scholarly journals REHABILITATION OF CHILDREN WITH HEARING IMPAIRMENT IN UKRAINE AT THE PRESENT STAGE

Author(s):  
Volodymyr Shevchenko

The article considers the rehabilitation problem of children with hearing loss who have cochlear implants. The main aspects of detecting hearing loss of different degrees, providing early help, and a modern method of hearing aid — cochlear implantation are described. The leading indicators of hearing development of a child after cochlear implantation and the importance of an integrated approach in rehabilitation are revealed. It is noted that a child with a cochlear implant can communicate with others, hear them and understand. However, this method is critical to use in the first three years of a child’s life to develop speech and hearing centres of the brain. In this case, with the help of a cochlear implant, the child will learn to perceive the language of others, use language for communication and develop along with peers, and accordingly socialize.The article emphasizes the importance and necessity of training specialists to rehabilitate such children, the introduction into the educational process of correctional programs for the development of auditory perception after cochlear implantation, development of guidelines for professionals and parents, educational and rehabilitation literature.

1992 ◽  
Vol 107 (3) ◽  
pp. 410-417 ◽  
Author(s):  
Michael A. Seicshnaydre ◽  
Michele H. Johnson ◽  
M. Suzanne Hasenstab ◽  
George H. Williams

Preoperative temporal bone computed tomography (CT) can demonstrate anatomic details relevant to surgical management and is therefore essential in the presurgical evaluation of patients receiving cochlear implants. The purpose of this study was to evaluate preoperative CT studies and compare them to surgical findings in 34 children who received the Nucleus multichannel cochlear implant. The focus of this report is to discuss the dependability of CT scans in predicting surgical findings at the time of cochlear implantation. Results indicate that agreement of CT interpretations with surgical findings is partially related to the etiology of hearing loss and the experience of the surgeon and neuroradiologist. Advantages and limitations of the CT scans in predicting surgical findings are discussed.


2007 ◽  
Vol 86 (10) ◽  
pp. 612-613 ◽  
Author(s):  
Robert J. Stokroos ◽  
Pirn van Dijk

Cochlear implantation is considered to be a safe and effective treatment for severe to profound sensorineural hearing loss. Device failures are rare. We report the cases of 2 patients—a 44-year-old woman and a 3-year-old boy—with cochlear implants who were referred to our tertiary cochlear implant center for treatment of magnet migration secondary to mild head trauma. The migration had led to device failure in both cases. Surgical re-exploration was performed with nonmagnetic instruments, and both magnets were easily returned to their proper place. Postoperatively, implant function was restored to previous levels, and wound healing was uncomplicated. The incidence of magnet migration in cochlear implant patients is unknown. A few cases have been reported in children, but to the best of our knowledge, ours is the first report of magnet migration in an adult.


2004 ◽  
Vol 118 (12) ◽  
pp. 980-982 ◽  
Author(s):  
V.S. Sunkaraneni ◽  
A. Banerjee ◽  
R.F. Gray

Cochlear implants have transformed the treatment of sensorineural hearing loss. They have few major complications. The authors describe the case of a man fitted with a cochlear implant who suffered a postoperative subdural haematoma. The haematoma is thought to have been caused by bleeding from emissary veins opened by the drill passages used to anchor the sutures for the receiver/stimulator. The authors have abandoned tie down sutures in cochlear implants, preferring an appropriately deep well with squared-off rims, which would secure the implant in place. They have had no further complications of this nature.


2021 ◽  
pp. 019459982110213
Author(s):  
Kristen L. Seligman ◽  
A. Eliot Shearer ◽  
Kathy Frees ◽  
Carla Nishimura ◽  
Diana Kolbe ◽  
...  

Understanding genetic causes of hearing loss can determine the pattern and course of a patient’s hearing loss and may also predict outcomes after cochlear implantation. Our goal in this study was to evaluate genetic causes of hearing loss in a large cohort of adults and children with cochlear implants. We performed comprehensive genetic testing on all patients undergoing cochlear implantation. Of the 459 patients included in the study, 128 (28%) had positive genetic testing. In total, 44 genes were identified as causative. The top 5 genes implicated were GJB2 (20, 16%), TMPRSS3 (13, 10%), SLC26A4 (10, 8%), MYO7A (9, 7%), and MT-RNR1 (7, 5%). Pediatric patients had a higher diagnostic rate. This study lays the groundwork for future studies evaluating the relationship between genetic variation and cochlear implant performance.


2009 ◽  
Vol 19 (2) ◽  
pp. 69-74 ◽  
Author(s):  
Susan Waltzman

Abstract Due to advances in cochlear implant technology and the remarkable outcomes often achieved by persons with severe to profound hearing loss, cochlear implant candidacy criteria has expanded since the first children were implanted almost twenty years ago. Evidence of this can be seen in the increased willingness to provide cochlear implants for children with multiple disabilities. Over the last decade, several reports have appeared in the peer-reviewed literature describing cochlear implant outcomes of children with multiple disabilities. This paper will summarize those reports, discuss realistic expectations of implantation for children with multiple disabilities, and describe contemporary management protocols for the otologic, audiologic, and rehabilitative management of children with multiple disabilities.


2018 ◽  
Vol 7 (3) ◽  
pp. 28-29
Author(s):  
R. Sundaresan

Cochlear implants are now established as the treatment of choice in the rehabilitation of children with bilateral profound sensori neural hearing impairment. This study objective is to analyze and the development of auditory skills for the cochlear implantation children. This study included 50 children attending the Therapy centre, Tiruchirappalli. Their age ranged below 24 months. All children had bilateral sensori-neural hearing loss since birth. None of the subjects had prior Cochlear implant, but all had tried conventional hearing aid. All subjects were implanted unilateral and bilateral, sequential/simultaneous with CI devices including MED EL and Nucleus. All met the criteria of cochlear implant. All items of the studied auditory skills improved significantly by time. There is significant improvement between 4 to 8 months in the scores of detection, discrimination, identification and comprehension skills. Significant improvement in comprehension is also found between 10 and 11 months interval. PAS score had weak negative correlation with age. Children fitted with cochlear implants showed significant improvement in acquisition of auditory skills over a period of below 1year. The age and the side of the implant are the most significant factors.


Author(s):  
Thais Rodrigues Talarico ◽  
Cilmara Cristina Alves Costa Levy ◽  
Carmen Lucia Penteado Lancellotti

Objetivo: Avaliar a qualidade de vida (QV) de pacientes adultos com deficiência auditiva pré e pós-lingual usuários de implante coclear (IC). Método: Os pacientes entrevistados foram adultos implantados de 2004 a 2011 no Departamento de Otorrinolaringologia. Eles responderam ao questionário WHOQoL–BREF e, pela analise dos prontuários, foram identificados como pré ou pós-linguais. Desses pacientes, 17 eram pós-linguais e 8 pré-linguais. Resultados: Verificou-se que, no questionário geral, os participantes pré-linguais apresentaram resultado (escore = 77,4) e os pós-linguais, (escore = 76,3). Os melhores resultados foram os dos domínios físico e psicológico, tanto entre os pacientes pré quanto entre os pós-linguais. Conclusões: Podemos constatar que os pacientes pré-linguais apresentam um resultado pouco melhor que os pós-linguais na pontuação total do questionário, mas a análise dos benefícios do IC nos demais domínios mostrou resultados similares nos dois grupos pesquisados.Palavras chave: Implante coclear, Qualidade de vida, Perfil de impacto da doença, Adulto, Pessoas com deficiência auditivaABSTRACTPurpose: Assess quality of life of adult pre and postlingual hearing impaired patients users of cochlear implants. Method: The interviewed patients were adults who had received their implants between 2004 and 2011 at the Department of Otolaryngology. The questionnaire WHOQoL–BREF was applied and patient records were used to check whether the patient had pre or post-lingual hearing loss. Out of the total, there were 17 post-lingual and 8 pre-lingual patients. Results: We have noticed that pre-lingual patients had the score in the general questionnaire of 77.4, whereas post-lingual subjects reached the score 76.3 in the general questionnaire. The domains that showed good results for pre-lingual subjects were physical (score= 82.4) and psychological (score 78.1), and for post-lingual subjects the score for physical and psychological domains were 82.3 and 77.4, respectively. Conclusion: We have observed that pre-lingual patients presented somewhat worse results than post-lingual subjects in the general score, but when the benefits of cochlear implant are taken into account, this difference between the groups practically disappears.Keywords: Cochlear implantation, Quality of life, Sickness impact profile, Adult, Persons with hearing impairments


2021 ◽  
pp. 1-10
Author(s):  
Christiane Völter ◽  
Lisa Götze ◽  
Imme Haubitz ◽  
Janine Müther ◽  
Stefan Dazert ◽  
...  

<b><i>Introduction:</i></b> Age-related hearing loss affects about one-third of the population worldwide. Studies suggest that hearing loss may be linked to cognitive decline and auditory rehabilitation may improve cognitive functions. So far, the data are limited, and the underlying mechanisms are not fully understood. The study aimed to analyze the impact of cochlear implantation on cognition in a large homogeneous population of hearing-impaired adults using a comprehensive non-auditory cognitive assessment with regard to normal-hearing (NH) subjects. <b><i>Material and Methods:</i></b> Seventy-one cochlear implant (CI) candidates with a postlingual, bilateral severe or profound hearing loss aged 66.3 years (standard deviation [SD] 9.2) and 105 NH subjects aged 65.96 years (SD 9.4) were enrolled. The computer-based neurocognitive tool applied included 11 subtests covering attention (M3), short- and long-term memory (recall and delayed recall), working memory (0- and 2-back, Operation Span [OSPAN] task), processing speed (Trail Making Test [TMT] A), mental flexibility (TMT B), inhibition (cFlanker and iFlanker), and verbal fluency. CI patients underwent a neurocognitive testing preoperatively as well as 12 months postoperatively. Impact of hearing status, age, gender, and education on cognitive subdomains was studied. Additionally, after controlling for education and age, cognitive performance of CI subjects (<i>n</i> = 41) was compared to that of NH (<i>n</i> = 34). <b><i>Results:</i></b> CI users achieved significantly better neurocognitive scores 12 months after cochlear implantation than before in most subtests (M3, [delayed] recall, 2-back, OSPAN, iFlanker, and verbal fluency; all <i>p</i> &#x3c; 0.05) except for the TMT A and B. A significant correlation could be found between the postoperative improvement in speech perception and in the attentional task M3 (<i>p</i> = 0.01). Hearing status (<i>p</i> = 0.0006) had the strongest effect on attention, whereas education had a high impact on recall (<i>p</i> = 0.002), OSPAN (<i>p</i> = 0.0004), and TMT A (<i>p</i> = 0.005) and B (<i>p</i> = 0.003). Inhibition was mainly age-dependent with better results in younger subjects (<i>p</i> = 0.016). Verbal fluency was predicted by gender as females outperformed men (<i>p</i> = 0.009). Even after controlling for age and education NH subjects showed a significantly better performance than CI candidates in the recall (<i>p</i> = 0.03) and delayed recall (<i>p</i> = 0.01) tasks. Postoperatively, there was no significant difference between the 2 groups anymore. <b><i>Conclusion:</i></b> Impact of cochlear implantation on neurocognitive functions differs according to the cognitive subdomains. Postoperatively, CI recipients performed as good as age- and education-matched NH subjects.


Author(s):  
Yung-Ting Tsou ◽  
Boya Li ◽  
Carin H Wiefferink ◽  
Johan H M Frijns ◽  
Carolien Rieffe

AbstractEmpathy enables people to share, understand, and show concern for others’ emotions. However, this capacity may be more difficult to acquire for children with hearing loss, due to limited social access, and the effect of hearing on empathic maturation has been unexplored. This four-wave longitudinal study investigated the development of empathy in children with and without hearing loss, and how this development is associated with early symptoms of psychopathology. Seventy-one children with hearing loss and cochlear implants (CI), and 272 typically-hearing (TH) children, participated (aged 1–5 years at Time 1). Parents rated their children’s empathic skills (affective empathy, attention to others’ emotions, prosocial actions, and emotion acknowledgment) and psychopathological symptoms (internalizing and externalizing behaviors). Children with CI and TH children were rated similarly on most of the empathic skills. Yet, fewer prosocial actions were reported in children with CI than in TH children. In both groups, affective empathy decreased with age, while prosocial actions and emotion acknowledgment increased with age and stabilized when children entered primary schools. Attention to emotions increased with age in children with CI, yet remained stable in TH children. Moreover, higher levels of affective empathy, lower levels of emotion acknowledgment, and a larger increase in attention to emotions over time were associated with more psychopathological symptoms in both groups. These findings highlight the importance of social access from which children with CI can learn to process others’ emotions more adaptively. Notably, interventions for psychopathology that tackle empathic responses may be beneficial for both groups, alike.


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