The Effectiveness of Bilateral Cochlear Implants for Severe-to-Profound Deafness in Children: A Systematic Review
Otology & Neurotology
Sparreboom, M., van Schoonhoven, J., et al. (2010).
Otology & Neurotology, 31(7), 1062-1071.
This systematic review compares the effects of bilateral cochlear implantation to the effects of unilateral implantation alone or with a contralateral hearing aid on a variety of outcomes (e.g., audiologic, speech perception, speech production, functional capacities, health-related quality of
life, educational) in children with severe-to-profound hearing loss.
Dutch Health Care Insurance Board
This is a partial update of an earlier Health Technology Assessment:<br /><ul> <li>Bond, M., Mealing, S., et al. (2009). The Effectiveness and Cost-Effectiveness of Cochlear Implants for Severe to Profound Deafness in Children and Adults: A Systematic Review and Economic Model. <em>Health Technology Assessment, 13</em>(44), 1-330. doi: 10.3310/hta13440</li></ul>See the following review for updated adult conclusions:<ul> <li>van Schoonhoven, J., Sparreboom, M., et al. (2013). The Effectiveness of Bilateral Cochlear Implants for Severe-to-Profound Deafness in Adults: A Systematic Review. <em>Otology & Neurotology, 34</em>(2), 190-198.</li></ul>
Up to 2009
Controlled studies
13
"No robust conclusions could be drawn about the clinical effectiveness of BiCIs [bilateral cochlear implants] from the present body of evidence. However, within the LoE [levels of evidence], it seemed that BiBIs were better than UCI [unilateral cochlear implants] in certain listening situations, such as the perception of speech in quiet and when the speech and noise were spatially separated" (p. 1069).