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Prelingual Deafness: An Overview of Treatment Outcome

  • Aleena Shafi Jallu
  • Tahir Hussain
  • Waqar Ul HamidEmail author
  • Rafiq Ahmad Pampori
Original Article
  • 84 Downloads

Abstract

Prelingually deaf child is one who is either born deaf or who lost his or her hearing early in childhood, before acquiring language. A child with subnormal hearing acuity suffers from consequences of hearing loss compounded by impaired speech development. The period from birth to 3 years of life is critical for the development of speech and language, therefore, there is need for early identification and assessment of hearing loss and early rehabilitation in children. 40 patients were evaluated clinically, radiologically and audiologically to assess the degree of patient’s handicap. The modes of treatment included use of hearing aid in patients with moderate, moderately-severe, severe or profound HL and cochlear implantation in patients with profound HL. Each patient was followed for 18 months and results were calculated in terms of speech perception (CAP) and language (REELS) development of the patient. Out of the 40 patients, 60% (n = 24) were females and 40% (16) were males. 50% (n = 20) patients had PSNHL, 32.5% (n = 13) had SSNHL, 10% (n = 4) had MSSNHL and 7.5% (n = 3) had MSNHL. 30% (n = 12) of patients had significant radiological findings. Among the hearing aid users patients with PSNHL got no benefit at the end of 18 months whereas the patients with cochlear implantation had significant improvement. Also the patients managed at a younger age (<3 years) had a significantly better outcome then those managed later. Early identification of hearing loss, that is followed by immediate and appropriate intervention results in better language, speech, and social-emotional development when compared to children treated at a later age.

Keywords

SNHL OAE ASSR BERA HRCT MRI CAP REELS CLA 

Notes

Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflict of interest.

Human and Animal Rights

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

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Copyright information

© Association of Otolaryngologists of India 2017

Authors and Affiliations

  • Aleena Shafi Jallu
    • 1
  • Tahir Hussain
    • 1
  • Waqar Ul Hamid
    • 1
    • 2
    Email author
  • Rafiq Ahmad Pampori
    • 1
  1. 1.Department of Otolaryngology, Head and Neck SurgeryGovernment Medical College SrinagarSrinagarIndia
  2. 2.SrinagarIndia

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