Cochlear implantation in children with complex needs: the perceptions of professionals at cochlear implant centres

Archbold, Sue; Athalye, Sheetal; Mulla, Imran; Harrigan, Susy; Wolters-Leermakers, Nina; Isarin, Jet; Knoors, Harry

doi:10.1179/1754762815y.0000000012

Cited by 21 publications

(6 citation statements)

References 17 publications

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“…This may be due to the method used for the data collection, the limited cohort considered or to the selection bias of the patients. Concomitant health issues (such as cardiac malformations) are lifethreatening conditions requiring prompt intervention, consequently the treatment of hearing loss may be reasonably delayed in such cases, even for anesthetic considerations (25).…”

Section: Discussionmentioning

confidence: 99%

Early cochlear implantation in prelingual profound hearing loss in Italy, analyzed by means of a social media survey

Orzan

Pizzamiglio²,

Magadle³

et al. 2023

Front. Pediatr.

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ObjectiveTo assess newborn hearing screening (NHS) impact on timing of cochlear implant (CI) surgery of patients with prelingual bilateral profound hearing impairment (BPHI), in order to evaluate whether the NHS ultimately serves the needs of the target population in Italy.MethodsAn online questionnaire was created to survey subjects affected by prelingual BPHL born between 1990 and 2018. Questions focused on age at BPHI diagnosis, first and second CI surgery (if performed), and the region in which the surgery was performed. The survey was distributed to potential participants via social media communities used by hearing impaired people or their family members for sharing advice and offering support. Responses were analyzed using descriptive statistics.ResultsAmong the 318 respondents who completed the questionnaire, 276 (87%) reported having chosen CI surgery, 2/3 of them bilaterally. In the vast majority (97%) of cases the CI is used on a daily basis. Most of the people residing in the center (65%) and southern Italy (71%) had to move from their region of residence to perform the surgery. Late CI surgery was associated with failure to perform NHS (p = 0.007), birth before 2011 (p = 0.009), definitive diagnosis of BPHI after 6 months of life (p = 0.002), and progressive hearing impairment (p < 0.001).ConclusionThe worldwide scientific approval of the NHS as the current best opportunity for early diagnosis and CI treatment for prelingual BPHI is confirmed by what patients and families reported via the online questionnaire used for this study. In recent years, early bilateral cochlear implantation has become increasingly available in Italy, but late diagnosis, progressive hearing loss, failure to perform the NHS and lack of follow-up are still open questions. A large proportion of families had to move from the region of residence to have their child undergo CI surgery, revealing inequalities in terms of geographical disparities. Social media has proved to be a valuable, fast and inexpensive tool for gathering information on the effectiveness of health prevention programs, involving a large sample of individuals in a short amount of time.

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Section: Discussionmentioning

confidence: 99%

Early cochlear implantation in prelingual profound hearing loss in Italy, analyzed by means of a social media survey

Orzan

Pizzamiglio²,

Magadle³

et al. 2023

Front. Pediatr.

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“…Bei ca. 30 bis 40 % der Kinder mit audiologischer CI-Indikation liegen Komorbiditäten vor oder sind im Laufe der kindlichen Entwicklung zu erwarten [21]. Bei Kindern mit Mehrfachbehinderung orientiert sich das Ziel einer CI-Versorgung an den individuellen Entwicklungsvoraussetzungen und wird im interdisziplinären Konsens modifiziert formuliert.…”

Section: Kinder Mit Mehrfachbehinderungunclassified

Indikationen zur Cochlea-Implantat Versorgung bei Kindern: Wohin geht die Reise?

Hirschfelder,

Mürbe

2024

Sprache · Stimme · Gehör

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The indications for cochlear implants in children were gradually expended during the last 30 years. This concerns both the age at implantation and the audiological criteria, unilateral or bilateral treatment, the treatment of unilateral deafness and of children with multiple disabilities. Due to the improvement in hearing preservation and new technical developments, it is to be expected that the indication limits will continue to shift in the coming decades.

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“…On the other hand, using cochlear implants has added more variables to consider, such as age at implantation and level of hearing loss before and after implantation, among others (Archbold et al, 2015). The development of language and reading skills in deaf students, whether implanted or hearing impaired, appear to be strongly determined by the level of hearing loss, as well as the age of access to amplification technology, parental or caregiver involvement, and access to educational resources that allow for adequate language development (Moeller et al, 2007;Nelson and Bruce, 2019).…”

Section: Deaf Studentsmentioning

confidence: 99%

The paradoxes of inclusion: cognitive and socio-emotional developmental trajectories of deaf and blind primary education students in mainstream and special schools

Rosas,

Espinoza,

Martinez

et al. 2023

Front. Educ.

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IntroductionStudents with special educational needs (SEN) have historically found participating in the regular education system challenging. Since the 1990s, inclusion has been considered the optimal strategy for their development. However, the effects of inclusive education on deaf and blind students are still little studied.MethodsIn the present article, we report the results of a longitudinal study on the cognitive and socioemotional developmental trajectories of 23 deaf and 29 blind primary education students attending mainstream (8 deaf and 10 blind) and special schools (15 deaf and 19 blind). The study was conducted in Santiago de Chile between 2018 and 2019.ResultsOur descriptive results suggest that deaf students attending special schools perform better on most of the variables studied. For blind students, those attending traditional schools generally perform better than those attending special schools. However, in the case of socio-emotional variables, blind students attending special schools tend to show fewer problems. However, almost all of the indicated differences are not statistically significantly different.DiscussionWe then discuss the need to consider the characteristics of each group of students with SEN when defining an adequate educational system for their optimal development.

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Cochlear implantation in children with complex needs: the perceptions of professionals at cochlear implant centres

Cited by 21 publications

References 17 publications

Early cochlear implantation in prelingual profound hearing loss in Italy, analyzed by means of a social media survey

Early cochlear implantation in prelingual profound hearing loss in Italy, analyzed by means of a social media survey

Indikationen zur Cochlea-Implantat Versorgung bei Kindern: Wohin geht die Reise?

The paradoxes of inclusion: cognitive and socio-emotional developmental trajectories of deaf and blind primary education students in mainstream and special schools

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