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Management of the Hearing Impaired Child
Published in John C Watkinson, Raymond W Clarke, Christopher P Aldren, Doris-Eva Bamiou, Raymond W Clarke, Richard M Irving, Haytham Kubba, Shakeel R Saeed, Paediatrics, The Ear, Skull Base, 2018
Chris H. Raine, Sue Archbold, Tony Sirimanna, Soumit Dasgupta
The hearing loss may occur before (pre-lingual deafness) or after the child has acquired the ability to speak (post-lingual deafness). This distinction has important implications for education and management. Early identification and appropriate audiological, medical and educational intervention will help maximize the child’s potential. Identifying and understanding the consequences of associated medical conditions, impairments and disabilities is also extremely important to provide the best opportunity for the child and the parents to make informed choices and plans for the future.
Benefits of auditory-verbal intervention for adult cochlear implant users: perspectives of users and their coaches
Published in International Journal of Audiology, 2022
Elizabeth M. Fitzpatrick, Valérie Carrier, Geneviève Turgeon, Tina Olmstead, Arran McAfee, JoAnne Whittingham, David Schramm
This research is important because this clientele with lower auditory functioning post-implant has been particularly challenging and traditionally measured outcomes differ substantially from the majority of adult CI recipients who have post-lingual deafness. As noted by other researchers, typical speech perception assessments do not capture the full spectrum of benefits for these users (Debruyne, Janssen, and Brokx 2017). In particular, this study points to the importance of providing users and their communication partners with specific strategies not only to enhance CI users’ auditory abilities but also their confidence in various communication contexts. Notably, this study also suggests that the additional information gleaned through a structured intervention may assist with fine-tuning patients’ speech processors. This was a common theme among CI recipients and their coaches and has been corroborated by both our CI audiologists and auditory-verbal therapist.
Current demographic and auditory profiles of adult cochlear implant candidates and factors affecting uptake
Published in International Journal of Audiology, 2022
Yael Henkin, Yisgav Shapira, Yifat Yaar Soffer
In the current study, we explored the demographic and auditory profiles of 95 adult CI candidates who were referred during a two-year period to a tertiary medical centre, located in central Israel and considered the largest CI program in the country. Compared to similar studies, (Holder et al. 2018; Tolisano et al. 2020) our patient population was significantly younger (mean age 52years) and included a larger proportion of females. As expected from the widening of criteria in recent years and accumulating evidence of improved CI outcomes, we found greater diversity with regard to type and onset of HL. Different from the typical candidates reported previously in the literature, where the vast majority were post-lingual, only 55% of our cohort presented with post-lingual deafness, whereas the remaining 45% were pre- or peri-lingually deafened. Moreover, our cohort included candidates with SSD and AHL (13%), who do not qualify for CI in most western countries, yet are approved as off-label candidates in some cases.
Health-related quality of life in South African children who use cochlear implants
Published in International Journal of Audiology, 2020
Bianca Brewis, Talita le Roux, Kurt Schlemmer, Leone Nauta, Bart Vinck
Frequency tables and descriptive statistics were used to describe the implanted children of parent participants in terms of demographic, CI and hearing loss characteristics (Tables 1 and 2). The criteria used to differentiate between pre- and post-lingual deafness in paediatric CI recipients was the age at diagnosis of severe-profound hearing loss before and after three years of age respectively (Dowell et al. 2004; Ruffin et al. 2013). All 26 children with bilateral implants whose parents participated had at least six months experience with their bilateral implants at the time of data collection.