 12 months 24 months

2.  The recommended audiologic referral criteria for pediatric cochlear implant candidacy includes: ≥ 50 dB HL audiometric thresholds and ≤50% correct word recognition ≥ 50 dB HL audiometric thresholds and ≤70% correct word recognition ≥ 70 dB HL audiometric thresholds and ≤50% correct word recognition ≥ 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: Poor functional performance Limited progress in audiologic, speech, or language skill acquisition Poor quality of life 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: Child affect and speech recognition Social engagement and speech recognition Daily device use, child affect, and social engagement Daily device use and sound awareness

5.  Other non-traditional considerations for referring for pediatric cochlear implantation include: Asymmetric hearing loss Technology in the contralateral ear Extent of residual hearing All of the above