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Maximizing Outcomes for Children with Hearing Loss

​​​Children w​ith cochlear implants can be expected to make early and continued progress with their device. How rapidly progress occurs is dependent upon a number of factors that exist prior to and after implantation. These factors include:

  • Age of implantation
  • Duration of deafness (before or after acquisition of speech)
  • Previous exposure to amplification (e.g., hearing aid use)
  • Presence of an established language system
  • Presence of other learning difficulties
  • Cognitive skills
  • Etiology of hearing loss
  • Level and frequency of intervention services

It can be helpful to think of the cochlear implant as a “sound messenger”, with the purpose of delivering auditory signals to the auditory nerve and the brain. The child’s ability to incorporate this signal into a meaningful message varies on an individual basis. Some factors that can impact a child’s performance include:

  • Consistent device use (all waking hours or >10 hours of device use per day)
  • Regular processor programming and device maintenance
  • Educational setting for school-age children
  • Availability and quality of intervention and support services (speech-language therapy, aural (re)habilitation program)
  • Expectations of the individual, parents and those who interact with the recipient
  • Strong family support​ network

​​​​​Hearing and Language Websites​

Boys Town has created in-depth websites to help parents, caregivers, educators and others caring for children who have been newly diagnosed as Deaf or hard-of-hearing and for individuals of​ all ages with speech-language concerns.

Hearing and Balance



Benefits of Clear Face Masks for Individuals Who are Deaf and Hard of Hearing of Clear Face Masks for Individuals Who are Deaf and Hard of HearingHearing and Balance
Pediatric Neurology: Trystyn’s Story Neurology: Trystyn’s StoryPediatric NeurologyPatient Story
Urologic Surgical Issues in Pediatric Patients Surgical Issues in Pediatric PatientsSurgery and Hospital CarePhysician Education