This study demonstrates the ability of cochlear implantation to meet or surpass parental expectations in 3 important outcome domains: communication, listening to speech, and the development of speech and language.

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When these tests were repeated after three weeks' treatment the average water excretion was 3, 3.5, 4.5, and 6 ml./min respectively. There was an increase in 17-ketosteroid excretion in all cases. Before treatment the output ranged from 2.8 to 4.7 ml. a day; after treatment it was from 5.5 to 11 mg. a day. No significant changes were observed in the levels of serum sodium, potassium, or chlorides, and these levels were usually within normal limits both before and during treatment. Insulin sensitivity tests revealed a hypoglycaemic unresponsiveness in all .cases, and this was unaltered by treatment. No change was produced in the blood picture; in no patient was the anaemia of severe degree. The effect of administration of cortisone over a prolonged period might be worth observing, particularly as it is known that the anaemia of myxoedema responds very slowly to the administration of thyroid extract.

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There has been considerable interest in the use of narratives to assess the language development of young deaf children for some time, yet there have been no readily available resources to do this. This paper describes an innovative assessment procedure using stories (the Stories/Narratives Assessment Procedure (SNAP)) which records the development of the narrative skills of young deaf children. SNAP has been used to monitor such skills in the first three years after cochlear implantation. The use of SNAP is illustrated with profiles of a child at 12 and 36 months post‐implantation. Copyright © 1999 Whurr Publishers Ltd.