Abstract
The time course of speech development in children after cochlear implantation may extend over many years, thus making long-term studies necessary to evaluate any outcome. We report our long-term results after cochlear implantation in children and adolescents. Mean follow-up was 28 months, ranging from 1 to 5 years. After at least 1 year of experience all children were found to benefit from their cochlear implants. The majority of children scored above chance in speech identifcation tasks requiring closed set word and sentence understanding). At the 4-year interval, all children tested including prelingually deaf children had developed open set sentence understanding. The most relevant factor accounting for differences in the results was the duration of implant use in all groups. Even beyond 3 years the results continued to improve. Peri- or postlinguallly deafened children tended to have favorable results. For prelingually deaf children, duration of deafness and age at implantation were correlated negatively with the results.
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Dawson PW, Blarney PJ, Rowland LC, Dettman SJ, Clark GM, Busby P (1992) Cochlear implants in children, adolescents and prelingualistically deafened adults. J Speech Hear Res 35:401–417
Erber NP, Alencewicz CM (1976) Audiologic evaluation of deaf children. J Speech Hear Dis 45:256–267
Fryauf-Bertschy H, Tyler RS, Kelsay DM, Gantz BJ (1992) Performance over time of congenitally deaf and postlingually deafened children using a multichannel cochlear implant. J Speech Hear Res 35:913–929
Gantz BJ, Tyler RS, Tye-Murray N, Fryauf-Bertschy H (1994) Long term results of multichannel cochlear implants in congenitally deaf children. In: Hochmair I, Hochmair E (eds) Advances in cochlear implants. Manz, Vienna, pp 528–521
Geers AE, Moog JS (1989) Early Speech Perception Battery. In: Owens E, Kessler D (eds) Cochlear implants in young deaf children. College Hill Press, Boston, pp 30–43
Lehnhardt E (1990) Cochlear-Implant-Mini-System 22 zur Versorgung ertaubter Kleinkinder. HNO 38:161–165
Mehler J, Christophe A (1995) Maturation and learning of language in the first year of life. In: Gazzaniga MS (ed) The cognitive neurosciences. MIT Press, Cambridge, Mass, pp 943–954
Miyamoto RT, Osberger MJ, Robbins AM, Myres W, Kessler K, Pope ML (1992) Longitudinal evaluation of communication skills of children with single- or multichannel cochlear implants. Am J Otol 13:215–222
Miyamoto RT, Osberger MJ, Robbins AM, Myres WA, Kessler K (1993) Prelingually deafened children's performance with the Nucleus multichannel cochlear implant. Am J Otol 14: 437–445
Miyamoto RT, Osberger MJ, Todd SL, Robbins AM, Karasek A, Dettman D (1994) Speech perception skills of children with multichannel cochlear implants. In: Hochmair I, Hochmair E (eds) Advances in cochlear implants, Manz, Vienna, pp 498–502
Osberger MJ (1995) Variables affecting performance with Cochlear implants in children. Laryngoscope 104:1120–1124
Osberger MJ, Miyamoto RT, Zimmerman-Phillips S, Kemink J, Stroer BS, Firszt JB (1991) Independent evaluation of the speech perception abilities of children with the Nucleus 22Channel cochlear implant system. Ear Hear 12 [Suppl]:66s-80s
Plant G (1984) A diagnostic speech test for severely and profoundly hearing-impaired children. Aust J Audiol 6:1–9
Reid J, Lehnhardt M (1994) Speech perception test results for European children using the Nucleus cochlear implant. In: Hochmair I, Hochmair E (eds) Advances in cochlear implants. Manz, Vienna, pp 522–527
Robbins AM, Renshaw JJ, Miyamoto RT, Osberger MJ, Pope ML (1988) Minimal Pairs Test. Indiana University School of Medicine, Indianapolis
Somers MN (1991) Speech perception abilities in children with cochlear implants or hearing aids. Am J Otol 12 [Suppl]: 174–178
Staller SJ, Beiter AL, Brimacombe JA, Mecklenburg DJ, Arndt P (1991) Paediatric performance with the Nucleus 22-Channel Cochlear Implant system. Am J Otol 12 [Suppl]:126–136
Staller SJ, Dowell RC, Beiter AL, Brimacombe JA (1991) Perceptual abilities of children with the Nucleus 22-channel Cochlear implant system. Am J Otol 12 [Suppl]:34S-47S
Tobey EA, Angelette S, Murchinson C, Nicosia J, Sprague S, Staller S (1991) Speech production performance in children with multichannel cochlear implants. Am J Otol 12 [Suppl]: 165–173
Waltzman SB, Cohen NL, Spivak L, Ying E, Brackett D, Shapiro W, Hoffman R (1990) Improvement in speech perception and production abilities in children using a multichannel cochlear implant. Laryngoscope 100:240–243
Waltzman SB, Cohen NL, Shapiro WH (1992) Use of multichannel cochlear implants in the congenitally and prelingually deaf population. Laryngoscope 102:395–399
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Kiefer, J., Gall, V., Desloovere, C. et al. A follow-up study of long-term results after cochlear implantation in children and adolescents. Eur Arch Otorhinolaryngol 253, 158–166 (1996). https://doi.org/10.1007/BF00615114
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DOI: https://doi.org/10.1007/BF00615114