Bilateral cochlear implantation in a child with Johanson Blizzard Syndrome

Meredith A Holcomb1, Habib G Rizk1, Nevitte S Morris1

  • 1Department of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, United States.

Insights

Sensorineural hearing loss (SNHL) affects most Johanson Blizzard Syndrome (JBS) patients. Cochlear implantation (CI) in a child with JBS showed improved sound awareness, though spoken language gains were limited.

Area of Science:

  • Otolaryngology
  • Genetics
  • Pediatrics

Background:

  • Sensorineural hearing loss (SNHL) is a common characteristic of Johanson Blizzard Syndrome (JBS), affecting over 80% of individuals.
  • Limited research exists on the efficacy of cochlear implantation (CI) for managing SNHL in pediatric JBS cases.

Observation:

  • A 5-year-old male diagnosed with JBS and profound bilateral SNHL underwent bilateral cochlear implantation.
  • The patient used bilateral CI for four years.

Findings:

  • While spoken language development scores showed minimal improvement, the patient demonstrated significant enhancements in speech sound discrimination.
  • Audibility of spoken language and environmental sounds substantially improved post-implantation.

Implications:

  • Cochlear implantation is a viable treatment option for profound SNHL in children with JBS.
  • Despite marginal spoken language outcomes, CI can improve auditory perception and environmental sound awareness in JBS patients.

Related Concept Videos