New Discoveries in the Benefits and Outcomes of Cochlear Implantation PDF Download

Author: Fei Chen
Publisher: Frontiers Media SA
ISBN: 2832509037
Category : Science
Languages : en
Pages : 227

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Author: Graeme Clark
Publisher: Singular
ISBN:
Category : Family & Relationships
Languages : en
Pages : 288

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Book Description
Cochlear implantation in children is a rapidly expanding area and recent clinical advances and research studies in the field have confirmed the extent of its benefits for children. This timely book brings together contributions from a group of experts who work with cochlear implantations at the Melbourne Clinic in Australia, which has been at the forefront of recent advances in instrumentation and clinical management of infants and children with cochlear implants.TEXTBOOK

Author: Eunjung Na
Publisher:
ISBN:
Category :
Languages : en
Pages :

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Book Description
Children with residual hearing have become eligible for consideration as CI candidates in some pediatric programs because of the positive clinical research outcomes of cochlear implant (CI). However, decision-making about CIs for children with residual hearing is difficult for parents because they experience uncertainty when their children show auditory benefits and are developing language through hearing aids (HAs). Clinicians may be uncomfortable recommending CI for these children due to variability in audiometric candidacy criteria in individual clinical practice. However, there is very limited information about the CI decision-making process and needs to assist the parents of these children and practitioners. We conducted a comprehensive study to better understand and support the CI decision-making experiences of families and practitioners. The objectives of our study were to: 1) explore the clinical characteristics and outcomes of children with residual hearing who received CIs, 2) summarize the evidence about the benefits and risks of CIs compared to HAs in children with residual hearing, and 3) explore the decision-making process and needs for children with residual hearing from the perspective of parents and practitioners. This research project combined quantitative and qualitative research designs. A retrospective chart review was conducted to address the first objective. Data on the clinical characteristics of children with residual hearing were extracted from medical charts from a tertiary care pediatric CI center in Ottawa, Canada. A systematic review was performed on the benefits and risks of CIs versus HAs for children with residual hearing to address the second objective. The third objective was addressed through two sub-studies. The first sub-study involved qualitative semi-structured interviews. A total of 12 parents participated in individual interviews. In the second sub-study, 17 practitioners at a pediatric CI center in Ottawa, Canada, and specialized teachers of the deaf and hard of hearing at local school boards were recruited, and four focus groups and one individual interview were conducted. This study showed that a total of 100 of 389 (25.7%) children who received CIs from 1992 to 2018 at the Children's Hospital of Eastern Ontario (CHEO) had residual hearing, representing more than half the children who were implanted in the last two years covered by the study. As documented in our study, overall, children with residual hearing demonstrated benefits in auditory functioning following cochlear implantation. Approximately 70% of these children achieved open-set word perception scores of 80% or more post-CI. In the systematic reviews, a total of 3265 citations were identified, of which eight studies met inclusion criteria. The articles consisted of four moderate and two weak quality pre-post cohort studies and two weak quality cross-sectional studies. The systematic review confirmed that children with CIs showed significantly better speech perception scores than those with HAs. Limited evidence of improvement in auditory performance and non-significant improvement in speech intelligibility was found. Two aspects of social-emotional functioning (hyperactivity/inattention and pro-social behaviour) showed significant improvement with CIs. Our finding also contributes new information about the loss of residual hearing and device use. Four studies provided data on risks following CIs; a total of 16 of 43 (37.2%) children showed loss of residual hearing and 14.0% (8/57) of children had discontinued or limited use of their CI or HA. The qualitative interviews revealed that both parents and practitioners identified child's everyday functioning as an important factor that influenced their decision-making. It was clear through the qualitative research with parents that they held a strong preference for child's inclusion into hearing society. Spoken communication was a core value for the parents of these children and some parents expressed high expectations that their children's hearing would become 'normal'. We found that practitioners primarily supported parental decision-making by providing information on the practical aspects of the benefits and risks of CIs. Overall parents were satisfied with the decision-making process and decision support from practitioners. However, parents stressed the importance of receiving more personalized information that considered their specific concerns, values and preferences related to their child and family's circumstances. Practitioners also noted that more research among children with residual hearing is needed to guide parental CI decision-making. To our knowledge, the findings from this dissertation are the first to examine decision-making for children with residual hearing. Our study contributes new information about the characteristics of children receiving CIs, the potential benefits and risks for children with residual hearing, and decision-making needs from the perspectives of families and practitioners. In addition, our research is a useful first step in understanding what families need to make better decisions to assist in the CI decision-making process for this specific population.

Author: Susan B. Waltzman
Publisher: Georg Thieme Verlag
ISBN: 1604069066
Category : Medical
Languages : en
Pages : 270

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Book Description
The latest on cochlear implantation Thieme congratulates author Dr. J. Thomas Roland, Jr. for being chosen by New York magazine for its prestigious 'Best Doctors 2018' list. Praise for the previous edition: Cochlear Implants, Third Edition, has been completely revised to include the most up-to-date information on the clinical and translational sciences related to this rapidly evolving technology. It contains chapters on the latest developments in the field, including those in: genetics, neuroplasticity, expanding criteria for implantation, the application of implant technology to tinnitus and vestibular issues, music perception, and intraoperative monitoring. Key Features: Covers basic techniques as well as new concepts and areas of expansion, making it appropriate for beginners as well as experienced practitioners Includes information on the latest advancements in cochlear implant programming concepts Written by experts in the field who are spearheading advancements in cochlear implant technology This book will be a valuable reference for otolaryngologists – head and neck surgeons, audiologists, neurotologists, speech pathologists, and all professionals involved in the design and usage of cochlear implants as well as an essential text for audiology students.

Author: Ernst Thoutenhoofd
Publisher: John Wiley & Sons
ISBN:
Category : Medical
Languages : en
Pages : 308

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Book Description
This book reviews published research concerning outcomes for deaf children with cochlear implants. The publications selected for review meet certain criteria - they were all published in English, they were published since 1994, and the number of children included in each study was at least 12. A thorough literature search was carried out yielding about 200 articles meeting these criteria. Paediatric Cochlear Implants considers a range of outcomes including use of audition by children, the development of language and quality of life. Advances in cochlear implantation that affect outcomes are also discussed. The book offers critical summaries of relevant papers and an account of the conclusions of the research to date, highlights topics that have received less attention and suggests a framework for considering outcomes. It evaluates the strengths and weaknesses of current research with suggestion for possible future developments. This book will be of interest to all professionals and researchers concerned with deaf children, to parents of deaf children and to purchasers of healthcare services.

Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309176689
Category : Medical
Languages : en
Pages : 254

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Book Description
Evidence suggests that medical innovation is becoming increasingly dependent on interdisciplinary research and on the crossing of institutional boundaries. This volume focuses on the conditions governing the supply of new medical technologies and suggest that the boundaries between disciplines, institutions, and the private and public sectors have been redrawn and reshaped. Individual essays explore the nature, organization, and management of interdisciplinary R&D in medicine; the introduction into clinical practice of the laser, endoscopic innovations, cochlear implantation, cardiovascular imaging technologies, and synthetic insulin; the division of innovating labor in biotechnology; the government- industry-university interface; perspectives on industrial R&D management; and the growing intertwining of the public and proprietary in medical technology.

Author: Patricia Elizabeth Spencer
Publisher: Oxford University Press
ISBN: 0195179870
Category : Education
Languages : en
Pages : 400

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Book Description
Contributors present the latest information on both the new world evolving for deaf & hard-of-hearing children & the improved expectations for their acquisition of spoken language.

Author: National Research Council
Publisher: National Academies Press
ISBN: 0309092965
Category : Social Science
Languages : en
Pages : 321

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Book Description
Millions of Americans experience some degree of hearing loss. The Social Security Administration (SSA) operates programs that provide cash disability benefits to people with permanent impairments like hearing loss, if they can show that their impairments meet stringent SSA criteria and their earnings are below an SSA threshold. The National Research Council convened an expert committee at the request of the SSA to study the issues related to disability determination for people with hearing loss. This volume is the product of that study. Hearing Loss: Determining Eligibility for Social Security Benefits reviews current knowledge about hearing loss and its measurement and treatment, and provides an evaluation of the strengths and weaknesses of the current processes and criteria. It recommends changes to strengthen the disability determination process and ensure its reliability and fairness. The book addresses criteria for selection of pure tone and speech tests, guidelines for test administration, testing of hearing in noise, special issues related to testing children, and the difficulty of predicting work capacity from clinical hearing test results. It should be useful to audiologists, otolaryngologists, disability advocates, and others who are concerned with people who have hearing loss.

Author: David Luterman
Publisher:
ISBN: 9780966182651
Category : Deaf children
Languages : en
Pages : 0

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Book Description
Written for parents, siblings and extended family members who want a better understanding of the impact hearing loss can have in their young loved one. Hearing loss in children can have more devastating effects than in adults because it can impair the ability to learn vocabulary, grammar, word order, idiomatic expressions and other aspects of verbal communication. This is a guide on how to address the most important educational issues and processes through the school years, including legal rights and legislation. It also addresses the profound emotional impact hearing loss can have on a child and how it can affect the entire family dynamic. Readers can even prevent some of the pitfalls common among families new to a child with hearing loss. This book also covers the latest technology available to these children, especially in the classroom, including assistive listening devices, hearing aids and cochlear implants and dispels myths associated with wearing amplified.

Author: Lydia Denworth
Publisher: Penguin
ISBN: 0142181862
Category : Health & Fitness
Languages : en
Pages : 401

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Book Description
“A skilled science translator, Denworth makes decibels, teslas and brain plasticity understandable to all.”—Washington Post Lydia Denworth’s third son, Alex, was nearly two when he was identified with significant hearing loss that was likely to get worse. Denworth knew the importance of enrichment to the developing brain but had never contemplated the opposite: deprivation. How would a child’s brain grow outside the world of sound? How would he communicate? Would he learn to read and write? An acclaimed science journalist as well as a mother, Denworth made it her mission to find out, interviewing experts on language development, inventors of groundbreaking technology, Deaf leaders, and neuroscientists at the frontiers of brain plasticity research. I Can Hear You Whisper chronicles Denworth’s search for answers—and her new understanding of Deaf culture and the exquisite relationship between sound, language, and learning.