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Cochlear implantation in the deaf-blind

S R Saeed1, R T Ramsden, P R Axon

  • 1University Department of Otolaryngology-Head and Neck Surgery, Manchester Royal Infirmary, United Kingdom.

The American Journal of Otology
|November 27, 1998
PubMed
Summary

Cochlear implantation shows remarkable success in deaf-blind individuals, with outcomes exceeding those of sighted patients. This highlights the potential of cochlear implants for this unique population.

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Cochlear implants international·2019

Area of Science:

  • Otolaryngology
  • Neuroscience
  • Rehabilitation Medicine

Background:

  • Cochlear implantation is a well-established treatment for severe to profound deafness.
  • The efficacy of cochlear implantation in deaf-blind individuals, a population with unique sensory challenges, remains less explored.

Observation:

  • This study evaluated the outcomes of cochlear implantation in ten deaf-blind patients (8 adults, 2 pediatric).
  • Patients underwent cochlear implantation and subsequent rehabilitation.
  • Auditory performance was assessed using Bamford-Kowal-Bench (BKB) sentence scores.

Findings:

  • Deaf-blind individuals demonstrated exceptional response to cochlear implantation, both individually and as a group.
  • BKB scores in this cohort surpassed the average scores of sighted cochlear implant recipients.

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  • The results suggest a significant potential for heterosensory substitution.

    • Implications:

    • Cochlear implantation offers a valuable rehabilitative tool for select deaf-blind individuals.
    • This population may represent a highly suitable group for cochlear implant consideration.
    • Specialized rehabilitative strategies and an understanding of deaf-blind culture are crucial for successful outcomes.