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1.
Int J Pediatr Otorhinolaryngol ; 152: 111007, 2022 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-34922124

RESUMO

OBJECTIVE: To evaluate the effect of second language exposure on Turkish speaking skills in cochlear implant (CI) users. METHODS: Children living in mono and bilingual families, who underwent unilateral cochlear implant due to congenital severe to profound, or profound hearing loss, were examined. The fifty six children with a chronological age younger than 8 and a language age of 2-6 years were included the study. The Denver II Developmental Screening Test was used for identifying of pre-implant speech and development. The duration of implant use was also documented. Languages spoken at the patients' homes were divided into 4 categories: T/K: Predominantly Turkish/Kurdish, K/T: Predominantly Kurdish/Turkish, T/T: Just Turkish, A/T: Predominantly Arabic/Turkish. The CAP (Categories of Auditory Performance), SIR (Speech Intelligibility Rating), The Turkish Version Test of The Early Language Development (TELD-3:T),. The IT-MAIS (Infant Toddler Meaningful Auditory Integration Scale), MUSS (Meaningful Use of Speech Scale) were used to evaluate the language development of the patients. Changes in IT-MAIS and MUSS scores in the last two years were also evaluated. RESULTS: The all children received their implants before age of 6 years. The average duration of cochlear implant use of children was 38,43 ± 11,64 months. The mean pre-implant speech age was 6,8 ± 2,13 months. There was no significant difference between the groups in terms of the CAP and SIR scores. In TELD-3:T scores, there was no significant difference between the groups except for the receptive raw scores. The Arabic/Turkish group had significantly lower receptive raw scores. This group also had significantly lower mother educational level. In IT-MAIS and MUSS scores, no significant difference was found between the groups. CONCLUSIONS: Our study supports the opinion that exposure to a second language at home does not affect the acquisition of the language of education in children using CI.


Assuntos
Implante Coclear , Implantes Cocleares , Surdez , Percepção da Fala , Criança , Pré-Escolar , Surdez/diagnóstico , Surdez/cirurgia , Humanos , Lactente , Recém-Nascido , Desenvolvimento da Linguagem , Inteligibilidade da Fala
2.
J Healthc Eng ; 2021: 1182949, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34737847

RESUMO

Aim: To study the effectiveness of cochlear implantation in deaf children with gene mutation. Method: 420 children from three medical centers with cochlear implants were selected. Before wearing the cochlear implant and 6 months after wearing the cochlear implant, the children's rehabilitation efficacy was evaluated through categories of auditory performance (CAP) and speech intelligibility rating (SIR). The SSF-MCDI and MUSS before and after the treatment were also compared. Results: The CAP and SIR scores of the children after the intervention were higher than those before the intervention (P < 0.05). Univariate analysis found that the age of cochlear implantation, parents' education level, and monthly family income were all influencing factors of the CAP score of children with prelingual cochlear implantation (P < 0.05). Multivariate logistic regression analysis shows that the age of cochlear implantation <5 years, parents' education level, and monthly household income are all independent risks of CAP scores in children with prelingual deaf cochlear implantation. Univariate analysis found that the age of cochlear implantation, parents' education level, and monthly household income are all based on the SIR scores of children with prelingual cochlear implantation. Multivariate logistic regression analysis can be obtained: the age of cochlear implantation less than 5 years, the education level of parents, and the monthly family income are independent risk factors for SIR scores in children with prelingual deaf cochlear implantation (P < 0.05). Conclusion: The rehabilitation effect of cochlear implants is significant, and the age of cochlear implantation, parents' education level, and monthly family income are all related factors that affect the rehabilitation effect.


Assuntos
Implante Coclear , Implantes Cocleares , Surdez , Criança , Pré-Escolar , Surdez/genética , Surdez/cirurgia , Humanos , Lactente , Estudos Retrospectivos , Inteligibilidade da Fala , Resultado do Tratamento
3.
J Int Adv Otol ; 17(5): 380-386, 2021 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-34617886

RESUMO

OBJECTIVES: Prediction of cochlear implantation (CI) outcome is often difficult because outcomes vary among patients. Though the brain plasticity across modalities during deafness is associated with individual CI outcomes, longitudinal observations in multiple patients are scarce. Therefore, we sought a prediction system based on cross-modal plasticity in a longitudinal study with multiple patients. METHODS: Classification of CI outcomes between excellent or poor was tested based on the features of brain cross-modal plasticity, measured using event-related responses and their corresponding electromagnetic sources. A machine learning estimation model was applied to 13 datasets from 3 patients based on linear supervised training. Classification efficiency was evaluated comparing prediction accuracy, sensitivity/specificity, total mis-classification cost, and training time among feature set conditions. RESULTS: Combined feature sets with the sensor and source levels dramatically improved classification accuracy between excellent and poor outcomes. Specifically, the tactile feature set best explained CI outcome (accuracy, 98.83 ± 2.57%; sensitivity, 98.00 ± 0.01%; specificity, 98.15 ± 4.26%; total misclassification cost, 0.17 ± 0.38; training time, 0.51 ± 0.09 sec), followed by the visual feature (accuracy, 93.50 ± 4.89%; sensitivity, 89.17 ± 8.16%; specificity, 98.00 ± 0.01%; total misclassification cost, 0.65 ± 0.49; training time, 0.38 ± 0.50 sec). CONCLUSION: Individual tactile and visual processing in the brain best classified the current status when classified by combined sensor-source level features. Our results suggest that cross-modal brain plasticity due to deafness may provide a basis for classifying the status. We expect this novel method to contribute to the evaluation and prediction of CI outcomes.


Assuntos
Córtex Auditivo , Implante Coclear , Implantes Cocleares , Surdez , Adulto , Encéfalo , Surdez/cirurgia , Humanos , Estudos Longitudinais , Aprendizado de Máquina
4.
J Int Adv Otol ; 17(5): 393-399, 2021 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-34617888

RESUMO

BACKGROUND: To compare the frequency parameters of voice between children using cochlear implant (CI) and those with normal hearing and establishing a trend of development of voice characteristics across chronological and implant ages. METHODS: The study included 87 children aged 12 to 72 months, with a mean age of 41 months. The subjects were divided into 2 groups: group 1 included 44 children using CIs, and group 2 included 43 children with normal hearing and age-appropriate speech and language characteristics. Both groups were categorized into 3 subgroups based on their chronological ages, group A (12-32 months), B (33-52 months), and C (53-72 months). The CI group (i.e., group 2) was further subdivided based on implant ages as group D (1-4 months), E (5-8 months), and F (9-12 months). RESULTS: Comparison of vocal frequency parameters across chronological ages revealed a decline with increasing age in both groups; however, stability was not maintained in the CI group. There was a statistically significant difference in the vocal frequency parameters between normal hearing children and those with CI. Comparing across implant ages, there was a significant difference between groups D and F. CONCLUSION: For better communication abilities of individuals with CI, along with early implantation and rehabilitation, there is a need to also focus therapy on providing training on speech modulations, especially on voice characteristics.


Assuntos
Implante Coclear , Implantes Cocleares , Surdez , Percepção da Fala , Criança , Pré-Escolar , Surdez/cirurgia , Audição , Humanos , Lactente , Fala
5.
J Int Adv Otol ; 17(5): 400-404, 2021 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-34617889

RESUMO

OBJECTIVES: This study investigated the development of aided long-latency response (ALLR) in children with cochlear implants (CI) within 18 months of implantation. MATERIALS AND METHODS: ALLR was recorded in 33 children with CI who had an experience of less than 18 months with the implant. All the participants were in the age range of 3-7 years and were divided into 3 groups based on implant age, as 0-6 months, 6.1-12 months, and 12.1-18 months. Latency of the P1 component was recorded. RESULTS: P1 latency was observed to be 142.105 ms at 0-6 months of implant age, 135.141 ms at 6.1-12 months of implant age, and 122.952 ms. at 12.1-18 months of implantation. CI recipients require 1 year of experience in order to obtain a significant difference in the P1 latency value. It was also found that gender does not influence P1 latency. CONCLUSION: These preliminary findings suggest that with adequate stimulation, there is a gradual decrease in P1 latency, which indicates maturation of the central auditory structures. It was also found that the gender does not influence P1 latency.


Assuntos
Implante Coclear , Implantes Cocleares , Surdez , Idoso de 80 Anos ou mais , Criança , Surdez/cirurgia , Potenciais Evocados Auditivos , Humanos , Lactente , Tempo de Reação
6.
Rev Neurol (Paris) ; 177(9): 1121-1132, 2021 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-34657730

RESUMO

Permanently changed sensory stimulation can modify functional connectivity patterns in the healthy brain and in pathology. In the pathology case, these adaptive modifications of the brain are referred to as compensation, and the subsequent configurations of functional connectivity are called compensatory plasticity. The variability and extent of auditory deficits due to the impairments in the hearing system determine the related brain reorganization and rehabilitation. In this review, we consider cross-modal and intra-modal brain plasticity related to bilateral and unilateral hearing loss and their restoration using cochlear implantation. Cross-modal brain plasticity may have both beneficial and detrimental effects on hearing disorders. It has a beneficial effect when it serves to improve a patient's adaptation to the visuo-auditory environment. However, the occupation of the auditory cortex by visual functions may be a negative factor for the restoration of hearing with cochlear implants. In what concerns intra-modal plasticity, the loss of interhemispheric asymmetry in asymmetric hearing loss is deleterious for the auditory spatial localization. Research on brain plasticity in hearing disorders can advance our understanding of brain plasticity and improve the rehabilitation of the patients using prognostic, evidence-based approaches from cognitive neuroscience combined with post-rehabilitation objective biomarkers of this plasticity utilizing neuroimaging.


Assuntos
Córtex Auditivo , Implante Coclear , Implantes Cocleares , Surdez , Surdez/cirurgia , Humanos , Plasticidade Neuronal
7.
J Acoust Soc Am ; 150(3): 2256, 2021 09.
Artigo em Inglês | MEDLINE | ID: mdl-34598599

RESUMO

Previous work has found that preschoolers with greater phonological awareness and larger lexicons, who speak more throughout the day, exhibit less intra-syllabic coarticulation in controlled speech production tasks. These findings suggest that both linguistic experience and speech-motor control are important predictors of spoken phonetic development. Still, it remains unclear how preschoolers' speech practice when they talk drives the development of coarticulation because children who talk more are likely to have both increased fine motor control and increased auditory feedback experience. Here, the potential effect of auditory feedback is studied by examining a population-children with cochlear implants (CIs)-which is naturally differing in auditory experience. The results show that (1) developmentally appropriate coarticulation improves with an increased hearing age but not chronological age; (2) children with CIs pattern coarticulatorily closer to their younger, hearing age-matched peers than chronological age-matched peers; and (3) the effects of speech practice on coarticulation, measured using naturalistic, at-home recordings of the children's speech production, only appear in the children with CIs after several years of hearing experience. Together, these results indicate a strong role of auditory feedback experience on coarticulation and suggest that parent-child communicative exchanges could stimulate children's own vocal output, which drives speech development.


Assuntos
Implante Coclear , Implantes Cocleares , Surdez , Percepção da Fala , Surdez/cirurgia , Retroalimentação , Audição , Humanos , Fonética
8.
J Acoust Soc Am ; 150(3): 2116, 2021 09.
Artigo em Inglês | MEDLINE | ID: mdl-34598601

RESUMO

This study tested the hypotheses that (1) adolescents with cochlear implants (CIs) experience impaired spectral processing abilities, and (2) those impaired spectral processing abilities constrain acquisition of skills based on sensitivity to phonological structure but not those based on lexical or syntactic (lexicosyntactic) knowledge. To test these hypotheses, spectral modulation detection (SMD) thresholds were measured for 14-year-olds with normal hearing (NH) or CIs. Three measures each of phonological and lexicosyntactic skills were obtained and used to generate latent scores of each kind of skill. Relationships between SMD thresholds and both latent scores were assessed. Mean SMD threshold was poorer for adolescents with CIs than for adolescents with NH. Both latent lexicosyntactic and phonological scores were poorer for the adolescents with CIs, but the latent phonological score was disproportionately so. SMD thresholds were significantly associated with phonological but not lexicosyntactic skill for both groups. The only audiologic factor that also correlated with phonological latent scores for adolescents with CIs was the aided threshold, but it did not explain the observed relationship between SMD thresholds and phonological latent scores. Continued research is required to find ways of enhancing spectral processing for children with CIs to support their acquisition of phonological sensitivity.


Assuntos
Implante Coclear , Implantes Cocleares , Surdez , Percepção da Fala , Adolescente , Criança , Surdez/cirurgia , Audição , Humanos , Fonética
9.
Artigo em Inglês, Chinês | MEDLINE | ID: mdl-34707009

RESUMO

OBJECTIVES: The main purpose of cochlear implantation for prelingual deafness is to restore the deaf children's auditory function, obtain normal speech development, learning and social ability, and improve the quality of life. Previous studies mostly focused on the improvement of simple hearing or speech ability. This study aims to evaluate the changes of hearing and speech ability and family life quality of patients after cochlear implantation, and to explore the effect of cochlear implantation on hearing and speech rehabilitation of patients. METHODS: In February 2021, using the convenient sampling method, 171 patients who have completed cochlear implantation were selected from the database of cochlear implantation follow-up center of a class III Tertiary hospital in Hunan Province. Questionnaires were used to investigate the patients' parents, which were Categories of Auditory Performance (CAP), Speech/Spatial and Qualities of Hearing Scale-Parents' Version (SSQ-P), and Children using Hearing Implants Quality of Life (CuHI-QoL). T-test and analysis of variance were used to explore the postoperative auditory and speech ability of patients at different ages in different periods (<2.5-year group, 2.5-4.5-year group and >4.5-year group), and Pearson correlation analysis was used to explore the correlation. Multiple linear regression was used to explore the relationship between the dimension of patients' quality of life and the scores of scale for evaluating auditory ability (CAP, speech perception, spatial hearing, and other hearing characteristics). RESULTS: The values of CAP and SSQ-P in the <2.5-year group were lower than those in the 2.5-4.5-year and >4.5-year groups (all P<0.05). Pearson correlation analysis showed that postoperative years and CuHI-QoL scores (parental expectations and patients' quality of life) were positively correlated with score of CAP, SSQ-P and its dimension, respectively (all P<0.05). The results of multiple linear regression analysis showed the CAP scores and speech perception were the influencing factors for the quality of life (R2=0.170, P<0.01). CONCLUSIONS: Two and a half years after operation is the rapid growth period of patients' hearing and language ability, and the growth rate becomes slow after stabilization. With the extension of postoperative years, the patients' hearing and speech ability becomes stronger, and the quality of life is better.


Assuntos
Implante Coclear , Implantes Cocleares , Surdez , Percepção da Fala , Criança , Surdez/cirurgia , Audição , Humanos , Qualidade de Vida , Fala , Resultado do Tratamento
10.
Artigo em Inglês | MEDLINE | ID: mdl-34574401

RESUMO

BACKGROUND: Among implanted children with similar duration of auditory deprivation and clinical history, the morpho-syntactic skills remain highly variable, suggesting that other fundamental factors may determine the linguistic outcomes of these children, beyond their auditory recovery. The present study analyzed the morpho-syntactic discrepancies among three children with cochlear implant (CI), with the aim of understanding if morpho-syntactic deficits may be characterized as a domain-specific language disorder. METHOD: The three children (mean age = 7.2; SD = 0.4) received their CI at 2.7, 3.7, and 5.9 years of age. Their morpho-syntactic skills were evaluated in both comprehension and production and compared with 15 age-matched normal-hearing children (mean age = 6.6; SD = 0.3). RESULTS: Cases 1 and 2 displayed a marked impairment across morphology and syntax, whereas Case 3, the late-implanted child, showed a morpho-syntactic profile well within the normal boundaries. A qualitative analysis showed, in Cases 1 and 2, language deficits similar to those of normal hearing children with Developmental Language Disorder (DLD). CONCLUSIONS: We suggest that a severe grammatical deficit may be, in some implanted children, the final outcome of a concomitant impairment to the language system. Clinical implications for assessment and intervention are discussed.


Assuntos
Implante Coclear , Implantes Cocleares , Surdez , Perda Auditiva , Criança , Surdez/cirurgia , Humanos , Idioma
11.
Artigo em Chinês | MEDLINE | ID: mdl-34521164

RESUMO

Objective: To investigate the development of auditory speech perception and spatial hearing abilities within one year after cochlear implantation in preschool prelingual deaf children and the relationship between the two abilities. Methods: This retrospective study analyzed 31 preschool children with an average age of (2.3±1.2) years. All cases were assessed at pre-implant, 6 months and 12 months post-implant using the Infant-toddler Meaningful Auditory Integration Scale (IT-MAIS), the Meaningful Auditory Integration Scale (MAIS) and the Mandarin Early Speech Perception test (MESP) to evaluate their listening and speech perception abilities, and using the Speech,Spatial,and Other Qualities of Hearing Scale for Parents (SSQ-P) questionnaires to evaluate their speech perception and spatial hearing abilities. SPSS 23.0 was used for the statistical analysis. Results: All children performed better at 6 months and 12 months post-implant with IT-MAIS/MAIS, MESP than pre-implant, and the scoring rate continued to improve, with a significant difference (P<0.01). For the SSQ-P (Speech) and SSQ-P (Spatial) scores, the mean scores of pre-implant were (0.9±0.2) points and (0.8±0.3) points, those of 6 months post-implant were (4.6±0.2) and (2.6±0.3), and 12 months post-implant were (6.2±0.2) and (6.3±0.3), the scores of the two groups were significantly different at pre-implant, 6 months and 12 months post-implant (P<0.01). The growth rate of SSQ-P (Spatial) from pre-implant to 12 months post-implant was 675.3%, and the growth rate from 6 months post-implant to 12 months post-implant was 140.6%, the growth rate showed an significant increase compared with IT-MAIS/MAIS, MESP and SSQ-P (Speech).SSQ-P (Speech) and SSQ-P (Spatial) scores were moderate correlation at 12 months post-implant(r=0.465, P=0.008). Conclusions: Within one year after cochlear implantation, listening, speech perception and spatial hearing abilities of preschool prelingual deaf children could show a comprehensive, continuous and significant progress as the implantation time increasing. The growth rate of spatial hearing is greater than that of speech perception at 12 months post-implant, and the spatial hearing could still show rapid development characteristics after 6 months post-implant.


Assuntos
Implante Coclear , Implantes Cocleares , Surdez , Percepção da Fala , Percepção Auditiva , Pré-Escolar , Surdez/cirurgia , Audição , Humanos , Lactente , Estudos Retrospectivos , Fala
12.
Trends Hear ; 25: 23312165211037525, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34524944

RESUMO

While the majority of cochlear implant recipients benefit from the device, it remains difficult to estimate the degree of benefit for a specific patient prior to implantation. Using data from 2,735 cochlear-implant recipients from across three clinics, the largest retrospective study of cochlear-implant outcomes to date, we investigate the association between 21 preoperative factors and speech recognition approximately one year after implantation and explore the consistency of their effects across the three constituent datasets. We provide evidence of 17 statistically significant associations, in either univariate or multivariate analysis, including confirmation of associations for several predictive factors, which have only been examined in prior smaller studies. Despite the large sample size, a multivariate analysis shows that the variance explained by our models remains modest across the datasets (R2=0.12-0.21). Finally, we report a novel statistical interaction indicating that the duration of deafness in the implanted ear has a stronger impact on hearing outcome when considered relative to a candidate's age. Our multicenter study highlights several real-world complexities that impact the clinical translation of predictive factors for cochlear implantation outcome. We suggest several directions to overcome these challenges and further improve our ability to model patient outcomes with increased accuracy.


Assuntos
Implante Coclear , Implantes Cocleares , Surdez , Percepção da Fala , Adulto , Surdez/diagnóstico , Surdez/cirurgia , Audição , Humanos , Estudos Retrospectivos , Resultado do Tratamento
13.
Int J Pediatr Otorhinolaryngol ; 149: 110876, 2021 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-34385039

RESUMO

BACKGROUND: Little is known regarding fitting parameters and receptive and expressive language development in cochlear-implanted children (CCI) with profound sensorineural hearing loss (SHL) who are diagnosed with Autism Spectrum Disorder (ASD). The aim of the study was to evaluate a group of ASD CCI users in order to describe their ASD clinical features and CCI outcomes; report on the average electrical charge requirements; and evaluate the possible correlations between electrical and psychophysical outcomes with ASD characteristics. MATERIALS AND METHODS: A multicentre observational study of 22 ASD children implanted in four cochlear implant (CI) centers. Data concerning profound SHL diagnosis, ASD diagnosis, CI timing and CI compliance were collected. Sound Field (SF) was assessed through repeated behavioural measurements. Categories of Auditory Perception (CAP) and Categories of Language (CL) were used to evaluate speech perception and language skills at short (≤2 yrs), medium (5 yrs) and long term (>10 yrs) follow-up. Fitting parameters such as comfortable thresholds, pulse-width (pw, µsec) and clinical units converted into units of charge/phase were collected. The diagnosis of ASD was acquired by the referral neuropsychiatric department and severity was assessed through the Diagnostic and Statistical Manual of Mental Disorders (DSM-V) and the Childhood Autism Rating Scale (CARS). RESULTS: At the final follow-up session the median SF threshold for CI outcomes was 30 dB HL (min 15 - max 60). CAP score was extremely variable: 45.5% showed no improvement over time and only 22% of children reached CAP scores of 5-7. CL 45.5% showed no improvement over time and score was 1-2 in the majority of ASD children (72.7%), while only 18.2% reached the highest level of language skills. There were no statistically significant differences at each follow-up between subjects with or without comorbidities. CAP and CL were inversely correlated with DSM-V A and B domains, corresponding to lower speech and language scores in children with more severe ASD symptoms, and maintained their correlation at mid and long follow-ups whilst controlling for age at CI. Electrical charge requirements did not correlate with SF or age at implant but did inversely correlate with ASD severity. With regards to CI compliance: only 13.6% children (3) with severe DSM-V A/B levels and CARS score were partial/intermittent users. CONCLUSION: The present study is a targeted contribution to the current literature to support clinical procedures for CI fitting and audiological follow-up in children with ASD. The findings indicate that the outcomes of CI use and the fitting procedures are both influenced by the severity of the ASD symptoms rather than the demographic variables or associated disorders.


Assuntos
Transtorno do Espectro Autista , Implante Coclear , Implantes Cocleares , Surdez , Percepção da Fala , Transtorno do Espectro Autista/complicações , Transtorno do Espectro Autista/diagnóstico , Criança , Surdez/cirurgia , Humanos
14.
J Speech Lang Hear Res ; 64(9): 3668-3684, 2021 09 14.
Artigo em Inglês | MEDLINE | ID: mdl-34463547

RESUMO

Purpose The aim of this study was to investigate the role of parental sensitivity in language and neurocognitive outcomes in children who are deaf and/or hard of hearing (DHH). Method Sixty-two parent-child dyads of children with normal hearing (NH) and 64 of children who are DHH (3-8 years) completed parent and child measures of inhibitory control/executive functioning and child measures of sentence comprehension and vocabulary. The dyads also participated in a video-recorded, free-play interaction that was coded for parental sensitivity. Results There was no evidence of associations between parental sensitivity and inhibitory control or receptive language in children with NH. In contrast, parental sensitivity was related to children's inhibitory control and all language measures in children who are DHH. Moreover, inhibitory control significantly mediated the association between parental sensitivity and child language on the Clinical Evaluation of Language Fundamentals-Fifth Edition Following Directions subscale (6-8 years)/Clinical Evaluation of Language Fundamentals Preschool-Second Edition Concepts and Following Directions subscale (3-5 years). Follow-up analyses comparing subgroups of children who used hearing aids (n = 29) or cochlear implants (CIs; n = 35) revealed similar correlational trends, with the exception that parental sensitivity showed little relation to inhibitory control in the group of CI users. Conclusions Parental sensitivity is associated with at-risk language outcomes and disturbances in inhibitory control in young children who are DHH. Compared to children with NH, children who are DHH may be more sensitive to parental behaviors and their effects on emerging inhibitory control and spoken language. Specifically, inhibitory control, when scaffolded by positive parental behaviors, may be critically important for robust language development in children who are DHH.


Assuntos
Implante Coclear , Implantes Cocleares , Surdez , Criança , Pré-Escolar , Surdez/cirurgia , Audição , Humanos , Desenvolvimento da Linguagem , Pais
15.
J Laryngol Otol ; 135(10): 918-925, 2021 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-34404494

RESUMO

OBJECTIVE: This study aimed to explore the impact of the coronavirus disease 2019 pandemic and postponement of elective surgical procedures for profoundly deaf patients awaiting cochlear implantation. METHOD: Open-ended questionnaires were sent to all adult patients awaiting cochlear implantation surgery. Qualitative analysis was performed using a grounded theory approach. RESULTS: Participants described a primarily negative impact on wellbeing from the surgery delay, expressing feelings of isolation or loneliness. Low mood, depression or hopelessness were commonly expressed by elderly participants; frustration and anxiety were described by young adults. Participants described a negative impact on their general daily life, describing difficulties communicating with facemasks and struggles with reliance on telephone communication because of social distancing. Despite these significant psychosocial challenges, only a minority described adaptive coping strategies. DISCUSSION: Profoundly deaf patients may be at greater psychosocial risk because of unique challenges from their hearing disability. Our findings can be used to develop evidence-driven strategies to improve communication, wellbeing and quality of life.


Assuntos
COVID-19/psicologia , Implante Coclear/métodos , Implantes Cocleares/estatística & dados numéricos , Surdez/cirurgia , Tempo para o Tratamento/estatística & dados numéricos , Adulto , Idoso , Ansiedade/epidemiologia , Ansiedade/psicologia , COVID-19/diagnóstico , COVID-19/epidemiologia , COVID-19/virologia , Implantes Cocleares/provisão & distribuição , Comunicação , Estudos Transversais , Depressão/epidemiologia , Depressão/psicologia , Procedimentos Cirúrgicos Eletivos/normas , Feminino , Frustração , Humanos , Solidão/psicologia , Masculino , Pessoa de Meia-Idade , Distanciamento Físico , Pesquisa Qualitativa , Qualidade de Vida/psicologia , SARS-CoV-2/genética , Inquéritos e Questionários/estatística & dados numéricos , Adulto Jovem
16.
Otol Neurotol ; 42(8): e1001-e1007, 2021 09 01.
Artigo em Inglês | MEDLINE | ID: mdl-34398108

RESUMO

HYPOTHESIS: Children with bilateral cochlear implants (CIs) would have better phonological processing skills than children with unilateral CIs because those with bilateral CIs have better speech perception abilities in noisy environments and higher levels of central auditory system development than those with unilateral CIs. BACKGROUND: Previous studies have focused on the performance of children with bilateral CIs on standardized clinical assessments. However, these tests are not sufficiently sensitive to explain better speech and language outcomes in children with bilateral CIs than children with unilateral CIs. Thus, this study focused on phonological processing skills at more central levels of analysis that reflect the operation of cognitive processes. METHOD: Twenty children with bilateral CIs and 20 children with unilateral CIs, aged 4 to 6 years, participated in this study. The children completed the experience-dependent tasks and phonological processing tasks. The experience-dependent tasks involved the monosyllabic word, articulation, and receptive vocabulary tests. The phonological processing tasks involved the phonological awareness, phonological memory, and rapid automatic naming tasks. Task performance was compared between the unilateral and bilateral CI groups. RESULTS: Children with unilateral CIs performed similarly to children with bilateral CIs on all three experience-dependent tasks. However, children with bilateral CIs significantly outperformed children with unilateral CIs on all three phonological processing tasks. Among the phonological processing tasks, the rapid automatic naming task scores differentiated children with unilateral CIs from children with bilateral CIs. CONCLUSIONS: Bilateral cochlear implantation may positively impact the phonological processing skills of deaf children.


Assuntos
Implante Coclear , Implantes Cocleares , Surdez , Percepção da Fala , Criança , Surdez/cirurgia , Humanos , Desenvolvimento da Linguagem , Vocabulário
17.
Int J Pediatr Otorhinolaryngol ; 150: 110889, 2021 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-34425356

RESUMO

OBJECTIVES: This study aimed to determine the correlation of the quality of life (QOL) with the Categories of Auditory Performance (CAP) and the Speech Intelligibility Rating (SIR) scales in children after cochlear implantation. METHODS: This cross-sectional study was conducted from November 2018 to February 2020 at the otolaryngology department at a tertiary referral center. Patients aged ≤16 years who had received cochlear implants (CIs) at our center were consecutively included in this study. Parents were asked to complete the Glasgow Children's Benefit Inventory questionnaire, and auditory and speech assessments were performed by the speech therapists at our center. The correlations of Glasgow Children's Benefit Inventory results with the objective data from the CAP and SIR assessment tools were analyzed. RESULTS: Seventy patients were included in this study. The mean age at implantation was 3 years and 9 months. The mean Glasgow Children's Benefit Inventory score was 52.23 (standard deviation = 23.99), indicating a positive benefit in QOL. There was a statistically significant correlation of the QOL questionnaire score with the CAP score (r = 0.40, p = 0.008), but no correlation was found between the QOL questionnaire score and the SIR score. CONCLUSION: We recommend that cochlear implant patients should undergo an evaluation that incorporates auditory, language, and QOL assessment tools to gain a more comprehensive understanding of their progress.


Assuntos
Implante Coclear , Implantes Cocleares , Surdez , Percepção da Fala , Criança , Estudos Transversais , Surdez/cirurgia , Audição , Humanos , Qualidade de Vida , Inteligibilidade da Fala , Resultado do Tratamento
18.
J Speech Lang Hear Res ; 64(9): 3520-3532, 2021 09 14.
Artigo em Inglês | MEDLINE | ID: mdl-34319757

RESUMO

Purpose Although children with hearing loss (HL) can benefit from cochlear implants (CIs) and hearing aids (HAs), they often show language delays. Moreover, little is known about the mechanisms by which children with HL learn words. One mechanism by which typically hearing (TH) children learn words is by acquiring word learning biases such as the "shape bias," that is, generalizing the names of novel solid objects by similarity in shape. In TH children, the shape bias emerges out of regularities in the early vocabulary and, once acquired, has consequences for subsequent vocabulary development. Method Here, we ask whether children with HL exhibit similar word learning biases as TH children. In the current study, nineteen 2- to 3.5-year-old children with HL generalized the names of novel objects by similarity in shape or material. We compared their performance to that of 20 TH children matched on age and 20 TH children matched on vocabulary size. Results Children with HL were significantly less likely than age-matched TH children and vocabulary-matched TH children to generalize novel names to objects of the same shape. However, there was also an interaction such that vocabulary has a stronger effect on novel noun generalization for those with HL than for those who are TH. Exploratory analyses of children with HL reveal similar novel noun generalization and vocabulary sizes in children who use CIs and those who use HAs, regardless of hearing age or degree of HL. Conclusion Together, the results suggest that, although vocabulary knowledge drives development of the shape bias in general for all children, it may be especially important for children with HL, who are at risk for language delays.


Assuntos
Implante Coclear , Implantes Cocleares , Surdez , Perda Auditiva , Viés , Pré-Escolar , Surdez/cirurgia , Humanos , Desenvolvimento da Linguagem , Vocabulário
19.
Laryngorhinootologie ; 100(8): 652-672, 2021 08.
Artigo em Alemão | MEDLINE | ID: mdl-34320675

RESUMO

In childhood, inadequately rehabilitated hearing loss leads to impaired language acquisition and social, mental and emotional development. In adults, social withdrawal due to limited communication skills is often a consequence of unsatisfactory hearing rehabilitation. Therefore, in patients with profound hearing loss, the indication for cochlear implantation should be considered. Technical advances in cochlear implant development, as well as in microsurgical techniques and the rehabilitation process, have led to an expansion of indications in recent years. Adequate hearing rehabilitation is associated not only with an improvement in hearing function and speech understanding, but also with an increase in quality of life at all ages. In patients with unilateral profound hearing loss, cochlear implantation leads to an improvement of speech understanding and localization ability as well as to a reduction of the head shadow effect and tinnitus. The indication process, surgical treatment and the subsequent rehabilitation process require interprofessional cooperation in specialized centers.


Assuntos
Implante Coclear , Implantes Cocleares , Surdez , Percepção da Fala , Adulto , Surdez/cirurgia , Humanos , Qualidade de Vida , Resultado do Tratamento
20.
Trends Hear ; 25: 23312165211031751, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34281434

RESUMO

In children with congenital deafness, cochlear implantation (CI) prior to 12 months of age offers the opportunity to foster more typical auditory development during late infancy and early childhood. Recent studies have found a positive association between early implantation and expressive and receptive language outcomes, with some children able to achieve normal language skills by the time of school entry. Universal newborn hearing screening improved early detection and diagnosis of congenital hearing loss, allowing for earlier intervention, including decision-making regarding cochlear implant (CI) candidacy. It can be more challenging to confirm CI candidacy in infants; therefore, a multidisciplinary approach, including objective audiometric testing, is recommended to not only confirm the diagnosis but also to counsel families regarding expectations and long-term management. Surgeons performing CI surgery in young children should consider both the anesthetic risks of surgery in infancy and the ways in which mastoid anatomy may differ between infants and older children or adults. Multiple studies have found CI surgery in infants can be performed safely and effectively. This article reviews current evidence regarding indications for implantation in children younger than 12 months of age and discusses perioperative considerations and surgical technique.


Assuntos
Implante Coclear , Implantes Cocleares , Surdez , Perda Auditiva Neurossensorial , Adolescente , Adulto , Criança , Pré-Escolar , Surdez/diagnóstico , Surdez/cirurgia , Humanos , Lactente , Recém-Nascido
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