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Hearing & Cochlear Implants

Spring 2005

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Current State-of-the-Art in Cochlear Implantation View complete issue, all pages
David C. Kelsall, MD

Cochlear implantation has been described as a miracle of modern medicine. In fact, it represents the first time in history that medicine has been able to restore one of the senses. Combining a surgically placed internal implant and an externally worn speech processor, this technology provides not only sound awareness, but now for the majority of recipients, truly useful hearing for patients who suffer from significant hearing loss. Cochlear implants have undergone tremendous change and acceptance over the past 25 years, resulting in significant benefit to thousands of patients. Advances have been achieved not only in device technology, but also in patient selection criteria and rehabilitation methods.

Auditory-Verbal Therapy: Developing Spoken Language Through Listening With Children Who Are Deaf Auditory-Verbal Therapy: Developing Spoken Language Through Listening With Children Who Are Deaf
Nancy Caleffe-Schenck, M.Ed, CED, CCC-A, Cert. AVT

Auditory-Verbal therapy has been practiced with children who are deaf or hard of hearing since the 1950’s. With cochlear implantation in children, Auditory-Verbal therapy has gained wide acceptance in the medical, educational and therapeutic professions. The basic premise of the Auditory-Verbal approach is that language and speech are learned through listening, and children who are deaf acquire spoken language commensurate with chronological age. Mainstreaming into the hearing world is the expected outcome.

Acoustic Neuromas: Current Treatment Options and Hearing Preservation Results Acoustic Neuromas: Current Treatment Options and Hearing Preservation Results
J.D. Day, MD

Advancements in the treatment of acoustic neuromas have resulted in several options for therapy that offer relatively high rates of hearing preservation and facial nerve function. Patients are now offered a treatment strategy that includes observation with serial scanning, microsurgical removal, or stereotactic radiosurgery alone or in some combination. This article outlines the rationale for these strategies and their indications. The author’s personal series of acoustic neuroma patients managed surgically over a 5 year period will be presented and compared to current results obtained with stereotactic radiosurgery utilizing the Gamma Knife. A suggested treatment algorithm is proposed based upon this data.

Genetic Causes of Sensorineural Hearing Loss Genetic Causes of Sensorineural Hearing Loss
Joseph L. Hegarty, MD

Genetic deafness is often identified with or without other “syndromic” features (i.e., syndromic vs. non-syndromic deafness). A genetic defect in connexin-26, a gap junction protein present in the inner ear, is thought responsible for nearly half of cases of non-syndromic deafness. Syndromic deafness, although less common, is more often recognized because of other systemic anomalies. The CT scan remains one of the most practical clinical tools in elucidating the causes of hearing loss. Genetic screening for connexin-26 is helpful in some cases.

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