Clinical Results: The Rehabilitation

Banfai, P; Karczag, A.; Lüers, Sr. Petra

doi:10.3109/00016488409121693

Cited by 9 publications

(3 citation statements)

References 3 publications

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“…To date, rehabilitation strategies and schedules have not been standardized for children with cochlear implants. Studies 11 , 12 have used different speech strategies and schedules ranging from daily, long‐term therapy to none at all. Early, intensive speech therapy should lead to a more rapid and earlier acquisition of speech‐perception and production skills.…”

Section: Discussionmentioning

confidence: 99%

Early Speech Changes in Children with Multichannel Cochlear Implants

Hamilton

Rizer

et al. 1996

Otolaryngol.--head neck surg.

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A number of studies have demonstrated that cochlear implants provide an improved auditory signal and enhance the development of speech-perception and production skills for profoundly deaf children. However, exactly when these early speech skills begin to develop remains unclear. To explore this issue, we observed, for a 1-year period, four prelingually deaf children who underwent implantation consecutively within 1 month of each other, and we paid particular attention to the first few months of rehabilitation. We found immediate speech scores as early as the first day of implant tune-up. Speech production continued to improve rapidly throughout the first 4 months but exhibited a generally slower rate of progress in some of the speech-production skills at 1 year. We also found vowel-production skills to be the easiest to achieve, with word-pattern recognition and consonant voicing of intermediate difficulty. Consonant placing and manner of consonant production were the hardest skills to achieve. Results of speech-perception tests 1 year after implantation were markedly improved over preimplantation levels in three of the four children. These early speech changes stress the need for maximization of the capability of the cochlear implant by institution of immediate and intensive speech rehabilitation efforts for prelingually deaf children.

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Section: Discussionmentioning

confidence: 99%

Early Speech Changes in Children with Multichannel Cochlear Implants

Hamilton

Rizer

et al. 1996

Otolaryngol.--head neck surg.

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“…The histological effects of extracochlear implantation of the cat cochlea by showed that after the bone had been drilled down to the endosteal lining fibrous tissue and bone formed beneath the electrode bed and would have increased the impedance, and the trauma caused loss of hair and spiral ganglion cells. The tissue response did not justify the use of the extracochlear multiple-electrode especially considering the poorer speech perception performance (Banfai et al 1984a).…”

Section: Trauma To Cochlear Tissuesmentioning

confidence: 94%

“…The center at Cologne-Düren used extracochlear multiple electrode arrays to avoid invading the cochlea, thus minimizing the loss of spiral ganglion cells. Multiple electrodes were usually attached by drilling small holes in the outer wall of the cochlea down to the endosteal lining (Banfai et al 1984a(Banfai et al ,b, 1985. Initially a total of eight electrodes were placed in the bone over the three cochlear turns in holes drilled down to but not into the cochlea (Banfai et al 1984a,b).…”

Section: Cologne-dürenmentioning

confidence: 99%