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Updated: Aug 20, 2026

Infant Auditory Processing and Event-related Brain Oscillations
Published on: July 1, 2015
Normal hearing and language development in a deaf-born child
Karen Schauwers1, Steven Gillis, Kristin Daemers
1The Eargroup, Antwerp-Deurne, Department of Linguistics, University of Antwerp, Antwerp-Wilrijk, Belgium.
Insights
Bilateral cochlear implants in infancy enabled a deaf child to achieve hearing and speech development on par with her hearing peers. This case study highlights the potential of early intervention for congenital deafness.
Area of Science:
- Pediatric Audiology
- Developmental Linguistics
- Otolaryngology
Background:
- Congenital deafness presents significant challenges in speech, language, education, and social integration.
- Neonatal hearing screening and cochlear implantation offer opportunities for early hearing restoration.
- This study details a prospective longitudinal investigation of the first infant to receive bilateral cochlear implants during the prelexical period.
Observation:
- A deaf-born girl received bilateral cochlear implants at 5 and 15 months of age.
- Comprehensive audiologic and linguistic assessments were conducted from birth to 4 years.
- Educational progress was monitored, noting the need for minimal special assistance.
Findings:
- Audiologic performance met or exceeded average levels by age 2.
- Linguistic skills, including comprehension and production, reached above-average levels by ages 2 and 3, respectively.
- Speech intelligibility and grammar normalized by age 4, with the child entering preschool at a typical age.
Implications:
- Congenital deafness does not necessitate abnormal hearing and speech development with early intervention.
- This case prompts ethical discussions regarding the timing of cochlear implantation in infants.
- Early bilateral cochlear implantation can lead to outcomes comparable to those of hearing children.
Background:
Congenital deafness leads to major problems in speech, language, education, and social integration. Neonatal hearing screening and cochlear implantation now allow early hearing restoration. This article reports on a prospective longitudinal study of the first infant ever who received two cochlear implants in the prelexical period of her life.
Methods:
The first deaf-born girl ever who received two implants at the ages of 5 and 15 months, respectively, was followed-up with repeated and detailed quantitative assessments from birth to 4 years of age. This consisted of 1) audiologic evaluation (audiometry, speech audiometry, and Categories of Auditory Performance score), 2) linguistic evaluation (monthly video analyses and tests of vocabulary, language skills, grammar, and intelligibility of the child's speech), and 3) descriptive assessment of the educational setting.
Results:
All results lie within the 95% confidence interval of hearing peers. The audiologic performance lies at or above average from age 2 years onward. The child started babbling at the normal age of 8 months. Her linguistic skills increased from low percentiles before age 2 to above average from age 2 for comprehension and from age 3 for production. The grammar and intelligibility of the child's speech increased from low percentiles to average at age 4. The girl entered preschool at the normal age of 2.5 years, and this with only very limited special assistance.
Conclusion:
This case illustrates the fact that congenital deafness no longer has to lead to abnormal hearing and abnormal speech development. It opens the debate of the ethics of not implanting a deaf child in the first few months of life.
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