Precision Medicine in Pediatric Cochlear Implantation (CI)
Patrizia Mancini, Daniele De Seta
Cochlear implant (CI) is a remarkable technology and the most appropriate therapeutical audiological option for severe-profound hearing loss. By directly stimulating the cochlear nerve, CI provides access to sounds, especially for language frequencies, enabling speech perception and language development in children. Its effectiveness has increased with technological advances, and numerous strategies have been tested and adopted over time to improve performance. These strategies include new electrode designs and surgical approaches, new coding strategies, audiological testing, and fitting methods, which, taken together, can be considered part of precision medicine. This paper will discuss two of the topics that most influence the audiological results related to pediatric implantology: robotic surgery and objective techniques for cochlear implant fitting.
Keywords
Fitting, eSRT, eCAP, Robotics, Structure preservation.