Subject(s)
Cochlear Implantation , Deafness/therapy , Child , Child, Preschool , Humans , Infant , Language Development , Quality of Life , Social Behavior , Treatment OutcomeABSTRACT
The aim of this study is to evaluate the prognostic factors of audiophonological results in cochlear implant in congenitally deaf patients. Between 1991 and 1996. 40 congenitally deaf children underwent cochlear implantation in our department, at an average age of 7 years (median: 5 years). The results of speech therapy were evaluated with a mean follow-up of 2 years and were classified according to four criteria: perception of sound, speech perception, speech production and the level of oral language. For each criterion, a score was established ranging from zero to four. These scores were weighted according to age such that the results before and after implantation only reflected the changes related to the implantation. The prognostic factors for good results were: a good level of oral communication before implantation, residual hearing, progressive deafness and implantation at a young age. On the other hand, poor prognostic factors were: the presence of behavioral disorders and poor communication skills prior to implantation. Overall, the major prognostic factor for a good outcome appeared to be the preoperative level of oral language, even if this was rudimentary.
Subject(s)
Cochlear Implantation/methods , Deafness/congenital , Deafness/therapy , Speech Intelligibility/physiology , Speech Perception/physiology , Speech Therapy/methods , Adolescent , Adult , Age Factors , Audiometry , Child , Child, Preschool , Female , Humans , Male , Patient Selection , Predictive Value of Tests , PrognosisSubject(s)
Cochlear Implants , Cues , Deafness/rehabilitation , Child, Preschool , Communication , Deafness/surgery , Female , Humans , Lipreading , MaleABSTRACT
Two previous case reports described two sibs affected with both sensorineural hearing loss and oligodontia. Here, we report a similar syndrome in a male patient with an, as yet, undescribed vestibular aqueduct enlargement on tomodensitometry. The analysis of the parent's audiograms is consistent with the suggested autosomal recessive mode of inheritance of this disorder.
Subject(s)
Anodontia/diagnosis , Hearing Loss, Sensorineural/diagnosis , Anodontia/genetics , Audiometry , Child , Hearing Loss, Sensorineural/genetics , Humans , Male , Syndrome , Tomography, X-Ray ComputedABSTRACT
The loss of hearing modifies in every respect the relations between a child and his environment and results in serious communication problems. An early diagnosis and a coherent management using all the techniques that facilitate communication can thoroughly alter the consequences of deafness. The therapeutic and educative planning must be done by a competent, multidisciplinary team working in close cooperation with the child's parents. The plan must be adjusted to each individual child and constantly readjusted, the target being the social integration of deaf children when they reach adulthood.
Subject(s)
Activities of Daily Living/psychology , Deafness/psychology , Adolescent , Deafness/diagnosis , Deafness/rehabilitation , Education, Special , Humans , Male , Nonverbal CommunicationABSTRACT
A study was conducted to assess the contribution of cochlear microphonic potential recordings during electrophysiologic audiometry examinations. Amplitude of microphonic recordings were correlated with the degree of deafness, its etiology, and the prosthetic prognosis in 38 electrocochleographic examinations. Preliminary results are analyzed.