ules used recently to inform clinicians of new Health Insurance Portability and Accountability Act and Effort-Reporting regulations could be used to develop new approaches to device-use surveillance and may be held as a requirement for licensure. Such training should also promote complete understanding of mechanisms of reporting to a data coordination center that is singularly recognized as the site for the accrual of data on device complications.


1Reis R. Prevalence and characteristics of persons with hearing trouble: United States, 1990–1991. National Center for Health Statistics. Vital Health Stat 10 1994:1–134.

2Blanchfield B, Dunbar J, Feldman J, Gardner E. The Severely to Profoundly Hearing Impaired Population in the United States: Prevalence and Demographics. Bethesda, Md: Project HOPE Center for Health Affairs, 1999.

3Berliner K, Eisenberg L. Methods and issues in the cochlear implantation of children: an overview. Ear Hear 1985;6:(Suppl 3) 6S–13S.

4Ling D. Foundations of Spoken Language for Hearing Impaired Children. Washington, DC: Alexander Graham Bell Assoc for the Deaf, 1989.

5Parisier SC, Chute PM, Popp AL, et al. Surgical techniques for cochlear implantation in the very young child. Otolaryngol Head Neck Surg 1997;117:248–254.

6Waltzman SB, Cohen NL. Cochlear implantation in children younger than 2 years old. Am J Otolaryngol 1998;19:158–162.

7Lenarz T. Cochlear implantation in children under the age of two years. Adv Otorhinolaryngol 1997;52:204–210.

8Novak MA, Firszt JB, Rotz LA, et al. Cochlear implants in infants and toddlers. Ann Otol Rhinol Laryngol Suppl 2000;185:46–49.

9Hehar SS, Nikolopoulos TP, Gibbin KP, et al. Surgery and functional outcomes in deaf children receiving cochlear implants before age 2 years. Arch Otolaryngol Head Neck Surg 2002;128:11–14.

10Zwolan TA, Ashbaugh CM, Alarfaj A, et al. Pediatric cochlear implant patient performance as a function of age at implantation. Otol Neurotol 2004;25:112–120.

11Robbins AM, Koch DB, Osberger MJ, et al. Effect of age at cochlear implantation on auditory skill development in infants and toddlers. Arch Otolaryngol Head Neck Surg 2004; 130:570–574.

12Schauwers K, Gillis S, Daemers K, et al. Cochlear implantation between 5 and 20 months of age: the onset of babbling and the audiologic outcome. Otol Neurotol 2004;25:263–270.

13Govaerts PJ, De Beukelaer C, Daemers K, et al. Outcome of cochlear implantation at different ages from 0 to 6 years. Otol Neurotol 2002;23:885–890.

14Young NM. Infant cochlear implantation and anesthetic risk. Ann Otol Rhinol Layngol Suppl 2002;189:49–51.

15Waltzman SB, Scalchunes V, Cohen NL. Performance of multiply handicapped children using cochlear implants. Am J Otol 2000;21:349–335.

16Hamzavi J, Baumgartner WD, Egelierler B, et al. Follow up of cochlear implanted handicapped children. Int J Ped Otorhinolaryngol 2000;56:169–174.

17Fukuda S, Fukushima K, Maeda Y, et al. Language development of a multiply handicapped child after cochlear implantation. Int J Ped Otorhinolaryngol 2003;67:627–633.

18Donaldson AI, Heavner KS, Zwolan TA. Measuring progress in children with autism spectrum disorder who have cochlear implants. Arch Otolaryngol Head Neck Surg 2004;130: 666–671.

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