Benefits on language development and auditory perception performance of using a contralateral hearing aid in cochlear implanted children

Yıl 2019, , 191 - 198, 20.12.2019

Mustafa Çolak , İsmet Bayramoğlu , Hakan Tutar Şenay Altınyay

https://doi.org/10.32448/entupdates.601175

Öz

Objective: To evaluate the benefits of a contralateral hearing aid on expressive and receptive language development and auditory perception performance over a 36-month post-surgical period in children implanted on a single side with a cochlear device for bilateral pre-lingual profound sensorineural hearing loss. 

Methods: Seventy-five patients with idiopathic profound sensorineural hearing loss were included. The cases were divided into two groups: cochlear implant users (50 patients, “CI group”) and cochlear implant plus hearing aid users (25 patients, “CI+HA group”). Language development and auditory performance were compared in the two groups during the first 3 years following cochlear implant surgery. The Pre-school Language Scale-4 was used to assess language development and the LittlEars® Auditory Survey, Meaningful Auditory Integration Scale and Meaningful Use of Speech Scale were employed to assess auditory perception performance.

Results: Language development in the CI+HA group was superior to that in the CI group at 6 months post-surgery, in terms of receptive and expressive language development; auditory perception performance was also superior in the CI+HA group, compared to the CI group. 

Conclusion: The use of a contralateral hearing aid in cochlear implanted children with prelingual sensorineural hearing loss positively contributes to language development and auditory perception performance.

Anahtar Kelimeler

Auditory perception, cochlear implants, hearing aids, language development

Kaynakça

• Paludetti G, Conti G, DI Nardo W, et al. Infant hearing loss: from diagnosis to therapy Official Report of XXI Conference of Italian Society of Pediatric Otorhinolaryngology. Acta Otorhinolaryngol Ital. 2012;32:347–70.
• Fortnum HM. Epidemiology of Permanent Childhood Hearing Impairment: Implications for Neonatal Hearing Screening. Audiol Med. 2003;1:155–64.
• Paradise JL, Dollaghan CA, Campbell TF, et al. Language, Speech Sound Production, and Cognition in Three-Year-Old Children in Relation to Otitis Media in Their First Three Years of Life. Pediatrics. 2000;105:1119–30.
• Robbins AM, Kirk KI, Osberger MJ, Ertmer D. Speech intelligibility of implanted children. Ann Otol Rhinol Laryngol Suppl. 1995;166:399–401.
• Nelson PB, Jin S-H. Factors affecting speech understanding in gated interference: cochlear implant users and normal-hearing listeners. J Acoust Soc Am. 2004;115:2286–94.
• Stickney GS, Zeng F-G, Litovsky R, Assmann P. Cochlear implant speech recognition with speech maskers. J Acoust Soc Am. 2004;116:1081–91.
• Stickney GS, Nie K, Zeng F-G. Contribution of frequency modulation to speech recognition in noise. J Acoust Soc Am. 2005;118:2412–20.
• Morera C, Manrique M, Ramos A, et al. Advantages of binaural hearing provided through bimodal stimulation via a cochlear implant and a conventional hearing aid: A 6-month comparative study. Acta Otolaryngol. 2005;125:596–606.
• Warren SE, Dunbar MN. Bimodal Hearing in Individuals with Severe-to-Profound Hearing Loss: Benefits, Challenges, and Management. Semin Hear. 2018;39:405–13.
• Ching TY, Psarros C, Hill M, Dillon H, Incerti P. Should children who use cochlear implants wear hearing aids in the opposite ear? Ear Hear. 2001;22:365–80.
• Yalçlnkaya F, Bayoglu B, Saraçbaşl O, Belgin E. Turkish adaptation of speech and language disorders test: Preschool Language Scale, fourth edition: PLS-4. Eur J Paediatr Neurol. 2007;11:87.
• Tsiakpini V, Weichbold H, Kuehn-Inacker F, Coninx E, D'Haese P, Almadin S. LittlEARS Auditory Questionnaire. Innsbruck: MED-EL Corp.; 2004.
• Robbins AM, Renshaw JJ, Berry SW. Evaluating meaningful auditory integration in profoundly hearing-impaired children. Am J Otol. 1991;12:144–50.
• Gordon KA, Papsin BC, Harrison R V. Activity-dependent developmental plasticity of the auditory brain stem in children who use cochlear implants. Ear Hear. 2003;24:485–500.
• Sarant J, Harris D, Bennet L, Bant S. Bilateral versus unilateral cochlear implants in children: a study of spoken language outcomes. Ear Hear. 2014;35:396–409.
• Litovsky RY, Johnstone PM, Godar SP. Benefits of bilateral cochlear implants and/or hearing aids in children. Int J Audiol. 2006;45:78-91.
• Dunn CC, Tyler RS, Witt SA. Benefit of wearing a hearing aid on the unimplanted ear in adult users of a cochlear implant. J Speech Lang Hear Res. 2005;48:668–80.
• Luntz M, Shpak T, Weiss H. Binaural-bimodal hearing: concomitant use of a unilateral cochlear implant and a contralateral hearing aid. Acta Otolaryngol. 2005;125:863–9.
• Dorman MF, Gifford RH, Spahr AJ, McKarns SA. The benefits of combining acoustic and electric stimulation for the recognition of speech, voice and melodies. Audiol Neurotol. 2008;13:105–12.
• Gifford RH, Dorman MF, McKarns SA, Spahr AJ. Combined electric and contralateral acoustic hearing: word and sentence recognition with bimodal hearing. J Speech Lang Hear Res. 2007;50:835–43.
• Zhang T, Spahr AJ, Dorman MF, Saoji A. Relationship between auditory function of nonimplanted ears and bimodal benefit. Ear Hear. 2013;34:133–41.
• Ching TYC, Day J, Van Buynder P, et al. Language and speech perception of young children with bimodal fitting or bilateral cochlear implants. Cochlear Implants Int. 2014;15:S43-6.
• Nittrouer S, Chapman C. The Effects of Bilateral Electric and Bimodal Electric–Acoustic Stimulation on Language Development. Trends Amplif. 2009;13:190–205.
• Iwasaki S, Nishio S, Moteki H, et al. Language development in Japanese children who receive cochlear implant and / or hearing aid. Int J Pediatr Otorhinolaryngol. 2012;76:433–8.
• Allum JH, Greisiger R, Straubhaar S, Carpenter MG. Auditory perception and speech identification in children with cochlear implants tested with the EARS protocol. Br J Audiol. 2000;34:293–303.
• Robbins AMC, Koch DB, Osberger MJ, Zimmerman-Phillips S, Kishon-Rabin L. Effect of Age at Cochlear Implantation on Auditory Skill Development in Infants and Toddlers. Arch Otolaryngol Head Neck Surg. 2004;130:570–4.
• Di Nardo W, Giannantonio S, Di Giuda D, De Corso E, Schinaia L, Paludetti G. Role of auditory brain function assessment by SPECT in cochlear implant side selection. Acta Otorhinolaryngol Ital. 2013;33:23–8.
• Marsella P, Giannantonio S, Scorpecci A, Pianesi F, Micardi M, Resca A. Role of bimodal stimulation for auditory-perceptual skills development in children with a unilateral cochlear implant. Acta Otorhinolaryngol Ital. 2015;35:442–8.
• De Raeve L, Vermeulen A, Snik A. Verbal cognition in deaf children using cochlear implants: Effect of unilateral and bilateral stimulation. Audiol Neurootol. 2015;20:261–6.
• Beijen J-W, Mylanus EAM, Leeuw AR, Snik AFM. Should a Hearing Aid in the Contralateral Ear Be Recommended for Children with a Unilateral Cochlear Implant? Ann Otol Rhinol Laryngol. 2008;117:397–403.