![]() ![]() ![]() This alternative is generally preferred by deaf parents of deaf children or for children who do not have sufficient capacities to develop oral language despite the use of hearing devices, a typical situation when children were implanted after the sensitive period of auditory maturation. The other possible option is sign language. Since the implementation of newborn screening programs and early intervention with identified children, combined with the efficacy of contemporary technologies, oral language is the selected option for the vast majority of parents, largely because more than 90% of deaf children have hearing parents. The first option is spoken (oral) language. Depending on many factors, such as associated disorders, age at implantation and duration of deafness, residual hearing before implantation, parents’ language and preferences or auditory skills level, two language options can be considered to support communication for the deaf and hard-of-hearing child ( Figure 2). ![]() Communication is a key factor of social participation.
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