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Related Experiment Videos

Comparing implants with hearing aids in profoundly deaf children

A E Geers1

  • 1Central Institute for the Deaf, St. Louis, MO 63110, USA.

Otolaryngology--Head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
|October 23, 1997
PubMed
Summary

Children with prelingual deafness were compared using hearing aids versus cochlear implants. Early auditory-oral instruction with hearing aids matched cochlear implant performance in some cases, especially for moderate hearing loss.

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Area of Science:

  • Pediatric Audiology
  • Speech-Language Pathology
  • Otolaryngology

Background:

  • Prelingual deafness impacts speech perception, production, and language skills.
  • Hearing aids and cochlear implants are common interventions for hearing loss in children.
  • Comparing the efficacy of different hearing technologies is crucial for educational and clinical decisions.

Purpose of the Study:

  • To compare speech perception, production, and spoken language skills in prelingually deaf children.
  • To evaluate the performance of children using hearing aids versus multichannel cochlear implants.
  • To determine the impact of degree of hearing loss and early intervention on outcomes.

Main Methods:

  • Comparison of 13 age-matched groups of prelingually deaf children.

Related Experiment Videos

  • Groups included children with hearing aids (severe to profound loss >100 dB HL) and (profound loss 90-100 dB HL) and children with 3 years of Nucleus multichannel implant use.
  • Assessment of speech perception, speech production, and spoken language skills.
  • Main Results:

    • Children with cochlear implants performed significantly better than aided children with >100 dB HL hearing loss.
    • Children with 90-100 dB HL hearing loss using hearing aids and early auditory-oral instruction performed comparably to implanted children.
    • Early intervention and appropriate technology selection are key factors.

    Conclusions:

    • Multichannel cochlear implants offer significant benefits for children with profound prelingual hearing loss (>100 dB HL).
    • For children with hearing loss in the 90-100 dB HL range, early intervention with hearing aids and auditory-oral instruction can yield comparable outcomes to cochlear implants.
    • Individualized approaches considering degree of hearing loss and early intervention are vital for optimizing spoken language development in deaf children.