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走进声音的世界:关于人工耳蜗植入相关伦理问题的自传体病例报告

Entering the World of Sounds: An Autobiographical Case Report on Ethical Issues Surrounding Cochlear Implants.

作者信息

Melissourgou Konstantina, Sideris Giorgos, Nikolopoulos Thomas

机构信息

Otolaryngology, 2nd ENT Department, Attikon University Hospital, National and Kapodistrian University of Athens, Athens, GRC.

出版信息

Cureus. 2022 May 25;14(5):e25320. doi: 10.7759/cureus.25320. eCollection 2022 May.

Abstract

Cochlear implants are considered a viable therapeutic option for deaf children and adults who meet the implant criteria. They enable the hearing impaired to deal with the effects of deafness and participate academically, socially, and vocationally with their family and peers, aiding them to live a life with fewer limitations in the world of spoken languages. Most importantly, cochlear implants counteract the impact of profound deafness in early childhood, in which the ability to develop spoken language is severely restricted. For these children, cochlear implants represent the only means of hearing speech, resulting in the development of meaningful oral communication abilities. Over the past decades, there have been intense debates about communication philosophies for deaf or hard-of-hearing children, the nature and concept of deafness, the value and diversity of the deaf culture, the purpose of deaf education, and the best education systems for deaf or hard-of-hearing children. There are two broad camps in the debate over cochlear implantation: those who embrace the technique and those who oppose it. In this paper, we describe my own journey from total deafness to the beginning of a dream career as an otorhinolaryngology resident. We also engage in a discussion about the ethical concerns associated with cochlear implantation.

摘要

对于符合植入标准的失聪儿童和成人,人工耳蜗被视为一种可行的治疗选择。它们使听力受损者能够应对失聪带来的影响,并在学业、社交和职业方面与家人及同龄人交往,帮助他们在口语世界中过上限制较少的生活。最重要的是,人工耳蜗能抵消幼儿期重度失聪的影响,因为在幼儿期,口语发展能力会受到严重限制。对于这些孩子来说,人工耳蜗是听到语音的唯一途径,从而促进有意义的口语交流能力的发展。在过去几十年里,关于失聪或重听儿童的交流理念、失聪的本质和概念、聋人文化的价值和多样性、聋人教育的目的以及失聪或重听儿童的最佳教育体系,一直存在激烈的争论。在人工耳蜗植入的争论中有两大阵营:支持该技术的人和反对该技术的人。在本文中,我们描述了我从完全失聪到成为一名耳鼻喉科住院医生,开启梦想职业生涯的历程。我们还将讨论与人工耳蜗植入相关的伦理问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a59/9229930/10812d55fcfb/cureus-0014-00000025320-i01.jpg

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