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Related Concept Videos

Learning Disabilities01:25

Learning Disabilities

Learning disabilities are cognitive disorders caused by neurological impairments that affect cognitive functions like language and reading, without indicating overall intellectual or developmental challenges. These disabilities differ from global intellectual or developmental disabilities as they are limited to distinct cognitive functions. Common learning disabilities include dysgraphia, dyslexia, and dyscalculia, each of which impacts unique aspects of learning.
Dyslexia
Dyslexia is a...

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Related Experiment Video

Updated: Jun 23, 2026

Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages
06:04

Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages

Published on: March 24, 2023

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Fitting parameters in children with cochlear implants and severe additional disabilities.

Yvonne Seebens1,2, Dennis Metzeld3, Silke Helbig3,4

  • 1Hör- und Sprachförderung Rhein-Main gGmbH, Cochlear Implant Centre Rhein-Main, Grüner Weg 9, 61169, Friedberg, Germany. yseebens@cic-rheinmain.de.

European Archives of Oto-Rhino-Laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
|August 13, 2024
PubMed
Summary
This summary is machine-generated.

Children with cochlear implants (CI) and severe additional disabilities (CAD) showed different fitting data, including higher aided soundfield thresholds and reduced wearing time. Optimizing CI fitting and implementing multidisciplinary support is crucial for these children.

Keywords:
Aided soundfield thresholdCochlear implantDataloggingNeural integritySevere additional disabilities

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Area of Science:

  • Audiology
  • Neuroscience
  • Pediatrics

Background:

  • Cochlear implants (CI) are used to treat severe hearing loss.
  • Children with severe additional disabilities (CAD) present unique challenges in CI fitting and rehabilitation.
  • Understanding differences in CI fitting data between children with and without CAD is essential for optimizing outcomes.

Purpose of the Study:

  • To compare cochlear implant (CI) fitting data between children with severe additional disabilities (CAD) and those without (CnonAD).
  • To identify potential factors influencing CI outcomes in children with CAD.

Main Methods:

  • Retrospective analysis of 76 CI cases from CAD matched with 76 cases from CnonAD.
  • Recorded subjective (T, MC levels, PW) and objective (impedance, eCAP thresholds, AST) fitting parameters.
  • Utilized data logging to record daily wearing time.

Main Results:

  • Children with CAD exhibited significantly lower T and MC levels for Medel and Cochlear implants compared to CnonAD.
  • The CAD group showed significantly higher aided soundfield thresholds (AST).
  • A higher percentage (18%) of children with CAD had reduced daily wearing time; excluding them revealed significantly higher eCAP thresholds.

Conclusions:

  • Higher eCAP thresholds in CAD may indicate different neural survival or fitting parameters.
  • Audiologist's subjectivity and aided soundfield thresholds should be considered in fitting.
  • Improved fitting focusing on behavioral responses and multidisciplinary, family-centered intervention can enhance CI outcomes for children with CAD.