Experience with cochlear implants in Greenlanders with profound hearing loss living in Greenland

Objective. Cochlear implant (CI) treatment was introduced to the world in the 1980s and has become a routine treatment for congenital or acquired severe-to-profound hearing loss. CI treatment requires access to a highly skilled team of ear, nose and throat specialists, audiologists and speech-langua...

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Main Authors: Preben Homøe, Ture Andersen, Aksel Grøntved, Lone Percy-Smith, Michael Bille
Format: Article
Language:English
Published: Taylor & Francis Group 2013-08-01
Series:International Journal of Circumpolar Health
Subjects:
Online Access:http://www.circumpolarhealthjournal.net/index.php/ijch/article/download/20974/pdf_1
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author Preben Homøe
Ture Andersen
Aksel Grøntved
Lone Percy-Smith
Michael Bille
author_facet Preben Homøe
Ture Andersen
Aksel Grøntved
Lone Percy-Smith
Michael Bille
author_sort Preben Homøe
collection DOAJ
description Objective. Cochlear implant (CI) treatment was introduced to the world in the 1980s and has become a routine treatment for congenital or acquired severe-to-profound hearing loss. CI treatment requires access to a highly skilled team of ear, nose and throat specialists, audiologists and speech-language pathologists for evaluation, surgery and rehabilitation. In particular, children treated with CI are in need of long-term post-operative auditory training and other follow-up support. Design. The study is retrospective with updated information on present performance. Results. Since 2001, a total of 11 Greenlandic patients living in Greenland have been treated with CI, 7 children and 4 adults. Of these children, 4 use oral communication only and are full-time CI-users, 2 with full-time use of CI are still in progress with use of oral communication, and 1 has not acquired oral language yet, but has started auditory and speech training. Six children attend mainstream public school while one child is in kindergarten. Of the adults, only 1 has achieved good speech perception with full-time use of CI while 3 do not use the CI. Discussion. From an epidemiological point of view, approximately 1–3 children below 6 years are in need of a CI every second year in Greenland often due to sequelae from meningitis, which may cause postinfectious deafness. Screening of new-borns for hearing has been started in Greenland establishing the basis for early diagnosis of congenital hearing impairment and subsequent intervention. The logistics and lack of availability of speech therapists in Greenland hampers possibilities for optimal language and speech therapy of CI patients in Greenland. This study aims at describing the results of CI treatment in Greenlanders and the outcome of the CI operations along with the auditory and speech/language outcomes. Finally, we present a suggestion for the future CI treatment and recommendations for an increased effort in the treatment and rehabilitation of implanted patients in Greenland.
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spelling doaj.art-26bb924a215b40c7958f4d1cf3315a342022-12-21T21:03:50ZengTaylor & Francis GroupInternational Journal of Circumpolar Health2242-39822013-08-017201310.3402/ijch.v72i0.20974Experience with cochlear implants in Greenlanders with profound hearing loss living in GreenlandPreben HomøeTure AndersenAksel GrøntvedLone Percy-SmithMichael BilleObjective. Cochlear implant (CI) treatment was introduced to the world in the 1980s and has become a routine treatment for congenital or acquired severe-to-profound hearing loss. CI treatment requires access to a highly skilled team of ear, nose and throat specialists, audiologists and speech-language pathologists for evaluation, surgery and rehabilitation. In particular, children treated with CI are in need of long-term post-operative auditory training and other follow-up support. Design. The study is retrospective with updated information on present performance. Results. Since 2001, a total of 11 Greenlandic patients living in Greenland have been treated with CI, 7 children and 4 adults. Of these children, 4 use oral communication only and are full-time CI-users, 2 with full-time use of CI are still in progress with use of oral communication, and 1 has not acquired oral language yet, but has started auditory and speech training. Six children attend mainstream public school while one child is in kindergarten. Of the adults, only 1 has achieved good speech perception with full-time use of CI while 3 do not use the CI. Discussion. From an epidemiological point of view, approximately 1–3 children below 6 years are in need of a CI every second year in Greenland often due to sequelae from meningitis, which may cause postinfectious deafness. Screening of new-borns for hearing has been started in Greenland establishing the basis for early diagnosis of congenital hearing impairment and subsequent intervention. The logistics and lack of availability of speech therapists in Greenland hampers possibilities for optimal language and speech therapy of CI patients in Greenland. This study aims at describing the results of CI treatment in Greenlanders and the outcome of the CI operations along with the auditory and speech/language outcomes. Finally, we present a suggestion for the future CI treatment and recommendations for an increased effort in the treatment and rehabilitation of implanted patients in Greenland.http://www.circumpolarhealthjournal.net/index.php/ijch/article/download/20974/pdf_1cochlear implanthearing, deafnessInuitGreenland
spellingShingle Preben Homøe
Ture Andersen
Aksel Grøntved
Lone Percy-Smith
Michael Bille
Experience with cochlear implants in Greenlanders with profound hearing loss living in Greenland
International Journal of Circumpolar Health
cochlear implant
hearing, deafness
Inuit
Greenland
title Experience with cochlear implants in Greenlanders with profound hearing loss living in Greenland
title_full Experience with cochlear implants in Greenlanders with profound hearing loss living in Greenland
title_fullStr Experience with cochlear implants in Greenlanders with profound hearing loss living in Greenland
title_full_unstemmed Experience with cochlear implants in Greenlanders with profound hearing loss living in Greenland
title_short Experience with cochlear implants in Greenlanders with profound hearing loss living in Greenland
title_sort experience with cochlear implants in greenlanders with profound hearing loss living in greenland
topic cochlear implant
hearing, deafness
Inuit
Greenland
url http://www.circumpolarhealthjournal.net/index.php/ijch/article/download/20974/pdf_1
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AT akselgrxf8ntved experiencewithcochlearimplantsingreenlanderswithprofoundhearinglosslivingingreenland
AT lonepercysmith experiencewithcochlearimplantsingreenlanderswithprofoundhearinglosslivingingreenland
AT michaelbille experiencewithcochlearimplantsingreenlanderswithprofoundhearinglosslivingingreenland