Post-lingual onset of severe or profound hearing loss.
•
fitted hearing aids, defined as scoring 50% or less on a
•
test of open-set sentence recognition (HINT Sentences).
Children
12 months through 17 years of age.
•
Severe-to-profound bilateral sensorineural deafness or
•
severe-to-profound unilateral hearing loss.
Use of appropriately fitted hearing aids for at least
•
6 months in children 2 through 17 years of age, or
at least 3 months in children 12 through 23 months
of age. The minimum duration of hearing aid use is
waived if x-rays indicate ossification of the cochlea.
•
Little or no benefit from appropriately fitted hearing
aids. In younger children (< 4 years of age), lack of
benefit is defined as a failure to reach developmentally
appropriate auditory milestones (such as spontaneous
response to name in quiet or to environmental sounds)
measured using the Infant-Toddler Meaningful Auditory
Integration Scale or Meaningful Auditory Integration
Scale or ≤ 20% correct on a simple open-set word
recognition test (Multisyllabic Lexical Neighborhood
Test) administered using monitored live voice
(70 dB SPL). In older children (≥ 4 years of age), lack
of hearing aid benefit is defined as scoring ≤12% on
a difficult open-set word recognition test (Phonetically
Balanced-Kindergarten Test) or ≤ 30% on an open-set
sentence test (Hearing In Noise Test for Children)
administered using recorded materials in the sound
field (70 dB SPL).
13