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Initial experience with the cochlear implant in children.

L S Eisenberg, W F House

    The Annals of Otology, Rhinology & Laryngology. Supplement
    |March 1, 1982
    PubMed
    Summary
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    Cochlear implants are feasible for children, with 12 profoundly deaf individuals aged 3.5-17 years showing results similar to adults. These implants enable sound differentiation and reduce environmental noise, demonstrating benefits for pediatric hearing loss.

    Area of Science:

    • Otolaryngology
    • Biomedical Engineering
    • Pediatric Audiology

    Background:

    • Cochlear prostheses, or implants, were considered for pediatric use following successful trials in deaf adults.
    • The potential benefits of auditory input were believed to outweigh the risks associated with the surgical procedure.
    • A study was initiated to evaluate the efficacy of single-electrode cochlear implants in profoundly deaf children.

    Observation:

    • Twelve profoundly deaf children, aged 3.5 to 17 years, received single-electrode cochlear implants by December 1981.
    • Audiometric testing was conducted to assess the implant's performance across various frequencies.
    • Behavioral observations were made regarding vocal modulation and interaction with environmental sounds.

    Findings:

    • Test results in pediatric subjects were consistent with those observed in adult cochlear implant users.

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  • Mean hearing thresholds for the pediatric group ranged from 59-64 dB SPL.
  • Children demonstrated improved abilities in differentiating sound timing and intensity compared to unaided performance or hearing aid use.

    • Implications:

    • The study indicates that cochlear implantation is a viable option for profoundly deaf children under 18.
    • Improved auditory perception may lead to enhanced speech production and reduced reactive noise behaviors.
    • This preliminary data supports the expansion of cochlear implant candidacy to the pediatric population.