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July 1989

Severe vs Profound Sensorineural Hearing Loss in Children: Implications for Cochlear Implantation

Author Affiliations

Boston, Mass

Arch Otolaryngol Head Neck Surg. 1989;115(7):777. doi:10.1001/archotol.1989.01860310015007

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Drs Patrick E. Brookhouser and Don W. Worthington, Omaha, Neb, presented a study of 730 children with bilateral sensorineural deafness at the Eastern Section meeting of The Triological Society in Toronto, Canada.

Multiple variables in this population of patients were compared, including demographic factors; age at onset; etiology; conventional hearing aid usage; associated handicap; family factors (deaf vs hearing parents); communicative competence; and educational placement. The 730 patients were analyzed and characterized as severe (289) or profoundly deaf (441). The authors point out that it is critical to categorize such children because of the advent of cochlear implantation. Such classification is critical in selecting appropriate patients for implantation. The authors indicate that it is inappropriate to categorize profoundly deaf children together with those having severe sensorineural losses when selecting candidates for implantation. They also point out that appropriate management of these children and their families requires an appreciation of the

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