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Impaired hearing in children and the need for cochlear implants
Saleem A.Y.
Ibn Sina Teaching Hospital, Mosul, Iraq
Objective: This investigation was aimed to determine the current status of sensorineural hearing loss in children
from Mosul (north Iraq) and to report on those with sever to profound hearing loss who are in need of cochlear
Methods: A comprehensive survey of 7500 Mosul children was carried out from Dec.2001 through to Dec.
2002.The subjects were randomly selected. The main objective was to screen these children for hearing
impairment. A survey team included an ear, nose and throat specialist, a nurse, social worker and an audiologist.
A questionnaire was completed; clinical examination and audiological assessment was performed. Those
confirmed and in doubt cases were referred for further audiological and clinical assessment including
computerized tomography scan and auditory brain stem response.
Results: The overall prevalence of hearing impairment was (10%). Those with sensorineural hearing loss (1.6%)
and those with sever to profound bilateral senserineural hearing loss (0.15%.
Conclusion: The prevalence rate of severs to profound sensorineural hearing loss is high in our countery
compared to developed countries. Cochlear implant is a useful procedure for those with severe & profound
sensorineural hearing loss but hearing aid must be tried first. There is definitely a requirement for hearing and
speech centers and the need for early detection of hearing loss is very important to improve the outcome of
treating deaf children.