Cochlear Implant Considerations in Children with Additional Disabilities

Corrales, C. Eduardo; Oghalai, John S.

doi:10.1007/s40136-013-0011-z

Cited by 32 publications

(19 citation statements)

References 37 publications

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“…Where significant additional special needs are involved, hearing loss may not be the families' primary concern. Furthermore, where disabilities, such as hearing and cognitive delay co-occur, Corrales and Oghalai (2013) suggested that adverse development effects may be greater than the sum of either disability on its own.…”

mentioning

confidence: 99%

Barriers to early cochlear implantation

Dettman

Choo

Dowell

2016

International Journal of Audiology

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mentioning

confidence: 99%

Barriers to early cochlear implantation

Dettman

Choo

Dowell

2016

International Journal of Audiology

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“…There is a critical age for speech and language acquisition due to neural plasticity and hearing impairment should be restored with CI prior to loss of this plasticity, especially in multi-handicapped children in whom there may be other sensory-motor losses. Hence children with hearing loss and disabilities should be recognized and managed as early as possible to reduce long term deafness effects and promote better language, intelligence and emotional development as perceived in the results of this study [9,[13][14][15].…”

Section: Discussionmentioning

confidence: 99%

“…This complex process should involve a multidisciplinary team of experts. Understanding the patients' and family's perception regarding the outcomes of CI is very important in determining the benefits of CI in terms of surgery and the rehabilitation process [13,17].…”

Section: Discussionmentioning

confidence: 99%

A Retrospective Clinical Audit of Outcomes of Cochlear Implantation in Children with Multiple Disabilities in Comparison with Normal Implantees: A South Indian Experience

Ganesh

Ram

Nandhan

et al. 2020

Indian J Otolaryngol Head Neck Surg

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Aims Cochlear implantation (CI) is established as a standard remedy for children with congenital bilateral profound hearing loss to attain hearing perception and thereby develop speech and language. A subgroup includes children with multiple disabilities in whom the implant helps to improve their quality of life and also of their families via enhanced communication skills. Cochlear implants today form an integral part of their multi-handicap rehabilitation process. Material and Methods A retrospective cohort study was carried out on children with and without multiple handicaps who have received cochlear implantation at the cochlear implant clinic of MERF, Chennai, India over the past decade. Category of Auditory Performance (CAP) scores, Speech Intelligibility Rating (SIR) scores, and also Meaningful Auditory-Integration Scale (MAIS) and Meaningful Use of Speech Scale (MUSS) scores were compared at set time frequencies of 6 months and 12 months post-implantation between the two groups of implanted children. Results All the four CAP, SIR, MAIS and MUSS scores showed improvement over time with auditory and speech therapy in both groups of children as reflected by the improvement in their quality of life. The normative group of implantees showed better improvement compared to the group of children with multiple disabilities. Conclusion Intensive habilitation is essential especially for children with multiple disabilities who have received cochlear implantation in which their special needs are addressed individually and optimised for the best outcome. The study shows that restoration of the special sense of hearing helps as a remedy to alleviate their other multihandicaps to a notable extent. Keywords Cochlear implantation (CI) Á Auditory verbal habilitation (AVH) Á Category of auditory performance (CAP) Á Speech intelligibility rating (SIR) Á Meaningful auditory integration scale (MAIS) Á Meaningful use of speech score (MUSS)

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“…More than 30% of children with SNHL have additional disabilities, such as developmental delay, autism and attention deficit hyperactive disorders, cerebral palsy, visual impairment, mental retardation [ 28 ]. Although certain such patients develop speech perception and language skills, additional disabilities are usually associated with poor performance in terms of development of oral communication [ 29 – 31 ].…”

Section: Discussionmentioning

confidence: 99%

Pediatric cochlear implantation: an update

et al. 2014

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Deafness in pediatric age can adversely impact language acquisition as well as educational and social-emotional development. Once diagnosed, hearing loss should be rehabilitated early; the goal is to provide the child with maximum access to the acoustic features of speech within a listening range that is safe and comfortable. In presence of severe to profound deafness, benefit from auditory amplification cannot be enough to allow a proper language development. Cochlear implants are partially implantable electronic devices designed to provide profoundly deafened patients with hearing sensitivity within the speech range. Since their introduction more than 30 years ago, cochlear implants have improved their performance to the extent that are now considered to be standard of care in the treatment of children with severe to profound deafness. Over the years patient candidacy has been expanded and the criteria for implantation continue to evolve within the paediatric population. The minimum age for implantation has progressively reduced; it has been recognized that implantation at a very early age (12–18 months) provides children with the best outcomes, taking advantage of sensitive periods of auditory development. Bilateral implantation offers a better sound localization, as well as a superior ability to understand speech in noisy environments than unilateral cochlear implant. Deafened children with special clinical situations, including inner ear malformation, cochlear nerve deficiency, cochlear ossification, and additional disabilities can be successfully treated, even thogh they require an individualized candidacy evaluation and a complex post-implantation rehabilitation. Benefits from cochlear implantation include not only better abilities to hear and to develop speech and language skills, but also improved academic attainment, improved quality of life, and better employment status. Cochlear implants permit deaf people to hear, but they have a long way to go before their performance being comparable to that of the intact human ear; researchers are looking for more sophisticated speech processing strategies as well as a more efficient coupling between the electrodes and the cochlear nerve with the goal of dramatically improving the quality of sound of the next generation of implants.

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Cochlear Implant Considerations in Children with Additional Disabilities

Cited by 32 publications

References 37 publications

Barriers to early cochlear implantation

Barriers to early cochlear implantation

A Retrospective Clinical Audit of Outcomes of Cochlear Implantation in Children with Multiple Disabilities in Comparison with Normal Implantees: A South Indian Experience

Pediatric cochlear implantation: an update

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