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Outcomes and benefits of pediatric cochlear implantation in children with additional disabilities: a review and report of family influences on outcomes
The number of children with hearing loss with additional disabilities receiving cochlear implantation has increased dramatically over the past decade. However, little is known about their auditory and speech and language development following implantation. The purpose of this review is to evaluate t...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Dove Medical Press
2015
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5683271/ https://www.ncbi.nlm.nih.gov/pubmed/29388595 http://dx.doi.org/10.2147/PHMT.S65797 |
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author | Cejas, Ivette Hoffman, Michael F Quittner, Alexandra L |
author_facet | Cejas, Ivette Hoffman, Michael F Quittner, Alexandra L |
author_sort | Cejas, Ivette |
collection | PubMed |
description | The number of children with hearing loss with additional disabilities receiving cochlear implantation has increased dramatically over the past decade. However, little is known about their auditory and speech and language development following implantation. The purpose of this review is to evaluate the effects of cochlear implantation on the most common genetic and developmental disorders in children with hearing loss. Benefits of cochlear implantation for children with autism spectrum disorder, developmental delay, CHARGE syndrome, cerebral palsy, learning disorders, Usher syndrome, Waardenburg syndrome, and attention deficit/hyperactivity disorder are reviewed. Our review indicates that children with hearing loss and additional disabilities benefit from cochlear implantation, especially when implanted early. Thus, early interventions seem as important for these children as for deaf children without additional disabilities. Comparisons of outcomes across these disabilities indicate that children with little to no cognitive impairment (eg, Waardenburg sydrome, attention deficit hyperactivity disorder) have better outcomes than those with greater deficits in intellectual functioning (eg, autism, CHARGE syndrome). In addition, parents of children with hearing loss and additional disabilities report higher levels of parenting stress and greater child behavior problems than those without comorbid diagnoses. However, these parents are as sensitive when interacting with their children as parents with typically developing children using cochlear implantation. Given these results, it is critical to evaluate these children’s developmental milestones to provide early implantation and intervention, appropriately counsel families regarding realistic expectations for the implant, and facilitate family adaptation. |
format | Online Article Text |
id | pubmed-5683271 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Dove Medical Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-56832712018-01-31 Outcomes and benefits of pediatric cochlear implantation in children with additional disabilities: a review and report of family influences on outcomes Cejas, Ivette Hoffman, Michael F Quittner, Alexandra L Pediatric Health Med Ther Review The number of children with hearing loss with additional disabilities receiving cochlear implantation has increased dramatically over the past decade. However, little is known about their auditory and speech and language development following implantation. The purpose of this review is to evaluate the effects of cochlear implantation on the most common genetic and developmental disorders in children with hearing loss. Benefits of cochlear implantation for children with autism spectrum disorder, developmental delay, CHARGE syndrome, cerebral palsy, learning disorders, Usher syndrome, Waardenburg syndrome, and attention deficit/hyperactivity disorder are reviewed. Our review indicates that children with hearing loss and additional disabilities benefit from cochlear implantation, especially when implanted early. Thus, early interventions seem as important for these children as for deaf children without additional disabilities. Comparisons of outcomes across these disabilities indicate that children with little to no cognitive impairment (eg, Waardenburg sydrome, attention deficit hyperactivity disorder) have better outcomes than those with greater deficits in intellectual functioning (eg, autism, CHARGE syndrome). In addition, parents of children with hearing loss and additional disabilities report higher levels of parenting stress and greater child behavior problems than those without comorbid diagnoses. However, these parents are as sensitive when interacting with their children as parents with typically developing children using cochlear implantation. Given these results, it is critical to evaluate these children’s developmental milestones to provide early implantation and intervention, appropriately counsel families regarding realistic expectations for the implant, and facilitate family adaptation. Dove Medical Press 2015-05-19 /pmc/articles/PMC5683271/ /pubmed/29388595 http://dx.doi.org/10.2147/PHMT.S65797 Text en © 2015 Cejas et al. This work is published by Dove Medical Press Limited, and licensed under Creative Commons Attribution – Non Commercial (unported, v3.0) License The full terms of the License are available at http://creativecommons.org/licenses/by-nc/3.0/. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. |
spellingShingle | Review Cejas, Ivette Hoffman, Michael F Quittner, Alexandra L Outcomes and benefits of pediatric cochlear implantation in children with additional disabilities: a review and report of family influences on outcomes |
title | Outcomes and benefits of pediatric cochlear implantation in children with additional disabilities: a review and report of family influences on outcomes |
title_full | Outcomes and benefits of pediatric cochlear implantation in children with additional disabilities: a review and report of family influences on outcomes |
title_fullStr | Outcomes and benefits of pediatric cochlear implantation in children with additional disabilities: a review and report of family influences on outcomes |
title_full_unstemmed | Outcomes and benefits of pediatric cochlear implantation in children with additional disabilities: a review and report of family influences on outcomes |
title_short | Outcomes and benefits of pediatric cochlear implantation in children with additional disabilities: a review and report of family influences on outcomes |
title_sort | outcomes and benefits of pediatric cochlear implantation in children with additional disabilities: a review and report of family influences on outcomes |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5683271/ https://www.ncbi.nlm.nih.gov/pubmed/29388595 http://dx.doi.org/10.2147/PHMT.S65797 |
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