Children who are deaf or hard of hearing experience the world differently than hearing children. Some deaf children use sign language, some use speech, and some a combination (called total communication).
Children who are deaf or hard of hearing benefit greatly from speech therapy focused on language development (in spoken English or sign language) and speech intelligibility (if the family/patient goal is spoken English).
A cochlear implant is a device that is placed deep inside the inner ear (called the cochlea) and produces better hearing than a hearing aid in patients with severe/profound sensorineural hearing loss. A computer-like processor is worn on the body or behind the ear that processes the incoming electric impulses and changes them into sounds the human brain can recognize.
Children with cochlear implants require frequent, intense speech therapy after being implanted. Therapy has a three-fold focus: language development, speech intelligibility, and audition (the ability to process the incoming auditory signals from the implant and make sense of them).
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