The Pediatrician and the Parent of the Deaf Child

PEDIATRICS ◽  
1970 ◽  
Vol 45 (1) ◽  
pp. 115-116
Author(s):  
David M. Luterman ◽  
Judith Chasin

In most instances, the pediatrician is the first professional person the parent of a young child consults when a hearing loss is suspected. The extent to which he is able to counsel the family about the child's handicap will, to a large degree, determine the eventual education and social success of the child. Since most pediatricians will encounter only a few congenitally deaf children during their years in practice, they may well be unfamiliar with the recent advances in diagnosis and education of the young deaf child and the sources of referral for these children. Therefore, the following parent survey was undertaken to see how well the pediatrician responded to the needs of the parents of confirmed deaf children, and in which areas he appeared to be lacking the kind of formation that the parent wished to have.

2012 ◽  
Vol 18 (2) ◽  
pp. 103-108
Author(s):  
Mohammad Nasimul Jamal ◽  
Ali Imam Ahsan ◽  
Mohammed Sattar ◽  
Md Abul Hasnat Joarder

Introduction: Deafness is the invisible disability and the commonest human sensory defects.  It leads to difficult speech development, poor educational and employment prospects of  chilhood. Comprehensive otologic and audiological evaluations are very much essential for  etiological assessment of hearing impaired children and management efficacy.Methods: A cross-sectional study was carried out with the aim to evaluate the etiological  factors, degree of hearing loss, type of hearing loss, and results of aided audiogram among  the below 12 years deaf children. The study included 100 deaf children below 12 years with  history of deafness and non-development of speech.Result: The etiology of deaf Children was diverse. Infection was the predominating etiological  factor (38%). The infections were: measles (31.5%), pneumonia (26.2%), typhoid (21.5%),  maternal rubella (5.2%), varicella (5.2%), mumps (5.2%) and meningitis (5.2%). 48% of deaf  child had a parental suspicion of deafness below the one year of age. 35% had a positive  family history and 32% had history of consanguinal marriage. The deaf children were managed  with hearing device, among them 89% with hearing aid and 11% with cochlear implant 42.7% of child used hearing aid in both ears. The results of aided audiogram reflected that, the gain  after using hearing aid within 31-60 dB were 80%. 10% in right ear, 71.10% in left year and  70.00% in both ears, so average gain after using hearing aid was 74% within 31- 60 dB. DOI:http://dx.doi.org/10.3329/bjo.v18i2.11981 Bangladesh J Otorhinolaryngol 2012; 18(2): 103-108


2022 ◽  
pp. 246-257
Author(s):  
Mary Ann Gray ◽  
Frances F. Courson

The authors of this chapter focus on immigrant families who have deaf children with co-occurring disabilities. The journey is filled with understanding deafness, co-occurring disabilities, resources, cultural impact, communication and amplification options, and navigating the American education system. The chapter covers a range of information for professionals and families to understand what families with deaf children with co-occurring disabilities face and the continuous decisions that must be made and implemented while having limited access to support due mainly to language barriers and cultural understand. The chapter covers from the time the deaf child with co-occurring disabilities is identified and the multiple layers to understanding the path the family takes, knowing each one is as unique as the child.


2012 ◽  
Vol 16 (02) ◽  
pp. 170-178
Author(s):  
Ida Lichtig ◽  
Maria Couto ◽  
Luciana Carvalho

Summary Introduction: In Brazil, it is rare studies with using deaf children of auditory device above of seven years. Objective: To investigate the benefit supplied for the amplification in deaf children to 7 years old to 11 years old using auditory device, under the perspective of the proper child and the adults with who it more coexists, and to verify if the time of conviviality of the adults with the child intervenes with their answers. Method: One is about a clinical and experimental study. They had participated of the study 48 citizens, divided in 4 distinct groups: G1- 12 deaf children; G2- 12 adults with average companionship of 40 weekly hours with the deaf child; G3- 12 adults with average companionship of 20 weekly hours with the deaf child; G4- 12 adults with average companionship of 10 weekly hours with the deaf child. All the children were using of device bilaterally and presented auditory loss of severe or deep degree. Results: The results indicate damage in the auditory abilities of the children evaluated had to the difficulties faced for them to listen to elements gifts in situations of its daily one. The time of companionship with the child did not have differences in the results between the different groups in agreement. Conclusion: The viability of the evaluation of the proportionate benefit for the auditory device in children was evidenced clinically on the basis of the information of the family. The device of individual sonorous amplification exerted influence in the auditory abilities of the evaluated children, although the proportionate benefit for its use to be lesser of what the waited one.


2020 ◽  
Vol 2 (1) ◽  
pp. 5
Author(s):  
Nur Haliza ◽  
Eko Kuntarto ◽  
Ade Kusmana

Children with hearing impairment are children with hearing loss who are classified into deaf and hard of hearing. The direct impact of disability is the obstruction of verbal / verbal communication, both speaking (expressive) and understanding the conversations of others (receptive). Obtaining the first language of a deaf child can be done with total communication. Total communication is the most effective communication system because in addition to using a form of communication orally or called oral, the activity of reading, writing, reading utterances, is also equipped with a form of cues. The purpose of this study was to determine the acquisition of language of children with special needs (deaf) in understanding language. Subjects in this study are children with special needs who experience speech impairment (hearing impairment) while the object of this study is focused on only one child, Mila Erdita, a 15-year-old child. This research refers to case studies with descriptive research type. Data collection techniques in this study will be done in three ways, namely; observation techniques, interview techniques, and documentation techniques. In this research, data processing that will be done is to describe the speech data of deaf children to see the acquisition of children's vocabulary. The results of this study indicate that deaf children can obtain a language of total communication using a form of communication orally or called oral, with the activities of reading, writing, reading utterances, also equipped with signs


Author(s):  
Nina Jakhelln Laugen

In some respects, hard-of-hearing children experience the same difficulties as deaf children, whereas other challenges might be easier or more difficult to handle for the hard-of-hearing child than it would be for the deaf child. Research has revealed great variability in the language, academic, and psychosocial outcomes of hard-of-hearing children. Universal newborn hearing screening enables early identification and intervention for this group, which traditionally has been diagnosed rather late; however, best practices regarding the scope and content of early intervention have not yet been sufficiently described for hard-of-hearing children. This chapter summarizes the current knowledge concerning psychosocial development in hard-of-hearing children. Risk and protective factors, and their implications for early intervention, are discussed with a special emphasis on preschoolers.


1973 ◽  
Vol 16 (4) ◽  
pp. 597-607 ◽  
Author(s):  
Alan M. Richards

Alternate binaural loudness balances between masked and unmasked normal ears were performed to examine the growth of loudness as a function of masker level at each of several frequencies (500, 1000, 2000, and 4000 Hz) and to determine whether the recruitmentlike phenomenon in masked ears is comparable in its growth and form to actual recruitment growth in sensorineural impaired ears. The results for 28 subjects indicated that for all frequencies a power function relating the perceived loudness in the masked ear to the unmasked ear could be drawn, and that the slope of this function rose as a function of increased masking. The family of slopes for each frequency was linearly related to the induced threshold shift. The slope of this latter relation proved to be frequency dependent. Comparison between the slope growth in simulated hearing loss and the family of loudness-balance slopes obtained from patients with true unilateral loss of varying degree indicated that the slopes of loudness-balance functions in the latter group also increased linearly with increased loss. In this latter instance, however, the slope growth was not frequency dependent, thus pointing to an essential difference between simulated and actual loudness recruitment growth.


2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Yue Qiu ◽  
Sen Chen ◽  
Xia Wu ◽  
Wen-Juan Zhang ◽  
Wen Xie ◽  
...  

Jervell and Lange-Nielsen syndrome (JLNS) is a rare but severe autosomal recessive disease characterized by profound congenital deafness and a prolonged QTc interval (greater than 500 milliseconds) in the ECG waveforms. The prevalence of JLNS is about 1/1000000 to 1/200000 around the world. However, exceed 25% of JLNS patients suffered sudden cardiac death with kinds of triggers containing anesthesia. Approximately 90% of JLNS cases are caused by KCNQ1 gene mutations. Here, using next-generation sequencing (NGS), we identified a compound heterozygosity for two mutations c.1741A>T (novel) and c.477+5G>A (known) in KCNQ1 gene as the possible pathogenic cause of JLNS, which suggested a high risk of cardiac events in a deaf child. The hearing of this patient improved significantly with the help of cochlear implantation (CI). But life-threatening arrhythmias occurred with a trigger of anesthesia after the end of the CI surgery. Our findings extend the KCNQ1 gene mutation spectrum and contribute to the management of deaf children diagnosed with JLNS for otolaryngologists (especially cochlear implant teams).


2020 ◽  
Vol 66 (2) ◽  
pp. 35-40
Author(s):  
Marina Davcheva Chakar ◽  
Gjorgji Bozhinovski ◽  
Emilija Shukarova Stefanovska ◽  
Dejan Trajkov

Reduction of hearing is the most common sensory impairment among newborns with an incidence of 1-3 per 1000 births. Introduction of an Auditory Newborn screening program allows early identification of hearing impairment. Mainly, congenital hearing loss in early childhood is a result of genetic changes. Due to high frequency of GJB2 pathogenic variants, its molecular characterization among sensorineural hearing reduction cases is already conducted as a routine analysis in many countries. The aim of this study is to show our initial results in the effort to determine whether genetic screening along with the standard hearing screening in newborns is justified. Otoacoustic emission (OAE) method was conducted in 223 newborns at risk of hearing impairment. Among them, 7 did not pass the test in both ears while 9 exhibited one-sided hearing loss. In all 7 children with indication of profound bilateral deafness, the diagnosis was confirmed using auditory brainstem response. Genetic screening of GJB2 gene was performed in 6 of them. Genetic analysis of GJB2 revealed homozygous state of the most common pathogenic variant 35delG in 3 (50%) of the analyzed infants. In the remaining 3 no pathogenic variant was determined. The results indicate that performing auditory OAE together with genetic screening is justified. In newborns who have not passed the hearing screening test and have profound hearing loss, without other syndrome traits, screening for mutations of GJB2 gene should be conducted. Genetic screening enables establishment of early definite diagnosis for deafness and helps in conducting adequate therapy providing timely rehabilitation and social inclusion of deaf child. Key words: hearing loss, genetic screening, auditory screening, GJB2 gene


2021 ◽  
Vol 12 ◽  
Author(s):  
Yousong Hu ◽  
Shuyang Dong ◽  
Fang Guan ◽  
Outong Chen ◽  
Jun Chen ◽  
...  

This study aimed at examining the differences between Chinese youths with hearing loss (HL) and with typical hearing (TH) in emotion understanding (EU), parental emotional expressivity, and the associations between EU and parental emotional expressivity. The participants were 282 youths with HL (14.58 ± 3.42 years old) and 350 youths with TH (11.69 ± 2.49 years old). EU was measured by four visual-mode tasks, of which two involve language comprehension while the others do not. Parents reported positive and negative emotional expressivity on the Self-Expressiveness in the Family Questionnaire. Covariates were controlled for including socioeconomic status, parent gender, youth gender, age, intelligence, and teacher-reported comprehension difficulties. Results showed that the four EU tasks were more challenging for the youths with HL than for the youths with TH. The interaction effect of the two groups × 4 tasks was not significant, suggesting that the differences between the two groups of youths in EU were generally similar across the four tasks. The parents of the youths with HL did not differ from the parents of the youths with TH in how often they displayed positive and negative emotional expressivity. Multigroup regression analyses revealed that negative emotional expressivity was negatively related to EU in the youths with HL but not in the youths with TH. However, these two regression coefficients were not significantly different. Positive emotional expressivity was not related to EU in either group. In conclusion, this study extends the knowledge about the EU of Chinese youths with HL and emotion-related socialization of the parents of these youths.


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