Bioethics and medical/legal considerations on cochlear implants in children.

Abstract:

UNLABELLED:Cochlear implants are the best treatment for congenital profound deafness. Pediatric candidates to implantation are seen as vulnerable citizens, and the decision of implanting cochlear devices is ultimately in the hands of their parents/guardians. The Brazilian Penal Code dictates that deaf people may enjoy diminished criminal capacity. Many are the bioethical controversies around cochlear implants, as representatives from the deaf community have seen in them a means of decimating their culture and intrinsic values. OBJECTIVE:This paper aims to discuss, in bioethical terms, the validity of implanting cochlear hearing aids in children by analyzing their vulnerability and the social/cultural implications of the procedure itself, aside from looking into the medical/legal aspects connected to their criminal capacity. MATERIALS AND METHODS:The topic was searched on databases Medline and Lilacs; ethical analysis was done based on principialist bioethics. RESULTS:Cochlear implants are the best therapeutic option for people with profound deafness and are morally justified. The level of criminal capacity attributed to deaf people requires careful analysis of the subject's degree of understanding and determination when carrying out the acts for which he/she has been charged. CONCLUSION:Cochlear implants are morally valid. Implantations must be analyzed on an each case basis. ENT physicians bear the ethical responsibility for indicating cochlear implants and must properly inform the child's parents/guardians and get their written consent before performing the procedure.

authors

Miziara ID,Miziara CS,Tsuji RK,Bento RF

subject

Has Abstract

pub_date

2012-06-01 00:00:00

pages

70-9

issue

3

eissn

1808-8694

issn

1808-8686

pii

S1808-8694(15)30247-0

journal_volume

78

pub_type

杂志文章
  • Benefit and predictive factors for speech perception outcomes in pediatric bilateral cochlear implant recipients.

    abstract:INTRODUCTION:Despite recent advancement in the prediction of cochlear implant outcome, the benefit of bilateral procedures compared to bimodal stimulation and how we predict speech perception outcomes of sequential bilateral cochlear implant based on bimodal auditory performance in children remain unclear. OBJECTIVES:...

    journal_title:Brazilian journal of otorhinolaryngology

    pub_type: 杂志文章

    doi:10.1016/j.bjorl.2018.04.009

    authors: Chang YS,Hong SH,Kim EY,Choi JE,Chung WH,Cho YS,Moon IJ

    更新日期:2019-01-01 00:00:00

  • Efficacy and safety of Sultamicillin (Ampicillin/Sulbactan) and Amoxicillin/Clavulanic acid in the treatment of upper respiratory tract infections in adults--an open-label, multicentric, randomized trial.

    abstract:UNLABELLED:Upper respiratory tract infections are the most common causes of medical visits in children and adults, demanding massive use of antibiotics. Bacterial resistance caused by beta-lactamase is one of the most serious problems in this matter. Sultamicillin, a double pro-drug of Ampicillin/Sulbactan, is a potent...

    journal_title:Brazilian journal of otorhinolaryngology

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1016/s1808-8694(15)30041-0

    authors: Ferreira JB,Rapoport PB,Sakano E,Kós AO,Piltcher OB,Pignatari SS,Pinheiro SD,Mocellin M

    更新日期:2006-01-01 00:00:00

  • Analisys of high frequency auditory thresholds in individuals aged between 18 and 29 years with no otological complaints.

    abstract:UNLABELLED:Recent studies analyzing audibility thresholds at frequencies over 8 KHz have brought new perspectives on the investigation of auditory damage. These studies, however, have not yet reached a consensus on normal standards for auditory thresholds at these frequencies. AIM:To analyze the results of high freque...

    journal_title:Brazilian journal of otorhinolaryngology

    pub_type: 杂志文章

    doi:10.1016/s1808-8694(15)31069-7

    authors: de Sá LC,de Lima MA,Tomita S,Frota SM,Santos Gde A,Garcia TR

    更新日期:2007-03-01 00:00:00

  • Anatomical study of a temporal bone from a non-human primate (Callithrix sp).

    abstract:UNLABELLED:The search for experimental (animal) models is essential to the development of clinical studies. AIM:To demonstrate, by means of micro dissection techniques, the anatomical structures of temporal bones from the primate Callithrix sp. STUDY DESIGN:Experimental. METHODS:Dissection of temporal bone structure...

    journal_title:Brazilian journal of otorhinolaryngology

    pub_type: 杂志文章

    doi:10.1016/s1808-8694(15)30570-x

    authors: Borin A,Covolan L,Mello LE,Okada DM,Cruz OL,Testa JR

    更新日期:2008-05-01 00:00:00

  • Mastication and deglutition changes in children with tonsillar hypertrophy.

    abstract:UNLABELLED:The changes in mastication and deglutition in children with adenotonsillar hypertrophy need to be better characterized. OBJECTIVE:To evaluate the frequency of parent-reported myofunctional changes and to determine if there are differences in the alteration patterns of children with adenotonsillar hypertroph...

    journal_title:Brazilian journal of otorhinolaryngology

    pub_type: 杂志文章

    doi:10.5935/1808-8694.20130076

    authors: Souza JF,Grechi TH,Anselmo-Lima WT,Trawitzki LV,Valera FC

    更新日期:2013-08-01 00:00:00

  • Comparative study between pure tone audiometry and auditory steady-state responses in normal hearing subjects.

    abstract:INTRODUCTION:Auditory steady-state responses (ASSR) are an important tool to detect objectively frequency-specific hearing thresholds. Pure-tone audiometry is the gold-standard for hearing evaluation, although sometimes it may be inconclusive, especially in children and uncooperative adults. AIM:Compare pure tone thre...

    journal_title:Brazilian journal of otorhinolaryngology

    pub_type: 杂志文章

    doi:10.5935/1808-8694.20140009

    authors: Beck RM,Ramos BF,Grasel SS,Ramos HF,Moraes MF,Almeida ER,Bento RF

    更新日期:2014-01-01 00:00:00

  • Incidence of reactive hyperplastic lesions in the oral cavity: a 10 year retrospective study in Santa Catarina, Brazil.

    abstract:INTRODUCTION:Reactive hyperplastic lesions develop in response to a chronic injury simulating an exuberant tissue repair response. They represent some of the most common oral lesions including inflammatory fibrous hyperplasia, oral pyogenic granuloma, giant cell fibroma, peripheral ossifying fibroma, and peripheral gia...

    journal_title:Brazilian journal of otorhinolaryngology

    pub_type: 杂志文章

    doi:10.1016/j.bjorl.2018.03.006

    authors: Dutra KL,Longo L,Grando LJ,Rivero ERC

    更新日期:2019-01-01 00:00:00

  • Cervical vestibular evoked myogenic potentials and video head impulse test in Ménière disease.

    abstract:INTRODUCTION:Ménière's disease is among the most frequent causes of vestibular disorders. Although it is a clinical diagnosis, a better understanding of the pathophysiology and clinical course of the disease through tests would allow improvement in the prognosis and more effective treatments. OBJECTIVES:To describe th...

    journal_title:Brazilian journal of otorhinolaryngology

    pub_type: 杂志文章

    doi:10.1016/j.bjorl.2019.02.002

    authors: Grigol TAAES,Lopes KC,Ganança FF

    更新日期:2020-01-01 00:00:00

  • Migraine associated with auditory-vestibular dysfunction.

    abstract:UNLABELLED:The association between hearing and balance disorders with migraine is known since the times of the ancient Greeks, when Aretaeus from Cappadocia in 131 B.C, made an accurate and detailed description of this occurrence during a migraine episode. We present a broad review of migraine neurotological manifestat...

    journal_title:Brazilian journal of otorhinolaryngology

    pub_type: 杂志文章,评审

    doi:10.1016/s1808-8694(15)30611-x

    authors: Cal R,Bahmad F Jr

    更新日期:2008-07-01 00:00:00

  • Auditory steady state response in pediatric audiology.

    abstract:UNLABELLED:The main issue regarding pediatric audiology diagnosis is determining procedures to configure reliable results which can be used to predict frequency-specific hearing thresholds. AIM:To investigate the correlation between auditory steady-state response (ASSR) with other tests in children with sensorineural ...

    journal_title:Brazilian journal of otorhinolaryngology

    pub_type: 杂志文章

    doi:

    authors: Linares AE,Costa Filho OA,Martinez MA

    更新日期:2010-11-01 00:00:00

  • Study of brainstem auditory evoked potentials in early diagnosis of congenital toxoplasmosis.

    abstract:INTRODUCTION:Congenital toxoplasmosis is an infectious disease with high prevalence in tropical countries. It is characterized by neurological, ophthalmological and auditory sequelae. OBJECTIVE:The aim of this study was to evaluate and describe the brainstem auditory evoked potential in infants aged 1-3 months diagnos...

    journal_title:Brazilian journal of otorhinolaryngology

    pub_type: 杂志文章

    doi:10.1016/j.bjorl.2018.03.012

    authors: Fontes AA,Carvalho SADS,Andrade GMQ,Carellos EV,Romanelli RC,Resende LM

    更新日期:2019-01-01 00:00:00

  • Human papillomavirus infection and oral squamous cell carcinoma - a systematic review.

    abstract:INTRODUCTION:The association between uterine cervix and anogenital carcinomas and human papillomavirus, HPV, is well established, however the involvement of this virus in the development of oral squamous cell carcinomas remains controversial. OBJECTIVES:To evaluate the relationship between HPV infection and oral squam...

    journal_title:Brazilian journal of otorhinolaryngology

    pub_type: 杂志文章,评审

    doi:10.1016/j.bjorl.2020.10.017

    authors: Melo BAC,Vilar LG,Oliveira NR,Lima PO,Pinheiro MB,Domingueti CP,Pereira MC

    更新日期:2020-11-29 00:00:00

  • Nasal endoscopic and CT scan alterations of the paranasal sinuses as predictors of severity in patients with cystic fibrosis.

    abstract:UNLABELLED:Cystic Fibrosis (CF) results from mutation in the transmembrane conductance regulator gene, responsible for controlling secretory processes. The upper airways (UA) are usually involved in the form of chronic pansinusitis. OBJECTIVE:To evaluate UA changes in patients with CF and to establish the correlations...

    journal_title:Brazilian journal of otorhinolaryngology

    pub_type: 杂志文章

    doi:10.5935/1808-8694.20130086

    authors: Freitas MR,Vasconcelos DN,Freitas AE,Maia Filho JH,Castro e Silva Cd

    更新日期:2013-08-01 00:00:00

  • Software for subjective visual vertical assessment: an observational cross-sectional study.

    abstract:UNLABELLED:Spatial orientation in relation to the gravitational axis is significantly important for the maintenance of the posture, gait and for most of the human's motor activities. The subjective visual vertical exam evaluates the individual's perception of vertical orientation. OBJECTIVES:The aims of this study wer...

    journal_title:Brazilian journal of otorhinolaryngology

    pub_type: 杂志文章

    doi:10.5935/1808-8694.20120008

    authors: Pavan TZ,Funabashi M,Carneiro JA,Pontelli TE,Tedeschi W,Colafêmina JF,Carneiro AA

    更新日期:2012-10-01 00:00:00

  • Evaluation of olfactory function in patients undergoing endoscopic skull base surgery with nasoseptal flap.

    abstract:INTRODUCTION:Endoscopic transnasal access to the skull base, both for treatment and reconstruction, can cause olfactory morbidity. Knowing the main consequences of this intervention is essential to have objective criteria for decision-making regarding the appropriate surgical technique. OBJECTIVES:The aim of this stud...

    journal_title:Brazilian journal of otorhinolaryngology

    pub_type: 杂志文章

    doi:10.1016/j.bjorl.2020.03.006

    authors: Carvalho ACM,Dolci RLL,Rickli JCK,Tateno DA,Garcia DS,Encinas WE,Santos ARLD,Lazarini PR

    更新日期:2020-04-27 00:00:00

  • Saccadic movements in subjects with cerebellar disorders.

    abstract:UNLABELLED:Saccades are part of the electrooculography tests battery. The cerebellum has important connections with the brainstem and thalamic structures involved in the generation of saccades. AIM:to study saccadic movements in subjects with cerebellar disorders. STUDY METHOD:Prospective clinical study. MATERIALS A...

    journal_title:Brazilian journal of otorhinolaryngology

    pub_type: 杂志文章

    doi:

    authors: Netto AA,Colafêmina JF

    更新日期:2010-01-01 00:00:00

  • The impact of environmental factors on quality of life and symptoms of children with allergic rhinitis.

    abstract:UNLABELLED:Allergic rhinitis is an inflammation of the nasal mucosa caused by exposure to allergens, which impairs the cognitive capabilities of the affected. OBJECTIVE:To correlate the mean scores of quality of life of children and adolescents with symptoms of allergic rhinitis and the presence of household environme...

    journal_title:Brazilian journal of otorhinolaryngology

    pub_type: 杂志文章

    doi:10.5935/1808-8694.20130102

    authors: Castro TM,Marinho DR,Cavalcante CC

    更新日期:2013-09-01 00:00:00

  • Automated cortical auditory evoked potentials threshold estimation in neonates.

    abstract:INTRODUCTION:The evaluation of cortical auditory evoked potential has been the focus of scientific studies in infants. Some authors have reported that automated response detection is effective in exploring these potentials in infants, but few have reported their efficacy in the search for thresholds. OBJECTIVE:To anal...

    journal_title:Brazilian journal of otorhinolaryngology

    pub_type: 杂志文章

    doi:10.1016/j.bjorl.2018.01.001

    authors: Oliveira LS,Didoné DD,Durante AS

    更新日期:2019-01-01 00:00:00

  • The basaloid variant of squamous cell carcinoma of the larynx.

    abstract:INTRODUCTION:Basaloid squamous cell carcinoma (BSCC) is a rare subtype of squamous cell carcinoma (SCC). Because of its rarity, both clinical and prognostic features of this variant are not well known. OBJECTIVE:In this study, we aimed to determine the frequency of BSCC and other SCC variants among all laryngeal SCC c...

    journal_title:Brazilian journal of otorhinolaryngology

    pub_type: 杂志文章

    doi:10.1016/j.bjorl.2014.02.005

    authors: Tutar H,Aydil U,Ekinci O,Bakkal FK,Tutar VB,Kizil Y,Ugur MB

    更新日期:2014-05-01 00:00:00

  • Case report: Oral manifestations of systemic amyloidosis, an aid to diagnosis of multiple myeloma - report of two cases.

    abstract:BACKGROUND:Amyloidosis is the term applied to a diverse group of disorders that share the features of deposition of amorphous, extracellular material at various sites. Amyloid deposits may occur locally or may involve various organs, resulting number of clinical manifestations. Amyloidosis of the head and neck is rare ...

    journal_title:Brazilian journal of otorhinolaryngology

    pub_type:

    doi:10.1016/j.bjorl.2020.11.011

    authors: Dissanayaka DWVN,Bandara HMMR,Sabesan T,Mohomed YS,Siriwardena BSMS

    更新日期:2020-12-19 00:00:00

  • Newborn hearing screening program implantation analysis at a University Hospital.

    abstract:UNLABELLED:Hearing loss is more prevalent than other disorders found at birth. Efforts have been put up towards the early identification and treatment of hearing loss by means of neonatal hearing screening programs. AIM:prospective study with the goal of characterizing the process of implementing a Neonatal Auditory S...

    journal_title:Brazilian journal of otorhinolaryngology

    pub_type: 杂志文章

    doi:10.1016/s1808-8694(15)30784-9

    authors: Mattos WM,Cardoso LF,Bissani C,Pinheiro MM,Viveiros CM,Carreirão Filho W

    更新日期:2009-03-01 00:00:00

  • Diagnostic and therapeutic features associated with modification of quality-of-life's outcomes between one and six months after major surgery for head and neck cancer.

    abstract:INTRODUCTION:Treatments used in head and neck cancer greatly impact the physical, psychological and functional state of patients. Evaluation of quality of life has become an integral part of the treatment. OBJECTIVE:This retrospective study evaluates features involved in changes in quality of life after major surgery ...

    journal_title:Brazilian journal of otorhinolaryngology

    pub_type: 杂志文章

    doi:10.1016/j.bjorl.2015.10.013

    authors: Gobbo M,Bullo F,Perinetti G,Gatto A,Ottaviani G,Biasotto M,Tirelli G

    更新日期:2016-09-01 00:00:00

  • Evaluation of inspiratory pressure in children with enlarged tonsils and adenoids.

    abstract:UNLABELLED:Children with enlarged tonsils and adenoids usually present breathing abnormalities such as snoring, mouth breathing and sleep apnea. It is known that upper airway obstruction and consequent mouth breathing may result in pulmonary diseases. AIM:The goal of this preliminary study was to evaluate the inspirat...

    journal_title:Brazilian journal of otorhinolaryngology

    pub_type: 杂志文章

    doi:10.1016/s1808-8694(15)31263-5

    authors: Pires MG,Di Francesco RC,Grumach AS,Mello JF Jr

    更新日期:2005-09-01 00:00:00

  • Audiologic features of elderly with Benign Paroxysmal Positional Vertigo.

    abstract:UNLABELLED:Benign Paroxysmal Positional Vertigo (BPPV) is one of the most common causes of dizziness; it constitutes the most common vestibular disorder in the elderly with vertigo. Its characteristic clinical aspect is dizziness at head movement, with not hearing alteration. AIM:This paper aims at studying the audiol...

    journal_title:Brazilian journal of otorhinolaryngology

    pub_type: 杂志文章

    doi:10.1016/s1808-8694(15)30794-1

    authors: Moreno NS,André AP

    更新日期:2009-03-01 00:00:00

  • Serum high-mobility group box 1 protein level correlates with the lowest SaO2 in patients with sleep apnea: a preliminary study.

    abstract:INTRODUCTION:Serum level of high-mobility group box 1 protein is reportedly correlated with the severity of obstructive sleep apnea. OBJECTIVE:We tried to evaluate the possibility of using the serum high-mobility group box 1 protein level as a biologic marker in obstructive sleep apnea patients. METHODS:We generated ...

    journal_title:Brazilian journal of otorhinolaryngology

    pub_type: 杂志文章

    doi:10.1016/j.bjorl.2020.11.019

    authors: Min HJ,Park JS,Kim KS,Kang M,Seo JH,Yoon JH,Kim CH,Cho HJ

    更新日期:2021-01-02 00:00:00

  • A critical analysis of 33 patients with substernal goiter surgically treated by neck incision.

    abstract:UNLABELLED:The possibility of needing a combined access, with neck and chest incisions makes the treatment of substernal goiter a challenge both in the pre-op and the intraoperative. We hereby, discuss a standardization of the surgical technique to minimize the need for a chest approach, making the substernal goiter a ...

    journal_title:Brazilian journal of otorhinolaryngology

    pub_type: 杂志文章

    doi:10.1016/s1808-8694(15)30774-6

    authors: Neves MC,Rosano M,Hojaij FC,Abrahão M,Cervantes O,Andreoni DM

    更新日期:2009-03-01 00:00:00

  • Prevalence of depressive symptoms in patients with cleft lip and palate.

    abstract:INTRODUCTION:Cleft lip and/or palate (CL/P) represent the most common congenital anomalies of the face. OBJECTIVE:To evaluate the prevalence of depressive symptoms in children and adolescents with nonsyndromic cleft lip and/or palate (nsCL/P). METHODS:We conducted an observational, case-control study, with a case stu...

    journal_title:Brazilian journal of otorhinolaryngology

    pub_type: 杂志文章

    doi:10.1016/j.bjorl.2015.01.004

    authors: Lima LS,Ribeiro GS,Aquino SN,Volpe FM,Martelli DR,Swerts MS,Paranaíba LM,Martelli Júnior H

    更新日期:2015-03-01 00:00:00

  • Dysphagia in patients with moderate and severe obstructive sleep apnea.

    abstract:INTRODUCTION:There is evidence that trauma caused by snoring in the pharynx could result in dysphagia in patients with obstructive sleep apnea, but the literature is still scarce to define the factors associated with the presence of dysphagia in these patients. AIM:To analyze the occurrence of dysphagia and its clinic...

    journal_title:Brazilian journal of otorhinolaryngology

    pub_type: 杂志文章

    doi:10.1016/j.bjorl.2019.10.004

    authors: Campanholo MAT,Caparroz FA,Stefanini R,Haddad L,Bittencourt LRA,Tufik S,Haddad FLM

    更新日期:2019-11-15 00:00:00

  • Acoustic stimulation effect on temporal processing skills in elderly subjects before and after hearing aid fitting.

    abstract:UNLABELLED:Aging can alter temporal processing and affect speech perception. AIM:To compare temporal processing auditory processing in elderly subject to and new hearing aid users. MATERIALS AND METHODS:The study included 60 elderly patients with bilateral sensorineural hearing loss. The procedures selected were the ...

    journal_title:Brazilian journal of otorhinolaryngology

    pub_type: 杂志文章

    doi:

    authors: Pinheiro MM,Dias KZ,Pereira LD

    更新日期:2012-07-01 00:00:00

  • Tinnitus and event related potentials: a systematic review.

    abstract:INTRODUCTION:Tinnitus is sound perception in the absence of a sound source. Changes in parameters of latency and amplitude on the auditory event related potentials or long latency potentials waves have been cited in tinnitus patients when compared to a control group. OBJECTIVE:To perform an assessment of scientific ev...

    journal_title:Brazilian journal of otorhinolaryngology

    pub_type: 杂志文章

    doi:10.1016/j.bjorl.2019.09.005

    authors: Azevedo AA,Figueiredo RR,Penido NO

    更新日期:2020-01-01 00:00:00