Objective: To determine the selection criteria for cochlear implantati
on in children. Setting: Hospital pediatric implant center. Patients a
nd Interventions: Selection of patients depends on medical evaluation,
audiometric data, speech discrimination, communication skills, cognit
ive skills, and psychosocial factors. Patient selection is based on to
nal audiometry, computed tomography, magnetic resonance imaging, and e
lectrophysiologic tests. Side of implantation is chosen according to c
ochlear structure, duration of deafness, and dominant handedness. Resu
lts: Ninety-eight cochlear implantations with the Nucleus multichannel
implant have been performed at this center since 1990. Conclusion: Th
e selection of children for cochlear implantation require close collab
oration between the pediatric surgical team, the educational team, and
the family.