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Lecture 5

LING 4P27 Lecture Notes - Lecture 5: Signing Exact English, Facial Nerve, Necrosis


Department
Linguistics
Course Code
LING 4P27
Professor
Barbra Zupan
Lecture
5

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Surgery
-complications of surgery
-severe bleeding from mastoid emissary vein
-facial nerve injury
-perilymph gusher
-malposition and damage of electrode array
-post operative complications
-wound breakdown or ap necrosis (infection of ap; particularly if you put on
device too early)
-meningitis (no more likely to get it then in general public)
-facial or tympanic nerve stimulation
-blows to the skull
-tinnitus (rare)
-device failure (at the level of the computer itself-like with water; or can fail
inside (piece inside
skull break or something and you have to get new surgery))
Additional Requirements – Other important factors to consider?
-family info – to see if families will come to follow up appointments etc; follow up on
homework
-cost (in the US)
-parental involvement; must be committed to therapy
-must have reasonable expectations
-access to communication environment with strong auditory mode (sick kids – AVT)
-speech and language gap less than 5 years
-current communication style and mode (if you’re primarily a signer, sick kids
wouldn’t give you a CI)
Case studies
-Thomas; YES for CI
-age 2 yrs 3 months; auditory neuropathy
-minimal bene.t from HA; behavioural issues
-mother wants implant and father not sure; fathers grandmother signs
-Heather; NO for CI
-age 2 years and 10 months; has Cerebral palsy
-making gains in most areas of development
-parents follow through on treatment goals
-wears aids consistently but has lots of feedback due to molds (didn’t .t)
-inconsistent audiograms
Jake – YES for CI
-age 10 years
-approx 1-2 yrs behind in lang
-uctuating severe hearing loss; has sign interpreter when integrated
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