European Archives of Oto-Rhino-Laryngology

, Volume 272, Issue 11, pp 3131–3136 | Cite as

Speech and language development after cochlear implantation in children with bony labyrinth malformations: long-term results

Otology
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Abstract

The aim of this study was to investigate speech and language development after long-term cochlear implantation in children with bony labyrinth malformations (BLMs) and to present the surgical findings in this group of patients. The auditory and linguistic skills of 21 children who had BLM were assessed in this study. They were implanted between 1998 and 2009. Twenty-two sex-matched and age-matched implantees without BLM were evaluated as the control group. To compare speech perception and speech intelligibility between the groups, the categories of auditory performance (CAP) test and speech intelligibility rating (SIR) test, respectively, were administered. The Turkish version of the Test of Early Language Development (TELD-3-T) was administered to evaluate and compare the linguistic skills of the groups. Surgical findings and complications were also analyzed. Implanted anomalies were common cavity in five patients, incomplete partition type 1 in 5 patients, and incomplete partition type 2 in 11 patients. The CAP and SIR scores were significantly higher in the control group (p < 0.05), but the TELD-3-T test scores were comparable among the groups (p > 0.05). Based on the specific type of malformation, the CAP and SIR scores were comparable between the subgroups (p > 0.05). No perioperative complications occurred in the control group. However, various perioperative complications (gusher, etc.) and surgical difficulty occurred in the anomaly group. The malformation group had unsatisfactory results with regard to speech perception skills; however, this group and the non-anomalous group exhibited comparable long-term results on linguistic development.

Keywords

Bony labyrinth malformation Cochlear implantation Language development Speech intelligibility Speech perception 
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Notes

Conflict of interest

Authors declare that there is no competing interest.

References

  1. 1.
    Eisen MD (2003) Djourno, Eyries, and the first implanted electrical neural stimulator to restore hearing. Otol Neurotol 24:500–506CrossRefPubMedGoogle Scholar
  2. 2.
    Dettman SJ, Fikret H, Dowell RC, Charlton M, Williams SS, Tomov AM, Barker EJ (2004) Speech perception results for children using cochlear implants who have additional special needs. Volta Rev 104:361–392Google Scholar
  3. 3.
    Mangabeira-Albernaz PL (1983) The Mondini dysplasia: from early diagnosis to cochlear implant. Acta Otolaryngol 95:627–631CrossRefPubMedGoogle Scholar
  4. 4.
    Jackler RK, Luxford WM, House WF (1987) Congenital malformations of the inner ear: a classification based on embryogenesis. Laryngoscope 97:2–14CrossRefPubMedGoogle Scholar
  5. 5.
    Sennaroglu L, Saatci I (2002) A new classification for cochleovestibular malformations. Laryngoscope 112:2230–2241CrossRefPubMedGoogle Scholar
  6. 6.
    Sennaroglu L (2010) Cochlear implantation in inner ear malformations—a review article. Cochlear Implants Int 11:4–41CrossRefPubMedGoogle Scholar
  7. 7.
    Sainz M, Garcia-Valdecasas J, Fernandez E, Pascual MT (2012) Auditory maturity and hearing performance in inner ear malformations: a histological and electrical stimulation approach. Eur Arch Otorhinolaryngol 269:1583–1587CrossRefPubMedGoogle Scholar
  8. 8.
    Archbold S, Lutman M, Marchall D (1995) Categories of auditory performance. Ann Otol Rhinol Laryngol 166(Suppl 104):312–314Google Scholar
  9. 9.
    Allen C, Nikolopoulos TP, Dyar D, O’Donoghue GM (2001) Reliability of a rating scale for measuring speech intelligibility after pediatric cochlear implantation. Otol Neurotol 22:631–633CrossRefPubMedGoogle Scholar
  10. 10.
    Hresko WP, Reid DK, Hammill DD (1999) Test of early language development, 3rd edn. Pro-ed, AustinGoogle Scholar
  11. 11.
    Topbaş S, Güven S (2007) Test of Early Language Development (TELD-3): Turkish version. Anadolu University, EskişehirGoogle Scholar
  12. 12.
    Hoffman RA, Downey LL, Waltzman SB, Cohen NL (1997) Cochlear implantation in children with cochlear malformations. Am J Otol 18:184–187PubMedGoogle Scholar
  13. 13.
    Wootten CT, Backous DD, Haynes DS (2006) Management of cerebrospinal fluid leakage from cochleostomy during cochlear implant surgery. Laryngoscope 116:2055–2059CrossRefPubMedGoogle Scholar
  14. 14.
    Papsin BC (2005) Cochlear implantation in children with anomalous cochleovestibular anatomy. Laryngoscope 115:1–26CrossRefPubMedGoogle Scholar
  15. 15.
    Molter DW, Pate BR Jr, McElveen JT Jr (1993) Cochlear implantation in the congenitally malformed ear. Otolaryngol Head Neck Surg 108:174–177PubMedGoogle Scholar
  16. 16.
    Kim LS, Jeong SW, Huh MJ, Park YD (2006) Cochlear implantation in children with inner ear malformations. Ann Otol Rhinol Laryngol 115:205–214CrossRefPubMedGoogle Scholar
  17. 17.
    Eisenman DJ, Ashbaugh C, Zwollan TA, Arts HA, Telian SA (2001) Implantation of the malformed cochlea. Otol Neurotol 22:834–841CrossRefPubMedGoogle Scholar
  18. 18.
    Luntz M, Balkany T, Hodges A, Telischi FF (1997) Cochlear implants in children with congenital inner ear malformations. Arch Otolaryngol Head Neck Surg 123:974–977CrossRefPubMedGoogle Scholar
  19. 19.
    Khalessi MH, Zarandi MM, Borghei P, Abdi S (2004) Cochlear implantation in patients with inner ear malformations. Acta Med Iran 42:188–197Google Scholar
  20. 20.
    Blamey P (1997) Are spiral ganglion cell numbers important for speech perception with a cochlear implant? Am J Otol 18(Suppl 6):S11–S12PubMedGoogle Scholar
  21. 21.
    Schmidt JM (1985) Cochlear neuronal populations in developmental defects of the inner ear. Implications for cochlear implantation. Acta Otolaryngol 99:14–20CrossRefPubMedGoogle Scholar
  22. 22.
    Mylanus EAM, Rotteveel LJC, Leeuw RL (2004) Congenital malformation of the inner ear and pediatric cochlear implantation. Otol Neurotol 25:308–317CrossRefPubMedGoogle Scholar
  23. 23.
    May-Mederake B (2012) Early intervention and assessment of speech and language development in young children with cochlear implants. Int J Pediatr Otorhinolaryngol 76:939–946CrossRefPubMedGoogle Scholar
  24. 24.
    Geers AE (2006) Factors influencing spoken language outcomes in children following early cochlear implantation. Adv Otorhinolaryngol 64:50–65PubMedGoogle Scholar
  25. 25.
    Lee YM, Kim LS, Jeong SW, Kim JS, Chung SH (2010) Performance of children with mental retardation after cochlear implantation: speech perception, speech intelligibility, and language development. Acta Otolaryngol 130:924–934CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2014

Authors and Affiliations

  1. 1.Department of OtorhinolaryngologyBozyaka Teaching and Research HospitalBozyakaTurkey
  2. 2.Department of OtorhinolaryngologyMedikar HospitalKarabukTurkey

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