Author/Editor		Lehnhardt, Ernst
Title		Cochlear implants in deaf young children
Translated title		Kohlearni vsadki pri gluhih otrocih
Type		članek
Source		Med Razgl
Vol. and No.		Letnik 35, št. Suppl 6
Publication year		1996
Volume		str. 97-100
Language		eng
Abstract		When assuming today cochlear implants as an effective measure, the outcomes still vary to a high degree. Outcomes are determined i.e. by lenght of deafness and the social environment of the child, and by this the early start of an intensiv eauditory-verbal training even before the implantation of the device. In the discussion about the proper time of the operation today, the third year of life is often mentioned, for postmeningitic deafened children even the age under two. But also for the congenitally deaf patients there are more and more arguments for the very early implantation of a cochlear implant device, and increassingly so as there is hope that possibly unidentified residual hearing is not in every case damaged by the insertion of the intracochlear electrod ecarrier.Such a widened indication, however, requires a very careful insertion technique and a close cooperation with the therapist.
Summary		Ko ocenujejo današnjo učinkovitost kohlearnega vsajanja, so ugotovitve še vedno zelo različne. Na rezultate vplivajo na primer trajanja gluhosti, socialno okolje otroka in zgodnji začetek slušno-govorne rehabilitacije. Pogosto se omenja tretje leto starosti kot najprimernejši čas za operacijo, pri otrocih, ki so oglušeli zaradi meningitisa, celo starost dveh let ali manj. Tudi za od rojstva gluhe bolnike je vse več argunetov za zelo zgodnje kohlearno vsajanje. Obstaja tudi upanje, da se morda neopažen rezidualen sluh v vsakem primeru ne poškodbuje z vstavitvijo intrakohlearnega nosilca elektrode. Vsekakor pa tako razširjena indikacija zahteva zelo previdno tehniko vstavljanja in tesno sodelovanje s terapevtom.
Descriptors		DEAFNESS COCHLEAR IMPLANT CHILD