European Archives of Oto-Rhino-Laryngology

, Volume 276, Issue 1, pp 49–55 | Cite as

Auditory and language skills development after cochlear implantation in children with multiple disabilities

  • Tamer A. MesallamEmail author
  • Medhat Yousef
  • Ayna Almasaad



Cochlear implantation (CI) in children with additional disabilities can be a fundamental and supportive intervention. Although, there may be some positive impacts of CI on children with multiple disabilities such as better outcomes of communication skills, development, and quality of life, the families of those children complain from the post-implant habilitation efforts that considered as a burden.


To investigate the outcomes of CI children with different co-disabilities through using the Meaningful Auditory Integration Scale (MAIS) and the Meaningful Use of Speech Scale (MUSS) as outcome measurement tools.


The study sample comprised 25 hearing-impaired children with co-disability who received cochlear implantation. Age and gender-matched control group of 25 cochlear-implanted children without any other disability has been also included. The participants’ auditory skills and speech outcomes were assessed using MAIS and MUSS tests.


There was a statistically significant difference in the different outcomes measure between the two groups. However, the outcomes of some multiple disabilities subgroups were comparable to the control group. Around 40% of the participants with co-disabilities experienced advancement in their methods of communication from behavior to oral mode.


Cochlear-implanted children with multiple disabilities showed variable degrees of auditory and speech outcomes. The degree of benefits depends on the type of the co-disability. Long-term follow-up is recommended for those children.


Children with disabilities Hearing impairment Cochlear implants Language development 



The authors are grateful to the Deanship of Scientific Research, king Saud University for funding through Vice Deanship of Scientific Research Chairs.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.


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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Otolaryngology, Head and Neck SurgeryKing Saud UniversityRiyadhSaudi Arabia
  2. 2.Research Chair of Voice, Swallowing, and Communication Disorders, ENT Department, College of MedicineKing Saud UniversityRiyadhSaudi Arabia
  3. 3.Audiology Unit, King Abdullah Ear Specialist CenterKing Saud UniversityRiyadhSaudi Arabia
  4. 4.Audiology Unit, ENT Department, College of MedicineMenoufia UniversityShebin AlkoumEgypt

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