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Performance of multiply handicapped children using cochlear implants.

S B Waltzman¹, V Scalchunes, N L Cohen

¹Department of Otolaryngology, New York University School of Medicine, New York 10016, USA.

The American Journal of Otology

|May 23, 2000

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Cochlear implantation benefits multiply handicapped children with hearing loss, showing significant improvements in speech perception. While progress is slower than in non-impaired deaf children, it demonstrates the value of cochlear implants for this population.

Area of Science:

Otolaryngology
Pediatric Audiology
Neuroscience

Background:

Cochlear implantation has transformed hearing rehabilitation for profoundly deaf individuals.
Guidelines for cochlear implantation typically focus on children without additional complex disabilities.

Purpose of the Study:

To evaluate the efficacy of cochlear implantation in multiply handicapped deaf children.
To characterize the development of auditory perceptual skills in this population post-implantation.

Main Methods:

A cohort of 31 profoundly deaf children with additional impairments underwent cochlear implantation.
Pre- and post-operative audiometric and speech perception assessments (phoneme, word, sentence levels) were conducted.
Statistical analyses, including analyses of variance, were applied where feasible.

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Main Results:

The study group demonstrated significant improvements in auditory perception of phonemes, words, and sentences after cochlear implantation.
No increased surgical complications were observed in the multiply handicapped cohort.

Conclusions:

Cochlear implantation is a viable option for multiply handicapped deaf children, yielding demonstrable auditory benefits.
The rate of development of perceptual skills may be slower compared to deaf children without additional impairments, necessitating tailored rehabilitation approaches.