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Cochlear implants in young children with Usher's syndrome

N M Young1, J C Johnson, M B Mets

  • 1Division of Pediatric Otolaryngology, Children's Memorial Medical Center, Chicago, Illinois, USA.

The Annals of Otology, Rhinology & Laryngology. Supplement
|September 1, 1995
PubMed
Summary

Early cochlear implantation benefits children with Usher syndrome (US), a genetic disorder causing hearing loss and vision impairment. Prompt diagnosis through ophthalmologic evaluation is key for successful intervention before vision loss occurs.

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Area of Science:

  • Ophthalmology
  • Audiology
  • Genetics

Background:

  • Usher syndrome (US) is an autosomal recessive disorder causing congenital sensorineural hearing loss and retinitis pigmentosa.
  • Individuals with US often have severe to profound hearing loss, making them candidates for cochlear implantation.
  • Early identification and intervention are crucial for managing dual sensory deficits.

Observation:

  • A pediatric otology program focused on early identification and cochlear implantation for children with US.
  • Comprehensive ophthalmologic evaluations, including electroretinography, were used for early US diagnosis.
  • Four out of 19 pediatric cochlear implant recipients with congenital hearing loss were diagnosed with US.

Findings:

  • These four children with US were implanted before any visual symptoms manifested.

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  • All implanted children demonstrated measurable benefits from cochlear implantation.
  • Early diagnosis facilitated timely intervention for Usher syndrome patients.
  • Implications:

    • Early cochlear implantation in Usher syndrome patients can significantly improve auditory outcomes.
    • Ophthalmologic screening is vital for identifying US in children with congenital hearing loss.
    • Addressing both hearing and vision impairments early is critical for individuals with Usher syndrome.