Children with CI: studies of physicians, sign language psychologists, sign language therapists

The article presents the first in Russian history professional discussion of doctors and deaf teachers about the goals, objectives, content, methods, forms of organization of education for children with various hearing impairments.

The reasons, mechanism and consequences of various external influences on the location of the implanted part of the cochlear implant and adjacent parts of the patient's head, early signs of their appearance are presented. As well as prevention and treatment of such patients in order to maintain the performance of the cochlear implant and the continuity of the rehabilitation process. Aim of the study: improving the efficiency of rehabilitation of patients with cochlear implants. Materials and methods: analysis of the condition of 3347 patients after cochlear implantation in the long-term postoperative period. Results and discussion: among other reasons, rehabilitation can be interrupted due to a malfunction of the implanted part of the device or a critical change in the state of tissues at the site of its location. Timely detection of the first signs of local changes and the organization of adequate medical care allows you to maintain a working implant and continue the rehabilitation process. Prevention of such changes is directly related to the prevention of tissue injury in the area of the cochlear implant and adherence to the recommended conditions for operating of a cochlear implant. Conclusion: the introduction and use of an algorithm for helping patients with cochlear implants, depending on local changes, is available for specialists not only in the medical field; an algorithm will increase the quality and stability of the rehabilitation stage after CI.

The article presents information on the effectiveness of rehabilitation of patients with congenital malformations of the outer and middle ear, accompanied by conductive hearing loss. The most effective method worldwide in this category of patients is the use of bone anchored hearing aid. Modern technologies allow to chieve normalization of auditory function, regardless of the severity of anatomical disorders in each case. Children with congenital hearing disorders are of interest not only for otorhinolaryngologists and audiologists. Special teachers, speech therapists, and psychologists play an important role in their rehabilitation. In our opinion, it is important for non-medical specialists to receive feedback, including using questionnaires, in assessing the effectiveness of the work carried out. The GCBI questionnaire - one of the most common in the world for patients with otorhinolaryngological pathology – allows you to assess changes in the socio-pedagogical aspects of life against the background of a complex of rehabilitation measures.

The subject of consideration is modern scientific ideas about CI and the method of postoperative 3R-rehabilitation of the family and the child. The necessity of their translation into the practice of professional training of future specialists is shown, the tasks of training, the logic of constructing the content, its thematic sections and their sequence are described.

The article describes the issues of reader's development of deaf children with cochlear implants who have got on the path of natural development of communication and speech. Working with such children, a specialist may apply the logic of the reading development of a hearing child. The article reveals the content and patterns of preschool pre-literate stages of reader ontogenesis, highlights the conditions and critical points, considers the features of supporting the early stages of reader ontogenesis in children with altered auditory status.

The article presents an analysis and interpretation of students' ideas about cochlear implantation and methods of postoperative rehabilitation. The article is recommended to teachers of the departments of deaf pedagogy and future deaf teachers.

The article describes the results of a pilot study of the ideas of parents of the deaf about the actual achievements of high-tech medicine and deaf education. It is shown, that parents' ideas about CI method and methods of postoperative rehabilitation of children can be incomplete, inaccurate, erroneous. It is one of the obstacles to the implementation of CI method. Based on the analysis of the data obtained, justified learning objectives of parents.