3 years
Thanks for replying.The child wears the most advanced powerful hearing aids but still has few vocab.My question is Can he put an implant in the 90dcb ear and still wears a HA in the 60dcb ear
Aug 17, 2014
A cochlear implant works by delivering electrical pulses to stimulate the auditory nerve, the nerve responsible for hearing. The implantation aims to restrict reorganization of the deprived immature auditory brain (changes that occur in the part of the brain that receives and interprets sound signals,such cchanges occur in order to adapt to lack of ability to receive those sound signals due to hearing loss) and promote development of hearing and spoken language. The duration of deprivation plays a vital role. The onset of hearing loss , etiology, and use of residual hearing can have unique effects on auditory development in the time period that precedes the implant. New studies have shown that many children undergoing unilateral (one sided) cochlear implants are developing mature-like brain responses to sound but with considerable residual abnormalities in auditory brain function. The most apparent factorleading to this observation is a loss of normal response from the deprived ear (the ear that did not get implanted). Recently, studies have revealed that this can be avoided in children by early implantation of both ears simultaneously or with limited delay. Theaauthors of this recent article came to the conclusion that auditory development requires input early in development and from both ears.
You certainly need to discuss this at length with the specialist who is following up on your son's case to explore the available options.
You certainly need to discuss this at length with the specialist who is following up on your son's case to explore the available options.
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This question varies per individual and is dependent on how much benefit your child can get from a hearing aid at the non-implanted ear.
It is possible that a hearing aid at that ear may provide benefits that a cochlear implant cannot, or vice versa.
This question can be answered only by a comprehensive evaluation through an experienced cochlear implant center. It is important that this evaluation take place with an audiologist who not only knows how to work with cochlear implants, but can also optimize a hearing aid fitting for this evaluation.
As i mentioned before ,greater than 70 dB implants are advised ,your child has in one side that you aim to exclude an implant in 60 dB hearing loss ,it depends if your child hearing loss is increasing and thus after some years he may end wanting a cochlear implant in it too .
However ,it is applicable to put different hearing aid in one and implant in the other but that depends on your specific child condition and the specialist decision too .
if you put one choclear implant in one and hearing aid in the other ,in some cases this it is difficult to decide whether a hearing aid unilaterally will be the right decision in your child case .
It is increasingly common to place cochlear implants in both ears when patients have profound hearing loss on both sides, the majority of these bilateral implants are done in children
Compared with unilateral cochlear implantation, bilateral implantation is associated with better listening skills in severely-profoundly deaf children
each child’s case requires special consideration given the individuality found across patients. In general, those who have received bilateral cochlear implants wear both devices from the start. A primary reason for implanting the second side is to foster development of hearing from both ears.
Denying access to the first side for an extended period of time may be difficult for children and may result in rejection of the second side if after wards want to put it .
There is, however, benefit in working with the second ear alone during therapy. A decision will be made by your cochlear implant team on a patient to patient basis to foster the greatest performance.
Discuss this issue with the specialist ,he will illustrate the better decision for your child specific case .
It is possible that a hearing aid at that ear may provide benefits that a cochlear implant cannot, or vice versa.
This question can be answered only by a comprehensive evaluation through an experienced cochlear implant center. It is important that this evaluation take place with an audiologist who not only knows how to work with cochlear implants, but can also optimize a hearing aid fitting for this evaluation.
As i mentioned before ,greater than 70 dB implants are advised ,your child has in one side that you aim to exclude an implant in 60 dB hearing loss ,it depends if your child hearing loss is increasing and thus after some years he may end wanting a cochlear implant in it too .
However ,it is applicable to put different hearing aid in one and implant in the other but that depends on your specific child condition and the specialist decision too .
if you put one choclear implant in one and hearing aid in the other ,in some cases this it is difficult to decide whether a hearing aid unilaterally will be the right decision in your child case .
It is increasingly common to place cochlear implants in both ears when patients have profound hearing loss on both sides, the majority of these bilateral implants are done in children
Compared with unilateral cochlear implantation, bilateral implantation is associated with better listening skills in severely-profoundly deaf children
each child’s case requires special consideration given the individuality found across patients. In general, those who have received bilateral cochlear implants wear both devices from the start. A primary reason for implanting the second side is to foster development of hearing from both ears.
Denying access to the first side for an extended period of time may be difficult for children and may result in rejection of the second side if after wards want to put it .
There is, however, benefit in working with the second ear alone during therapy. A decision will be made by your cochlear implant team on a patient to patient basis to foster the greatest performance.
Discuss this issue with the specialist ,he will illustrate the better decision for your child specific case .
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it is better to have both ears implanted because it improves the brainauditory system and gives best comprehension and learning for the child
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