Cochlear implant is internationally accepted and approved as treatment for childhood severe-to-profound hearing loss. Parents must be carefully informed not only of the reasons for the early cochlear implant application and the expected benefits, but also of the possible difficulties and risks. This therapeutic approach is rejected by very few families, mostly deaf people who use gestural language to communicate. The main motives for their refusal include the surgical risk, which is considered too high, the child's right to make such a delicate choice autonomously in adulthood, and ideological reasons, since the spoken language would change the child's membership of the Deaf community. However, parental denial preclude the future of that child, who will inevitably be doomed to experience a disadvantageous condition compared to peers with normal hearing or deaf undergoing cochlear implantation. Aware of the consequences deriving from the parents' refusal, which kind of behavior should the specialist physician take? The issue of single-sided childhood deafness has been deeply revised in recent years, bringing remarkable problems to light, once overlooked. The conventional therapeutic approach, which is difficult for parents to understand, is based on the use of particular hearing aids, called CROS. Unilateral cochlear implantation is proposed by some authors, in a limited number of subjects, with variable results.

L'impianto cocleare : le complessità del processo decisionale per i genitori / U. Ambrosetti, M. Aldè. - In: AUDIOLOGIA & FONIATRIA. - ISSN 2531-7008. - 5:3(2021 Jun), pp. 1-5. ((Intervento presentato al convegno Impianto Cocleare nel minore : la famiglia di fronte alla scelta. Aspetti bioetici, morali, legali, medico-legali. tenutosi a Milano nel 2020 [10.14658/pupj-ijap-2021-3-1].

L'impianto cocleare : le complessità del processo decisionale per i genitori

U. Ambrosetti
Primo
Conceptualization
;
M. Aldè
Ultimo
Methodology
2021

Abstract

Cochlear implant is internationally accepted and approved as treatment for childhood severe-to-profound hearing loss. Parents must be carefully informed not only of the reasons for the early cochlear implant application and the expected benefits, but also of the possible difficulties and risks. This therapeutic approach is rejected by very few families, mostly deaf people who use gestural language to communicate. The main motives for their refusal include the surgical risk, which is considered too high, the child's right to make such a delicate choice autonomously in adulthood, and ideological reasons, since the spoken language would change the child's membership of the Deaf community. However, parental denial preclude the future of that child, who will inevitably be doomed to experience a disadvantageous condition compared to peers with normal hearing or deaf undergoing cochlear implantation. Aware of the consequences deriving from the parents' refusal, which kind of behavior should the specialist physician take? The issue of single-sided childhood deafness has been deeply revised in recent years, bringing remarkable problems to light, once overlooked. The conventional therapeutic approach, which is difficult for parents to understand, is based on the use of particular hearing aids, called CROS. Unilateral cochlear implantation is proposed by some authors, in a limited number of subjects, with variable results.
Cochlear implant; Severe-to-profound hearing loss; Parents' refusal; Deaf community
Settore MED/32 - Audiologia
Università degli Studi di Milano
Ordine provinciale dei Medici Chirurghi e degli Odontoiatri della provincia di Milano
Article (author)
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2434/868829
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