Article révisé par les pairs
Résumé : Cochlear implants mostly give excellent results especially when the implantation is done early in infancy. The idea of a «sensitive period» for an optimal development of language during the first years of life is relevant when we measure the effect of early vs. late implantation. When normal auditory input is available, the developing neural central system offers space and organization for the auditory process. When auditory input is deficient or absent, this organization cannot take place ; after several years of deprivation, the resorts needed are no more available for the auditory process, even in case of late restoration of auditory access. Even in case of early implantation, it appears of extended evidence that visual information (lip reading...) increase speech perception insofar as a phonetic complementis added to the impoverished signal delivered by the implant : The processes in play during the intermodal integration of visual and auditory information are related to phonetic coding and to the building of phonological and lexical representations of spoken language. © P.U.F.