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Cochlear implants in prelingually deaf children

D E Rose¹, M Vernon, A F Pool

¹Mayo Clinic, Jacksonville, FL., USA.

American Annals of the Deaf

|July 1, 1996

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Many deaf children with cochlear implants (CI) are not using them. A survey found nearly half of implanted students in US schools for the deaf stopped using their CIs, with concerns about effectiveness.

Area of Science:

Audiology
Pediatric Medicine
Special Education

Background:

Cochlear implants (CI) are advanced neuroprosthetic devices designed to provide a sense of sound to individuals with severe to profound sensorineural hearing loss.
The use of CIs in prelingually deafened children has become increasingly common, aiming to improve speech perception and language development.
However, device usage rates and long-term outcomes in educational settings require ongoing investigation.

Purpose of the Study:

To determine the prevalence of cochlear implant usage among prelingually deafened students in residential and day schools for the deaf in the U.S.
To assess the proportion of students who have discontinued the use of their cochlear implants.
To gather insights into the reasons for discontinuation and user satisfaction.

Main Methods:

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A survey was distributed to all private and public residential and day schools for the deaf in the U.S. with 100 or more students.
The survey collected data on the number of prelingually deafened students with cochlear implants and their current device usage status.
Response rates and the number of identified implanted students were recorded.

Main Results:

A 70% response rate was achieved from 64 surveyed schools, with 45 schools providing data.
Out of 151 identified students with cochlear implants, 71 (47%) were no longer using their devices.
Of the 80 students (53%) still using their implants, the survey could not definitively determine the percentage benefiting significantly versus those who did not.

Conclusions:

A significant percentage of prelingually deafened students in schools for the deaf discontinue cochlear implant use.
While many students continue to wear cochlear implants, the extent of their benefit remains undetermined by this survey.
Qualitative feedback indicated considerable user despondency regarding cochlear implant outcomes, highlighting a need for further research into effectiveness and support.