Hearing preservation cochlear implantation in children: The HEARRING Group consensus and practice guide

Gunesh Rajan, Dayse Tavora-Vieira, Wolf Dieter Baumgartner, Benoit Godey, Joachim Müller, Martin O'Driscoll, Henryk Skarzynski, Piotr Skarzynski, Shin Ichi Usami, Oliver Adunka, Sumit Agrawal, Iain Bruce, Marc De Bodt, Marco Caversaccio, Harold Pilsbury, Javier Gavilán, Rudolf Hagen, Abdulrahman Hagr, Mohan Kameswaran, Eva KarltorpMartin Kompis, Vlad Kuzovkov, Luis Lassaletta, Li Yongxin, Artu Lorensr, Manikoth Manoj, Jane Martin, Griet Mertens, Robert Mlynski, Lorn Parnese, Sasidharan Pulibalathingal, Andreas Radeloff, Christopher H. Raine, Ranjith Rajeswaran, Joachim Schmutzhard, Georg Sprinzl, Hinrich Staecker, Kurt Stephan, Serafima Sugarova, Mario Zernotti, Patrick Zorowka, Paul Van de Heyning

Research output: Contribution to journalArticlepeer-review


Objectives: To provide multidisciplinary cochlear implant teams with a current consensus statement to support hearing preservation cochlear implantation (HPCI) in children, including those children with symptomatic partial deafness (PD) where the intention is to use electric-acoustic stimulation (EAS). The main objectives are to provide guidelines on who is a candidate, how to assess these children and when to implant if Med-El Flex electrode arrays are chosen for implantation. Methods: The HEARRING group reviewed the current evidence and practice regarding the management of children to be considered for HPCI surgery emphasizing the assessment needed prior to implantation in order to demonstrate the benefits in these children over time. The consensus statement addresses following three key questions: (1) Should these children be treated? (2) How to identify these children? (3) How to manage these children? Summary: The HEARRING group concludes that irrespective of the degree of residual hearing present, the concepts of hearing and structure preservation should be applied in every child undergoing cochlear implantation and that HPCI is a safe and reliable treatment option. Early detection and multidisciplinary assessment are key to the identification of children with symptomatic PD, these children should undergo HPCI as early as possible.

Original languageEnglish
Pages (from-to)1-13
Number of pages13
JournalCochlear Implants International
Early online date26 Oct 2017
Publication statusPublished - 2018


  • Children
  • consensus
  • Electric-acoustic stimulation
  • guidelines
  • Hearing preservation
  • Partial deafness


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