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Cochlear implants in children
1Section of Otology and Neurotology, Children's Memorial Medical Center, Chicago.
Insights
Cochlear implantation offers useful hearing for profoundly deaf children. Early implantation and minimal auditory deprivation significantly improve speech perception and language development in pediatric recipients.
Area of Science:
- Otolaryngology
- Pediatric Audiology
- Biomedical Engineering
Background:
- Profound childhood deafness limits speech and language development.
- Traditional hearing aids are ineffective for some children.
- Cochlear implantation is a viable option for severe to profound hearing loss.
Abstract:
Children with such profound deafness that they are not helped by hearing aids are now candidates for cochlear implantation. This technology permits us to provide these children with a significant degree of useful hearing. The degree of improvement in speech perception and spoken language in pediatric cochlear implant recipients varies. However, the younger the children and the less time they have been completely deprived of auditory stimuli, the more likely they are to make significant progress. The evaluation of the deaf child for implantation is best done by a multidisciplinary team who understands the needs of hearing-impaired children and who can work with the family, the child, and classroom teachers, as well as other school professionals. The decision to proceed with cochlear implantation in a child is one that requires long-term commitment on the part of the family and the cochlear implant team.