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The effect of cochlear implantation on voice development

Year 2006, Volume: 16 Issue: 3, 112 - 121, 30.06.2006

Abstract

Objectives: The effect of cochlear implantation on voice development in prelingually deaf children was investigated.Patients and Methods: The study included 60 prelingual­ ly deaf children 28 giriş, 32 boys; mean age 68 months; range 37 to 128 months who undervvent cochlear implan­ tation. Voice analyses were made betvveen 6 to 21 months after the first fitting and six months after the baseline. The patients were divided into two groups i according to age younger or older than 48 months and ii to the duration of implant use more or less than 18 months to observe the changes in fundamental frequency Fo , and two for­ mant frequencies Fi and F2 . Forty-seven children 22 giriş, 25 boys; mean age 62 months; range 38 to 118 months with normal speech and language development comprised the control group. İn ali the cases, Fo, F i, and F2 values of the vowel /a/ were studied.Results: İn the patient group, Fo and F2 values signifi- cantly differed betvveen the first and second voice analy­ ses, vvhereas the change in Fi values vvas insignificant.No significant differences vvere found in terms of Fo, Fi and F2 values betvveen the patients younger than 48 months and age-matched Controls; hovvever, Fo and Fi values significantly differed in those older than 48 months vvhile F2 values remained insignificant. Albeit statistically insignificant, Fo, F i, and F2 values approxi- mated normal levels in children in vvhom the duration of implant use exceeded 18 months.Conclusion: Our study confirms that early cochlear implantation and longer implant use result in improved.

References

  • Pfingst BE, Franck KH, Xu L, Bauer EM, Zwolan TA. Effects of electrode configuration and place of stimula- tion on speech perception with cochlear prostheses. J Assoc Res Otolaryngol 2001;2:87-103.
  • Shin YJ, Fraysse B, Deguine O, Vales O, Laborde ML, Bouccara D, et al. Benefits of cochlear implantation in elderly patients. Otolaryngol Head Neck Surg 2000; 122:602-6.
  • Perkell J, Numa W, Vick J, Lane H, Balkany T, Gould J. Language-specific, hearing-related changes in vowel spaces: a preliminary study of English- and Spanish- speaking cochlear implant users. Ear Hear 2001; 22:461-70.
  • Pyman B, Blamey P, Lacy P, Clark G, Dowell R. The development of speech perception in children using cochlear implants: effects of etiologic factors and delayed milestones. Am J Otol 2000;21:57-61.
  • Ouellet C, Le Normand MT, Cohen H. Language evo- lution in children with cochlear implants. Brain Cogn 2001;46:231-5.
  • Seifert E, Oswald M, Bruns U, Vischer M, Kompis M, Haeusler R. Changes of voice and articulation in children with cochlear implants. Int J Pediatr Otorhinolaryngol 2002;66:115-23.
  • Huber JE, Stathopoulos ET, Curione GM, Ash TA, Johnson K. Formants of children, women, and men: the effects of vocal intensity variation. J Acoust Soc Am 1999;106(3 Pt 1):1532-42.
  • Osberger MJ, Fisher L. Preoperative predictors of post- operative implant performance in children. Ann Otol Rhinol Laryngol Suppl 2000;185:44-6.
  • Dolan-Ash S, Hodges AV, Butts SL, Balkany TJ. Borderline pediatric cochlear implant candidates: pre- operative and postoperative results. Ann Otol Rhinol Laryngol Suppl 2000;185:36-8.
  • Walch C, Moser M, Anderhuber W, Kole W. [91 dB hearing loss-the threshold for cochlear implant?]] HNO 2000;48:828-31. [Abstract]
  • Rashad UM, Flood LM, El-Hmd KA, Hawthorne MR. Labyrinthine dysplasia, meningitis, and sensorineural deafness: a complex relationship. J Otolaryngol 2000; 29:110-3.
  • Mitchell TE, Psarros C, Pegg P, Rennie M, Gibson WP. Performance after cochlear implantation: a compari- son of children deafened by meningitis and congeni- tally deaf children. J Laryngol Otol 2000;114:33-7.
  • Proops DW. Adult cochlear implantation: the Birmingham and United Kingdom experiences. Otolaryngol Clin North Am 2001;34:447-53.
  • Hamzavi J, Franz P, Baumgartner WD, Gstoettner W. Hearing performance in noise of cochlear implant patients versus severely-profoundly hearing-impaired patients with hearing aids. Audiology 2001;40:26-31.
  • Helms J. Cochlear implants for completely deaf patients, scientifical background-results-perspectives. Otolaryngol Pol 2000;54:117-9.
  • Szyfter W, Pruszewicz A, Woznica B, Swidzinski P, Szymiec E, Karlik M. The acoustic analysis of voice in patients with multi-channel cochlear implant. Rev Laryngol Otol Rhinol (Bord) 1996;117:225-7.
  • Busby PA, Plant GL. Formant frequency values of vowels produced by preadolescent boys and girls. J Acoust Soc Am 1995;97:2603-6.
  • Lee S, Potamianos A, Narayanan S. Acoustics of chil- dren’s speech: developmental changes of temporal and spectral parameters. J Acoust Soc Am 1999; 105:1455-68.
  • Hillenbrand J, Getty LA, Clark MJ, Wheeler K. Acoustic characteristics of American English vowels. J Acoust Soc Am 1995;97(5 Pt 1):3099-111.
  • Kent RD, Forner LL. Developmental study of vowel formant frequencies in an imitation task. J Acoust Soc Am 1979;65:208-17.
  • Perrin E, Berger-Vachon C, Topouzkhanian A, Truy E, Morgon A. Evaluation of cochlear implanted chil- dren’s voices. Int J Pediatr Otorhinolaryngol 1999; 47:181-6.
  • Perrin ME, Berger-Vachon C, Le Dissez C, Kauffmann I, Morgon A. The normality of the voice of cochlear implant children. Adv Otorhinolaryngol 1995;50:167- 73.
  • Monini S, Banci G, Barbara M, Argiro MT, Filipo R. Clarion cochlear implant: short-term effects on voice parameters. Am J Otol 1997;18:719-25.
  • Bakkum MJ, Plomp R, Pols LW. Objective analysis ver- sus subjective assessment of vowels pronounced by deaf and normal-hearing children. J Acoust Soc Am 1995;98(2 Pt 1):745-62.
  • Gilbert HR, Campbell MI. Speaking fundamental fre- quency in three groups of hearing-impaired individu- als. J Commun Disord 1980;13:195-205.
  • Higgins MB, McCleary EA, Schulte L. Articulatory changes with short-term deactivation of the cochlear implants of two prelingually deafened children. Ear Hear 2001;22:29-45.
  • Osberger MJ. Training effects on vowel production by two profoundly hearing-impaired speakers. J Speech Hear Res 1987;30:241-51.
  • Waldstein RS. Effects of postlingual deafness on speech production: implications for the role of audito- ry feedback. J Acoust Soc Am 1990;88:2099-114.
  • Downs MP, Yoshinaga-Itano C. The efficacy of early identification and intervention for children with hear- ing impairment. Pediatr Clin North Am 1999;46:79-87.

Koklear implantasyonun ses gelişimi üzerine etkisi

Year 2006, Volume: 16 Issue: 3, 112 - 121, 30.06.2006

Abstract

Amaç: Koklear implantasyon yapılmış prelingual işitmekayıplı çocuklarda implantasyonun ses gelişimi üzerineolan etkisi araştırıldı.Hastalar ve Yöntemler: Koklear implantasyon yapılmış60 prelingual çocuk 28 kız, 32 erkek; ort. yaş 68 ay,dağılım 37-128 ay çalışmaya alındı. Tüm olguların birinci ses analizi ilk fittingden en az altı, en çok 21 aysonra; ikinci ses analizi ise ilk ölçümden altı ay sonrayapıldı. Olgular ayıca, dört yaş altı ve dört yaş üstü olarak iki grupta ve, fundamental frekans F0 , birinci formant F1 , ikinci formant F değerlerindeki değişimi izlemek amacıyla, 18 aydan az ve 18 aydan uzun süreimplant kullananlar olarak iki grupta değerlendirildi.Kontrol grubu olarak, konuşma ve dil gelişimi normalolan 47 çocuk 22 kız, 25 erkek ort. yaş 62 ay, dağılım38-118 ay alındı. Tüm olgularda /a/ sesinin F0, F1ve Fformantları saptandı. Bulgular: Hasta grubunda F0ve F2değerleri açısındanilk ve altı ay sonraki ölçümler arasında anlamlı fark bulunsa da, F1değerleri açısından anlamlı fark yoktu. Dörtyaş altı hastalar ile aynı yaştaki kontroller arasında F,Fve F2açısından anlamlı fark bulunmadı. Dört yaş üstü hastalarla aynı yaştaki kontroller arasında F0ve F1açısından anlamlı fark vardı, ancak F2değerleri açısından fark bulunmadı. En az 18 aydır implant taşıyan hastalarda F0, F1ve F2değerlerinin normal değerlere, koklear implantı daha az süre taşıyan gruba göre daha çokyaklaştığı görüldü; ancak, bu yakınlaşma anlamlı değildi.Sonuç: Çalışmamız, implantasyonun olabildiğince erkenyapılmasının ve implant kullanım süresinin ses, konuşmave dil gelişimi açısından önemini ortaya koymaktadır

References

  • Pfingst BE, Franck KH, Xu L, Bauer EM, Zwolan TA. Effects of electrode configuration and place of stimula- tion on speech perception with cochlear prostheses. J Assoc Res Otolaryngol 2001;2:87-103.
  • Shin YJ, Fraysse B, Deguine O, Vales O, Laborde ML, Bouccara D, et al. Benefits of cochlear implantation in elderly patients. Otolaryngol Head Neck Surg 2000; 122:602-6.
  • Perkell J, Numa W, Vick J, Lane H, Balkany T, Gould J. Language-specific, hearing-related changes in vowel spaces: a preliminary study of English- and Spanish- speaking cochlear implant users. Ear Hear 2001; 22:461-70.
  • Pyman B, Blamey P, Lacy P, Clark G, Dowell R. The development of speech perception in children using cochlear implants: effects of etiologic factors and delayed milestones. Am J Otol 2000;21:57-61.
  • Ouellet C, Le Normand MT, Cohen H. Language evo- lution in children with cochlear implants. Brain Cogn 2001;46:231-5.
  • Seifert E, Oswald M, Bruns U, Vischer M, Kompis M, Haeusler R. Changes of voice and articulation in children with cochlear implants. Int J Pediatr Otorhinolaryngol 2002;66:115-23.
  • Huber JE, Stathopoulos ET, Curione GM, Ash TA, Johnson K. Formants of children, women, and men: the effects of vocal intensity variation. J Acoust Soc Am 1999;106(3 Pt 1):1532-42.
  • Osberger MJ, Fisher L. Preoperative predictors of post- operative implant performance in children. Ann Otol Rhinol Laryngol Suppl 2000;185:44-6.
  • Dolan-Ash S, Hodges AV, Butts SL, Balkany TJ. Borderline pediatric cochlear implant candidates: pre- operative and postoperative results. Ann Otol Rhinol Laryngol Suppl 2000;185:36-8.
  • Walch C, Moser M, Anderhuber W, Kole W. [91 dB hearing loss-the threshold for cochlear implant?]] HNO 2000;48:828-31. [Abstract]
  • Rashad UM, Flood LM, El-Hmd KA, Hawthorne MR. Labyrinthine dysplasia, meningitis, and sensorineural deafness: a complex relationship. J Otolaryngol 2000; 29:110-3.
  • Mitchell TE, Psarros C, Pegg P, Rennie M, Gibson WP. Performance after cochlear implantation: a compari- son of children deafened by meningitis and congeni- tally deaf children. J Laryngol Otol 2000;114:33-7.
  • Proops DW. Adult cochlear implantation: the Birmingham and United Kingdom experiences. Otolaryngol Clin North Am 2001;34:447-53.
  • Hamzavi J, Franz P, Baumgartner WD, Gstoettner W. Hearing performance in noise of cochlear implant patients versus severely-profoundly hearing-impaired patients with hearing aids. Audiology 2001;40:26-31.
  • Helms J. Cochlear implants for completely deaf patients, scientifical background-results-perspectives. Otolaryngol Pol 2000;54:117-9.
  • Szyfter W, Pruszewicz A, Woznica B, Swidzinski P, Szymiec E, Karlik M. The acoustic analysis of voice in patients with multi-channel cochlear implant. Rev Laryngol Otol Rhinol (Bord) 1996;117:225-7.
  • Busby PA, Plant GL. Formant frequency values of vowels produced by preadolescent boys and girls. J Acoust Soc Am 1995;97:2603-6.
  • Lee S, Potamianos A, Narayanan S. Acoustics of chil- dren’s speech: developmental changes of temporal and spectral parameters. J Acoust Soc Am 1999; 105:1455-68.
  • Hillenbrand J, Getty LA, Clark MJ, Wheeler K. Acoustic characteristics of American English vowels. J Acoust Soc Am 1995;97(5 Pt 1):3099-111.
  • Kent RD, Forner LL. Developmental study of vowel formant frequencies in an imitation task. J Acoust Soc Am 1979;65:208-17.
  • Perrin E, Berger-Vachon C, Topouzkhanian A, Truy E, Morgon A. Evaluation of cochlear implanted chil- dren’s voices. Int J Pediatr Otorhinolaryngol 1999; 47:181-6.
  • Perrin ME, Berger-Vachon C, Le Dissez C, Kauffmann I, Morgon A. The normality of the voice of cochlear implant children. Adv Otorhinolaryngol 1995;50:167- 73.
  • Monini S, Banci G, Barbara M, Argiro MT, Filipo R. Clarion cochlear implant: short-term effects on voice parameters. Am J Otol 1997;18:719-25.
  • Bakkum MJ, Plomp R, Pols LW. Objective analysis ver- sus subjective assessment of vowels pronounced by deaf and normal-hearing children. J Acoust Soc Am 1995;98(2 Pt 1):745-62.
  • Gilbert HR, Campbell MI. Speaking fundamental fre- quency in three groups of hearing-impaired individu- als. J Commun Disord 1980;13:195-205.
  • Higgins MB, McCleary EA, Schulte L. Articulatory changes with short-term deactivation of the cochlear implants of two prelingually deafened children. Ear Hear 2001;22:29-45.
  • Osberger MJ. Training effects on vowel production by two profoundly hearing-impaired speakers. J Speech Hear Res 1987;30:241-51.
  • Waldstein RS. Effects of postlingual deafness on speech production: implications for the role of audito- ry feedback. J Acoust Soc Am 1990;88:2099-114.
  • Downs MP, Yoshinaga-Itano C. The efficacy of early identification and intervention for children with hear- ing impairment. Pediatr Clin North Am 1999;46:79-87.
There are 29 citations in total.

Details

Primary Language Turkish
Journal Section Research Article
Authors

Tolga Kandoğan This is me

Uğur Çerçi This is me

Levent Olgun This is me

Gürol Gültekin This is me

Sezaver Alper This is me

Publication Date June 30, 2006
Published in Issue Year 2006 Volume: 16 Issue: 3

Cite

APA Kandoğan, T., Çerçi, U., Olgun, L., Gültekin, G., et al. (2006). Koklear implantasyonun ses gelişimi üzerine etkisi. The Turkish Journal of Ear Nose and Throat, 16(3), 112-121.
AMA Kandoğan T, Çerçi U, Olgun L, Gültekin G, Alper S. Koklear implantasyonun ses gelişimi üzerine etkisi. Tr-ENT. June 2006;16(3):112-121.
Chicago Kandoğan, Tolga, Uğur Çerçi, Levent Olgun, Gürol Gültekin, and Sezaver Alper. “Koklear Implantasyonun Ses gelişimi üzerine Etkisi”. The Turkish Journal of Ear Nose and Throat 16, no. 3 (June 2006): 112-21.
EndNote Kandoğan T, Çerçi U, Olgun L, Gültekin G, Alper S (June 1, 2006) Koklear implantasyonun ses gelişimi üzerine etkisi. The Turkish Journal of Ear Nose and Throat 16 3 112–121.
IEEE T. Kandoğan, U. Çerçi, L. Olgun, G. Gültekin, and S. Alper, “Koklear implantasyonun ses gelişimi üzerine etkisi”, Tr-ENT, vol. 16, no. 3, pp. 112–121, 2006.
ISNAD Kandoğan, Tolga et al. “Koklear Implantasyonun Ses gelişimi üzerine Etkisi”. The Turkish Journal of Ear Nose and Throat 16/3 (June 2006), 112-121.
JAMA Kandoğan T, Çerçi U, Olgun L, Gültekin G, Alper S. Koklear implantasyonun ses gelişimi üzerine etkisi. Tr-ENT. 2006;16:112–121.
MLA Kandoğan, Tolga et al. “Koklear Implantasyonun Ses gelişimi üzerine Etkisi”. The Turkish Journal of Ear Nose and Throat, vol. 16, no. 3, 2006, pp. 112-21.
Vancouver Kandoğan T, Çerçi U, Olgun L, Gültekin G, Alper S. Koklear implantasyonun ses gelişimi üzerine etkisi. Tr-ENT. 2006;16(3):112-21.