Document Detail

UK and Ireland experience of cochlear implants in children with Down syndrome.
MedLine Citation:
PMID:  20036016     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: Down Syndrome (DS) is associated with a high incidence of hearing loss. The majority of hearing loss is conductive, but between 4 and 20% is sensorineural, which in the main is mild or moderate and is managed with conventional behind-the-ear hearing aids. Cochlear implantation is an elective invasive procedure, performed to provide some form of hearing rehabilitation in individuals with severe to profound sensorineural hearing loss, and initially candidacy criteria were strict--excluding patients with additional disabilities. With good results and expanding experience, more candidates with additional disabilities are now being implanted. A survey of UK and Ireland Cochlear Implant Programmes sought to identify the number of individuals with DS who have been implanted with a cochlear implant (CI) and to provide relevant information on outcomes of implantation in these individuals. METHODS: E-mail survey of all programmes within the British Cochlear Implant Group (BCIG). Postal questionnaire to programmes identified to have implanted a child with Down Syndrome, with data collection on pre-operative assessment, surgical and post-operative outcomes. Case series review. RESULTS: Three of 23 BCIG programmes have implanted a child with Down Syndrome. Four children have received implants. No intraoperative or post-operative surgical complications were encountered. All children had middle ear disease, but no problems with implantation were associated with their middle ear condition. All children remain implant users, 12 months to 4 years post-implantation. CONCLUSION: Cochlear implantation is an option for a child with Down Syndrome and associated severe to profound sensorineural hearing loss. Clinicians caring for these children and their families should consider referral for assessment by a Cochlear Implant Programme.
P S Hans; R England; S Prowse; E Young; P Z Sheehan
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Publication Detail:
Type:  Journal Article     Date:  2009-12-24
Journal Detail:
Title:  International journal of pediatric otorhinolaryngology     Volume:  74     ISSN:  1872-8464     ISO Abbreviation:  Int. J. Pediatr. Otorhinolaryngol.     Publication Date:  2010 Mar 
Date Detail:
Created Date:  2010-02-15     Completed Date:  2010-04-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8003603     Medline TA:  Int J Pediatr Otorhinolaryngol     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  260-4     Citation Subset:  IM    
Copyright Information:
Copyright 2009 Elsevier Ireland Ltd. All rights reserved.
ENT and Hearing Clinic for Children with Down Syndrome, Department of Paediatric Otorhinolaryngology, Royal Manchester Children's Hospital, Oxford Road, Manchester M13 9WL, United Kingdom.
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MeSH Terms
Child, Preschool
Cochlear Implants / statistics & numerical data*
Down Syndrome / epidemiology*
Great Britain / epidemiology
Hearing Loss, Conductive / epidemiology*,  surgery*
Hearing Loss, Sensorineural / epidemiology*,  surgery*
Ireland / epidemiology
Otitis Media / epidemiology
Preoperative Care

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