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The Freedom Cochlear Implant: Another Innovation from Cochlear

The Freedom Cochlear Implant: Another Innovation from Cochlear. Children with Cochlear Implants on their Way to Inclusion Дети с кохлеарными имплантатами на пути к инклюзии. Dr. Dr. h.c. Monika Lehnhardt Kiev, October 7th, 2011.

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The Freedom Cochlear Implant: Another Innovation from Cochlear

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  1. The Freedom Cochlear Implant: Another Innovation from Cochlear Children with Cochlear Implants on their Way to Inclusion Дети с кохлеарными имплантатами на пути к инклюзии Dr. Dr. h.c. Monika Lehnhardt Kiev, October 7th, 2011

  2. "90% of children with a CI will be successfully included in mainstream education provided they do not have an additional handicap and they get adequate rehabilitation with family support".

  3. Step 1: Is there a hearing loss? Neonatal Hearing Screening Programmes

  4. Accurate diagnosis

  5. Neonate’s response to sound DeCasper & Fifer (1980) Spring and Dale 1977 Eimas et al (1971, 1979)

  6. Infant vocalizations Stoel-Gammon & Otomo, 1986 Kent, et al 1987

  7. The Window of Opportunity

  8. Sharma et al, 2002 Ear and Hearing, December 2002

  9. Sharma et al, 2004 13 month old recipient 14 month old recipient  At CI activation 1 week post CI 1 month post CI  3 months post CI  12 months post CI Archives of Otolaryngology – Head & Neck Surgery, May 2004

  10. Categories of Auditory Performanceref: P Govaerts, C De Beukelaer et al., Neurotology and Audiology 2002 (Antwerp) Children with normal hearing use of telephone discrimination of speech sounds response to speech sounds

  11. Age at implantation Govaerts, et al. 2002 Otology & Neurology, vol 23; 2002

  12. >2 yrs 2 to 6 yrs Manuel Manrique, et al (2004) Laryngoscope, August 2004

  13. Svirsky, et al (2004) Audiology and Neuro-Otology, vol. 9, 2004

  14. Factors • Key Factors supporting the dramatic changes in indication • -          Continuous advances in technology (diagnostic equipment, hearing aids, implants, FM, assistive listening devices) • -          Improved imaging and surgical techniques • -          User friendly software for fitting and trouble shooting of cochlear implants • -          Proven rehabilitation methodologies (e.g. oral education, auditory verbal approach)

  15. Indication • Broadening of indication • -          Age (6 months - > 80 years) • -          Severity of hearing loss  (“totally deaf” – “severely hearing impaired” – “partially deaf”) • -          Bilateral deafness – unilateral deafness • -          Unilateral CI – bilateral CI – bimodal (HA + CI) • -          Children whose mother tongue is not the language of the country they are living in • -          Multiple handicapped children / autistic children • -          Deaf children with deaf parents

  16. "90% of children with a CI will be successfully included in mainstream education provided they do not have an additional handicap and they get adequate rehabilitation with family support".

  17. Чудесный мир звуков Спасибо за внимание!

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