Wednesday, 6 March 2019

Early CI implantation key to speech learning.

Image result for CI's deaf childrenResearchers from Ann & Robert H. Lurie Children's Hospital of Chicago present further evidence that deaf children who received cochlear implants (implanted electronic hearing device) before 12 months of age learn to more rapidly understand spoken language and are more likely to develop spoken language as their exclusive form of communication. 

In their study, published in Otology and Neurotology, this was true even for children with additional conditions often associated with language delay, such as significantly premature birth. Researchers also showed that implantation surgery and anaesthesia were safe in young children, including infants.

"Our results clearly show that kids who received cochlear implants in infancy make progress more rapidly and are more likely to use spoken language as their sole means of communication," says lead author Stephen Hoff, MD, from Lurie Children's, who is also Associate Professor at Northwestern University Feinberg School of Medicine. "More than 90% of deaf children have hearing parents. Most parents hope that a cochlear implant will enable their child to talk. However, early implantation is not a public policy priority. For this reason, many children are not evaluated for cochlear implantation until they are over age 12 months."

Currently, every state has a newborn hearing screening requirement, which has resulted in earlier diagnosis of hearing loss and fitting of hearing aids. However, no public policy promotes early identification of deaf infants whose hearing would be much improved with cochlear implantation in comparison to hearing aids.

"Cochlear implants are remarkable in that they enable children to hear the high pitch consonants such as "s". These are the sounds that hearing aids cannot make audible to deaf children. The sooner children are able to hear through an implant, the more likely they will understand when others talk, and learn to speak clearly," says senior author Nancy Young, MD, Medical Director of Audiology and Cochlear Implant Programs at Lurie Children's and Professor at Northwestern University Feinberg School of Medicine. "Infants should be evaluated to determine if cochlear implantation would provide superior hearing. The procedure is safe and the results can be transformative."

In the study, researchers reviewed Lurie Children's experience with 219 children who underwent cochlear implantation before they were three years old, including a group of 39 children who were implanted when younger than 12 months of age. The mean age at last follow-up was 7.5 years. They found that implanted infants developed word understanding ability one year earlier than those implanted as toddlers and were more likely to use spoken language alone to communicate. Children who were implanted after 2 years of age were much less likely to use spoken language exclusively.

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