Two Down Syndrome Patients with Bilateral Profound Hearing Loss: Case Report and Literature Review

Yu Zheng, Juan‐mei Yang, Meng Zhao, Xiaoqing Qian, F. Chi
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Abstract

Hearing loss is not uncommon among patients with Down syndrome (DS). It has been reported in 38–78% of the Down syndrome population. However, profound hearing loss in DS patients is rarely noticed due to its low incidence. In this article, we reported two Down syndrome patients with bilateral profound hearing loss in two cases. The first case involved an eight-year-old DS child experiencing extremely severe defects in terms of language and severe defects in terms of gross motor function, adaptability, and sociability. The second case revolved around another DS child with bilateral cochlear nerve absence. We review literature on the DS patients with hearing loss and conclude that profound sensorineural hearing loss in those patients has not received enough attention so far. We also recommend that cochlear implantation (CI) suitability assessment and timely intervention via cochlear implantation are necessary in DS patients. Besides, benefits from CI would be limited and hearing rehabilitation process could be much slower when compared with children without additional inabilities.
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唐氏综合征合并双侧深度听力损失2例报告并文献复习
听力损失在唐氏综合症(DS)患者中并不罕见。据报道,38% - 78%的唐氏综合症患者都有这种情况。然而,退行性椎体滑移患者的深度听力损失因其发病率低而很少被注意到。本文报道了两例伴有双侧深度听力损失的唐氏综合征患者。第一个病例涉及一个八岁的DS儿童,他在语言和大运动功能、适应性和社交能力方面都有严重的缺陷。第二个病例是另一个双侧耳蜗神经缺失的DS患儿。我们对伴有听力损失的退行性椎体滑移患者的相关文献进行了回顾,并得出结论:迄今为止,这些患者的深度感音神经性听力损失尚未得到足够的重视。我们还建议对退行性椎体滑移患者进行人工耳蜗植入(CI)适宜性评估并及时进行人工耳蜗植入干预。此外,与没有其他残疾的儿童相比,CI的益处将是有限的,听力康复过程可能会慢得多。
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