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3 years
Would a cochlear implant for this 3 year old child be beneficial if he has moderate hearing loss 60dcb in one ear and profound hearing loss 90dcb in the opposite ear.
Aug 17, 2014

Dr. Rania Mousa General Medicine
A cochlear implant is a small, complex electronic device that can help to provide a sense of sound to a person who is profoundly deaf or severely hard-of-hearing. The implant consists of an external portion that sits behind the ear and a second portion that is surgically placed under the skin

A cochlear implant is very different from a hearing aid. Hearing aids amplify sounds so they may be detected by damaged ears.

Cochlear implants bypass damaged portions of the ear and directly stimulate the auditory nerve. Signals generated by the implant are sent by way of the auditory nerve to the brain, which recognizes the signals as sound. Hearing through a cochlear implant is different from normal hearing and takes time to learn or relearn.

However, it allows many people to recognize warning signals, understand other sounds in the environment, and enjoy a conversation in person or by telephone.
Most children who receive implants are between two and six years old.

Early implantation provides exposure to sounds that can be helpful during the critical period when children learn speech and language skills.

Concerning your child ,

#The ear with hearing loss of 60 dB is considered a moderately severe hearing loss effects include:

> a child can miss up to 100% of speech information.

> delayed spoken language, syntax, reduced speech intelligibility and flat voice quality if hearing loss is not identified and appropriately managed before child is one year of age

The age at which amplification begins, consistency of hearing aid use and early language intervention is strongly tied to the success of speech, language and learning development.

# Concerning the other ear with 90 dB It is classified as severe hearing loss on the
borderline of a profound one it can :

Without amplification, children with 71-90 dB hearing loss may only hear loud noises about 1 foot from ear.

The earlier the child wears amplification consistently with parents and caregivers providing language opportunities throughout everyday activities, and intensive language intervention (sign or verbal) put into place, the greater the child’s chances are that speech, language and learning will development at a relatively normal rate.

Individual ability and intensive intervention prior to 6 months of age will determine the degree that sounds detected will be understood by the brain into meaningful input.

>>>>SO HENCE A CHILD WITH HEARING LOSS >70 dB may be a candidate for cochlear implants . A child with hearing loss greater than 90 dB will not be able to perceive most speech sounds with traditional hearing aids

The decision to receive an implant should involve discussions with his ENT doctor , including an experienced cochlear-implant surgeon ,who depending on your child condition and status and cause of his hearing loss and its development might give the best option for him .

Remember that surgical implantations are almost always safe so don't worry although complications are a risk factor, just as with any kind of surgery.
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Dr. Salim Saab Otolaryngology (ENT)
cochlear implant is a small electronic device which acts through cochlear nerve sending tne signal to the brain the hearing with this deviceis not the same than normal it needs learning for the ear of 90dbloss it does not give any result for the ear of 60 db it works
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