title: Performance of multiply handicapped children using cochlear implants.
abstract: OBJECTIVE
  To explore the possibility of expanding implantation guidelines to include the multiply handicapped population and to determine the pattern of development of perceptual skills in deaf children who have other impairments.
  
  
  METHODS
  The study group consisted of 31 profoundly deaf children with documented impairments in addition to deafness who were consecutively implanted. Twenty-nine of the children underwent implantation and were followed at NYU Medical Center for at least 1 year.
  
  
  METHODS
  Routine audiometric measurements and closed- and open-set measures of speech perception were performed at the phoneme, word, and sentence level pre- and postoperatively. Analyses of variance were performed when possible.
  
  
  RESULTS
  The study population showed substantial improvement after implantation in the ability to perceive phonemes, words, and sentences using audition alone.
  
  
  CONCLUSIONS
  Multiply handicapped children obtain demonstrable benefit from cochlear implantation, with no increase in surgical complications, although the rate of growth of perceptual skills is slower than for deaf child with no additional complicating factors.
authors.affiliation: Department of Otolaryngology, New York University School of Medicine, New York 10016, USA.
authors.forename: S B
authors.initials: SB
authors.lastname: Waltzman
authors.forename: V
authors.initials: V
authors.lastname: Scalchunes
authors.forename: N L
authors.initials: NL
authors.lastname: Cohen
mesh_terms: D001301:Audiometry, Pure-Tone / Q000379:methods; D001309:Auditory Threshold / Q000502:physiology; D002648:Child; D002675:Child, Preschool; D019929:Cochlear Implantation; D003054:Cochlear Implants; D003638:Deafness / Q000209:etiology / Q000601:surgery*; D019988:Children with Disabilities; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D010700:Phonetics; D011182:Postoperative Care; D011300:Preoperative Care; D013067:Speech Perception / Q000502:physiology*