Executive functions are cognitive processes that allow us to plan, monitor and execute our goals. Using fMRI, we investigated how early deafness influences crossmodal plasticity and the organisation of executive functions in the adult human brain. Results from a range of visual executive function tasks (working memory, task switching, planning, inhibition) show that deaf individuals specifically recruit superior temporal “auditory” regions during task switching. Neural activity in auditory regions predicts behavioural performance during task switching in deaf individuals, highlighting the functional relevance of the observed cortical reorganisation. Furthermore, language grammatical skills were correlated with the level of activation and functional connectivity of fronto-parietal networks. Together, these findings show the interplay between sensory and language experience in the organisation of executive processing in the brain.

Cortical plasticity is the neural mechanism by which the cerebrum adapts itself to its environment, while at the same time making it vulnerable to impoverished sensory or developmental experiences. Like the visual system, auditory development passes through a series of sensitive periods in which circuits and connections are established and then refined by experience. Current research is expanding our understanding of cerebral processing and organization in the deaf. In the congenitally deaf, higher-order areas of "deaf" auditory cortex demonstrate significant crossmodal plasticity with neurons responding to visual and somatosensory stimuli. This crucial cerebral function results in compensatory plasticity. Not only can the remaining inputs reorganize to substitute for those lost, but this additional circuitry also confers enhanced abilities to the remaining systems. In this presentation we will review our present understanding of the structure and function of “deaf” auditory cortex using psychophysical, electrophysiological, and connectional anatomy approaches and consider how this knowledge informs our expectations of the capabilities of cochlear implants in the developing brain.