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Eter EG et al. – This article will review the recent changes in indications for optimizing speech development in children with severe and profound sensorineural hearing loss, including the restoration of binaural hearing. The most appropriate tests for preoperative evaluation of candidates are discussed and technique adaptations are described. Optimal management would be CI before the first birthday. Bilateral implantation is considered in every surgical candidate. The surgical technique has been modified to consider residual hearing conservation and avoidance of known potential complications.


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