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Cochlear implants for congenitally deaf adolescents: is open-set speech perception a realistic expectation?
J Z Sarant1, R S Cowan, P J Blamey
1Australian Bionic Ear and Hearing Research Institute, East Melbourne, Victoria.
Ear and Hearing
|October 1, 1994
Summary
Cochlear implants can significantly benefit congenitally deaf adolescents, even with prolonged deafness. Individual assessment is crucial for determining prognosis and potential speech perception improvements.
Area of Science:
- Audiology
- Otolaryngology
- Neuroscience
Background:
- Prognosis for cochlear implantation in adolescents with congenital deafness and long-term profound hearing loss is typically poor.
- Previous research indicates limited speech perception benefits for this demographic.
Purpose of the Study:
- To evaluate speech perception outcomes in two congenitally deaf adolescents following cochlear implantation.
- To determine if significant benefits can be achieved despite a long duration of deafness.
Main Methods:
- Adolescents with congenital deafness underwent cochlear implantation.
- Speech perception was assessed after 12 months of device use, without lip-reading assistance.
Main Results:
- Both patients achieved significant open-set speech discrimination scores.
- These results indicate substantial improvements in speech perception after a relatively short period.
Conclusions:
- While general prognosis may be low, individual congenitally deaf adolescents can experience significant benefits from cochlear implants.
- Patient selection for cochlear implantation should be individualized based on specific prognostic factors.

