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Effect of bilateral cochlear implants on language development in children aged 2-7 years

Year 2023, Volume: 4 Issue: 5, 451 - 455, 27.10.2023
https://doi.org/10.47582/jompac.1346655

Abstract

Aims: Pediatric patients with bilateral total sensorineural hearing loss have very poor or no language development compared to their peers. The hearing and language development of these patients is usually managed via cochlear implants (CIs).
Methods: This study examined the factors that affect the language development of children aged 24-84 months who have undergone CI surgery. The language development outcomes of patients with bilateral CIs and patients with unilateral CIs were compared. The participants were receiving regular hearing rehabilitation training and had undergone unilateral or bilateral CI surgery at various centers. Their language development was evaluated using the Turkish adaptation of the Test of Early Language Development-3 (TELD-3).
Results: The expressive language development of the patients with unilateral implants was delayed by 14.0±18.1 months, while the expressive language development of patients with bilateral implants was delayed by 2.8±8.7 months. This difference was statistically significant (p=0.025).
Conclusion: Although the levels of receptive language development of patients with bilateral and unilateral CIs were similar, the expressive language development of patients with bilateral CIs was better. We recommend that bilateral CI surgery be performed in a single session for patients with congenital bilateral total sensorineural hearing loss.

Supporting Institution

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References

  • Geers A, Brenner C, Davidson L. Factors associated with development of speech perception skills in children implanted by age five. Ear Hear. 2003;24(1):24-35.
  • Sarant JZ, Blamey PJ, Dowell RC, Clark GM, Gibson WP. Variation in speech perception scores among children with cochlear implants. Ear Hear. 2001;22(1):18-28.
  • Kirk KL, Miyamoto RT, Ying EA, Perdew AE, Zuganelis H. Cochlear implantation in young children: effect of age at implantation and communication mode. Volta Review. 2000; 102(2):127-144.
  • Meyer TA, Svirsky MA, Kirk KI, Miyamoto RT. Improvements in speech perception by children with profound prelingual hearing loss: effects of device, communication mode, and chronological age. J Speech Lang Hear Res. 1998;41(2):846-858.
  • Estabrooks W. Auditory-verbal therapy: theory and practice. Washington DC, AG Bell. Association for the Deaf. 2006(3):92-112.
  • Degirmenci Uzun E, Batuk MO, Sennaroglu G, Sennaroglu L. Factors affecting phoneme discrimination in children with sequential bilateral cochlear implants. Int J Audiol. 2022; 61(1):329-335.
  • Sivonen V, Sinkkonen ST, Willberg T, et al. Improvements in hearing and in quality of life after sequential bilateral cochlear implantation in a consecutive sample of adult patients with severe-to-profound hearing loss. J Clin Med. 2021;10(3):2394.
  • Baron S, Blanchard M, Parodi M, Rouillon I, Loundon N. Sequential bilateral cochlear implants in children and adolescents: outcomes and prognostic factors. Eur Ann Otorhinolaryngol Head Neck Dis. 2019;136(2):69-73.
  • Spencer PE. Individual differences in language performance after cochlear implantation at one to three years of age: child, family, and linguistic factors. J Deaf Stud Deaf Educ. 2004;9(2):395-412.
  • Miyamoto RT, Houston DM, Kirk KI, Perdew AE, Svirsky MA. Language development in deaf infants following cochlear implantation. Acta Otolaryngol. 2003;123(2):241-244.
  • Belgin, E. The importance of early implantation. Turkey Clinics J Surg Med Sci. 2006;2(1):51-54.
  • Li YL, Chen CS, Yang HM, Chen HC, Wu JL. Performance of sequentially bilateral cochlear implanted children who speak mandarin. Audiol Neurootol. 2023;28(2):106-115.
  • Virzob CRB, Poenaru M, Morar R, at al. Efficacy of bilateral cochlear implantation in pediatric and adult patients with profound sensorineural hearing loss: a retrospective analysis in a developing European country. J Clin Med. 2023;12(8):2948. doi: 10.3390/jcm12082948.
  • Almeida GFL, Martins MF, Costa LBAD, Costa OAD, Martinho de Carvalho AC. Sequential bilateral cochlear implant: results in children and adolescents. Braz J Otorhinolaryngol. 2019;85(6):774-779.

Bilateral koklear implantın 2-7 yaş arası çocuklarda dil gelişimine etkisi

Year 2023, Volume: 4 Issue: 5, 451 - 455, 27.10.2023
https://doi.org/10.47582/jompac.1346655

Abstract

Arka Plan: Bilateral total sensörinöral işitme kaybı(SNİK) olan çocuk hastalar yaşıtlarına oranla dil gelişimi çok geridedir veya hiç yoktur. Bu hastaların işitme ve dil gelişimleri genellikle koklear implant(CI) ile sağlanır. CI cerrahisi geçiren çocuk hastaların dil gelişimine etki eden birden çok faktör vardır. Bunlar; cinsiyet, işitme kaybının başlangıç yaşı, rehabilitasyon yaşı ve süresi, KI cerrahisi öncesi cihaz kullanım süresi, CI cerrahisinin yapıldığı yaş, anne-babanın eğitim düzeyi, kardeş sayısı gibi KI cerrahisinden bağımsız faktörlerdir. CI cerrahisinin tek taraflı veya çift taraflı yapılması ile kullanılan implant teknolojisinin özellikleri dil gelişimine etki eden başka faktördür.
Konu: Çalışmamızda CI cerrahisi olmuş 24-84 ay arasındaki çocukların dil gelişimlerine etki eden faktörleri inceledik. Bilateral CI’lı hastalarla, tek taraflı CI’lı hastaların dil gelişimlerini karşılaştırdık.
Materyal ve Metot: Çalışmamız çok merkezli olup, çalışmamıza Şanlıurfa ve Adıyaman ilinde işitme engelliler okulunda rehabilitasyona giden 68 CI hastası dahil edildi. Hastalar düzenli işitme rehabilitasyon eğitimi almakta olup, çeşitli merkezlerde tek taraflı veya iki taraflı CI cerrahisi yapılmış. Hastaların dil gelişimleri Test of Early Language Development-3( TELD-3) testinin Türkçe uyarlaması kullanılarak değerlendirildi.
Bulgular: Hastaların 28’üne (%41,2) unilateral ve 40’sine (%58,8) bilateral koklear implant yapılmıştır. Unilateral implant uygulananlarda ifade edici dilde 14,0±18,1 ay gecikme olmuş iken bilateral implant uygulananlarda 2,8±8,7 ay gecikme olmuştur ve aralarında anlamlı farklılık görülmüştür (p=0,025)
Sonuç: Bilateral ve unilateral CI yapılan hastaların alıcı dil gelişimi benzer olmasına rağmen bilateral CI yapılan hastaların ifade edici dil gelişimi daha iyidir. Doğuştan BSNİK olan hastalarda aynı seansta bilateral CI yapılması önerilmektedir.

References

  • Geers A, Brenner C, Davidson L. Factors associated with development of speech perception skills in children implanted by age five. Ear Hear. 2003;24(1):24-35.
  • Sarant JZ, Blamey PJ, Dowell RC, Clark GM, Gibson WP. Variation in speech perception scores among children with cochlear implants. Ear Hear. 2001;22(1):18-28.
  • Kirk KL, Miyamoto RT, Ying EA, Perdew AE, Zuganelis H. Cochlear implantation in young children: effect of age at implantation and communication mode. Volta Review. 2000; 102(2):127-144.
  • Meyer TA, Svirsky MA, Kirk KI, Miyamoto RT. Improvements in speech perception by children with profound prelingual hearing loss: effects of device, communication mode, and chronological age. J Speech Lang Hear Res. 1998;41(2):846-858.
  • Estabrooks W. Auditory-verbal therapy: theory and practice. Washington DC, AG Bell. Association for the Deaf. 2006(3):92-112.
  • Degirmenci Uzun E, Batuk MO, Sennaroglu G, Sennaroglu L. Factors affecting phoneme discrimination in children with sequential bilateral cochlear implants. Int J Audiol. 2022; 61(1):329-335.
  • Sivonen V, Sinkkonen ST, Willberg T, et al. Improvements in hearing and in quality of life after sequential bilateral cochlear implantation in a consecutive sample of adult patients with severe-to-profound hearing loss. J Clin Med. 2021;10(3):2394.
  • Baron S, Blanchard M, Parodi M, Rouillon I, Loundon N. Sequential bilateral cochlear implants in children and adolescents: outcomes and prognostic factors. Eur Ann Otorhinolaryngol Head Neck Dis. 2019;136(2):69-73.
  • Spencer PE. Individual differences in language performance after cochlear implantation at one to three years of age: child, family, and linguistic factors. J Deaf Stud Deaf Educ. 2004;9(2):395-412.
  • Miyamoto RT, Houston DM, Kirk KI, Perdew AE, Svirsky MA. Language development in deaf infants following cochlear implantation. Acta Otolaryngol. 2003;123(2):241-244.
  • Belgin, E. The importance of early implantation. Turkey Clinics J Surg Med Sci. 2006;2(1):51-54.
  • Li YL, Chen CS, Yang HM, Chen HC, Wu JL. Performance of sequentially bilateral cochlear implanted children who speak mandarin. Audiol Neurootol. 2023;28(2):106-115.
  • Virzob CRB, Poenaru M, Morar R, at al. Efficacy of bilateral cochlear implantation in pediatric and adult patients with profound sensorineural hearing loss: a retrospective analysis in a developing European country. J Clin Med. 2023;12(8):2948. doi: 10.3390/jcm12082948.
  • Almeida GFL, Martins MF, Costa LBAD, Costa OAD, Martinho de Carvalho AC. Sequential bilateral cochlear implant: results in children and adolescents. Braz J Otorhinolaryngol. 2019;85(6):774-779.

Details

Primary Language English
Subjects Otorhinolaryngology
Journal Section Research Articles [en] Araştırma Makaleleri [tr]
Authors

Ercan KURT

Project Number decision number 2022/1-5, dated 18.01.2022. Ethics Committee of Adıyaman University
Early Pub Date October 26, 2023
Publication Date October 27, 2023
Published in Issue Year 2023 Volume: 4 Issue: 5

Cite

AMA KURT E. Effect of bilateral cochlear implants on language development in children aged 2-7 years. J Med Palliat Care / JOMPAC / jompac. October 2023;4(5):451-455. doi:10.47582/jompac.1346655

TR DİZİN ULAKBİM and International Indexes (1d)

Interuniversity Board (UAK) Equivalency: Article published in Ulakbim TR Index journal [10 POINTS], and Article published in other (excuding 1a, b, c) international indexed journal (1d) [5 POINTS]



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