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Written language skills in children with auditory brainstem implants

  • Otology
  • Published:
European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

Abstract

Purpose

This study aimed to assess the written language skills of children with auditory brainstem implants (ABI).

Methods

In this study, 15 children (from second to eighth grades) with ABI were evaluated for their written language abilities using a written expression skill assessment form. Five different features of written expression points were scored and analyzed, yielding a composite score for written expression skills.

Results

This study showed that all children with ABI needed more verbal cues than spontaneously written samples. Moreover, these children used short and simple sentences with limited vocabulary and repeated words and sentences. Furthermore, these children were deficient in writing an introduction, the body, and the conclusion paragraphs and could not write events in a logical sequence.

Conclusions

The written language skills of children with ABI depend on age at implantation, duration of implant use, and additional handicaps. Written expression skills in children with ABI are highly complex skills. The findings highlight the importance of ABI during the critical language development period and the enhancement of training programs for written language skills in children who underwent ABI.

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References

  1. Noij KS, Kozin ED, Sethi R, Shah PV, Kaplan AB, Herrmann B et al (2015) Systematic review of nontumor pediatric auditory brainstem implant outcomes. Otolaryngol Head Neck Surg 153(5):739–750. https://doi.org/10.1177/0194599815596929

    Article  PubMed  Google Scholar 

  2. Shannon RV (2015) Auditory implant research at the house ear institute 1989–2013. Hear Res 322:57–66. https://doi.org/10.1016/j.heares.2014.11.003

    Article  PubMed  Google Scholar 

  3. Birman CS, Powell HR, Gibson WP, Elliott EJ (2016) Cochlear implant outcomes in cochlea nerve aplasia and hypoplasia. Otol Neurotol 37(5):438–445. https://doi.org/10.1097/MAO.0000000000000997

    Article  PubMed  Google Scholar 

  4. Shannon R, Colletti L, Colletti V (2016) The neuroscience of the pediatric auditory brainstem implant. Ped cochlear implantation. Springer, New York, NY, pp 237–245

    Chapter  Google Scholar 

  5. Yousef M, Mesallam TA, Almasaad A, Alhabib S, Hagr A, Alzhrani F (2021) Cochlear implantation versus auditory brainstem implantation in children with auditory nerve deficiencies. Eur Arc Oto Rhino Laryngol. https://doi.org/10.1007/s00405-021-06792-8

    Article  Google Scholar 

  6. Aaron KA, Kari E, Friedman RA, Niparko JK (2016) Cochlear implants and auditory brainstem implants for children: surgical considerations. In: Eisenberg LS (ed) Clinical management of children with cochlear implants, 2nd edn. Plural Publishing, San Diego, CA, pp 69–103

    Google Scholar 

  7. Wilkinson EP, Eisenberg LS, Krieger MD, Schwartz MS, Winter M, Glater JL et al (2017) Initial results of a safety and feasibility study of auditory brainstem implantation in congenitally deaf children. Otology Neurotol: Off Publ Am Otol Soc, Am Neurotol Soc Eur Acad Otol Neurotol 38(2):212. https://doi.org/10.1097/MAO.0000000000001287

    Article  Google Scholar 

  8. Goffi-Gomez MVS, Magalhães AT, Neto RB, Tsuji RK, Gomes MDQT, Bento RF (2012) Auditory brainstem implant outcomes and MAP parameters: report of experiences in adults and children. Int J Ped Otorhinolaryngol 76(2):257–264. https://doi.org/10.1016/j.ijporl.2011.11.016

    Article  Google Scholar 

  9. Colletti L, Shannon RV, Colletti V (2014) The development of auditory perception in children after auditory brainstem implantation. Audiol Neurotol 19(6):386–394. https://doi.org/10.1159/000363684

    Article  Google Scholar 

  10. Fernandes NF, Gomes MDQT, Tsuji RK, Bento RF, Goffi-Gomez MVS (2020) Auditory and language skills in children with auditory brainstem implants. Int J Ped Otorhinolaryngol 132:110010. https://doi.org/10.1016/j.ijporl.2020.110010

    Article  Google Scholar 

  11. Friederici AD (2006) The neural basis of language development and its impairment. Neuron 52(6):941–952. https://doi.org/10.1016/j.neuron.2006.12.002

    Article  CAS  PubMed  Google Scholar 

  12. Hess M, Wheldall K (1999) Strategies for improving the written expression of primary children with poor writing skills: A sociocognitive perspective. Aust J Learn Diffic 4(4):14–20. https://doi.org/10.1080/19404159909546605

    Article  Google Scholar 

  13. Graham S, Perin D (2007) A meta-analysis of writing instruction for adolescent students. J Educ Psychol 99(3):445. https://doi.org/10.1037/0022-0663.99.3.445

    Article  Google Scholar 

  14. Romig JE, Therrien WJ, Lloyd JW (2017) Meta-analysis of criterion validity for curriculum-based measurement in written language. J Spec Educ 51(2):72–82. https://doi.org/10.1177/0022466916670637

    Article  Google Scholar 

  15. Thomas LJ, Gerde HK, Piasta SB, Logan JA, Bailet LL, Zettler-Greeley CM (2020) The early writing skills of children identified as at-risk for literacy difficulties. Ear Child Res Q 51:392–402. https://doi.org/10.1016/j.ecresq.2020.01.003

    Article  Google Scholar 

  16. Herder A, Berenst J, de Glopper K, Koole T (2018) Reflective practices in collaborative writing of primary school students. Int J Educ Res 90:160–174. https://doi.org/10.1016/j.ijer.2018.06.004

    Article  Google Scholar 

  17. Werfel KL (2017) Emergent literacy skills in preschool children with hearing loss who use spoken language: initial findings from the early language and literacy acquisition (ELLA) study. Lang Speech Hear Ser 48(4):249–259. https://doi.org/10.1044/2017_LSHSS-17-0023

    Article  Google Scholar 

  18. Oliveira KLSD, Feitosa ALF, Depolli GT, Pedruzzi CM (2020) Reading and writing performance in cochlear implant users: integrative review. Audiolog Comm Res. https://doi.org/10.1590/2317-6431-2020-2298

    Article  Google Scholar 

  19. Sugaya A, Fukushima K, Takao S, Kasai N, Maeda Y, Fujiyoshi A et al (2019) Impact of reading and writing skills on academic achievement among school-aged hearing-impaired children. Int J Ped Otorhinolaryngol 126:109619. https://doi.org/10.1016/j.ijporl.2019.109619

    Article  Google Scholar 

  20. Smolen ER, Hartman MC, Wang Y (2020) Reading achievement in children with hearing loss who use listening and spoken language: results and implications from a 2-year study. Perspect ASHA Spec Interest Groups 5(6):1380–1387. https://doi.org/10.1044/2020_PERSP-20-10006

    Article  Google Scholar 

  21. Karasu HP, Girgin U (2007) Assessment of writing skills of hearing impaired students who attend mainstream classes. Anadolu Univ J Soc Sci 7(1):467–488

    Google Scholar 

  22. Archbold S, Lutman ME, Marshall DH (1995) Categories of auditory performance. Ann Otol Rhinol Laryngol Suppl 166:312–314

    CAS  PubMed  Google Scholar 

  23. Cox RM, McDaniel DM (1989) Development of the speech Intelligibility Rating (SIR) test for hearing aid comparisons. J Speech Lang Hear Res 32(2):347–352

    Article  CAS  Google Scholar 

  24. Guven S, Topbas S (2014) Adaptation of the test of early language development-(TELD-3) into Turkish: reliability and validity study. Int J Ear Child Spec Educ 6(2):151–176

    Google Scholar 

  25. Harris M, Terlektsi E (2011) Reading and spelling abilities of deaf adolescents with cochlear implants and hearing aids. J Deaf Stud Deaf Educ 16(1):24–34. https://doi.org/10.1093/deafed/enq031

    Article  PubMed  Google Scholar 

  26. Dammeyer J (2014) Literacy skills among deaf and hard of hearing students and students with cochlear implants in bilingual/bicultural education. Deaf Educ Int 16(2):108–119. https://doi.org/10.1179/1557069X13Y.0000000030

    Article  Google Scholar 

  27. Johnson C, Goswami U (2010) Phonological awareness, vocabulary, and reading in deaf children with cochlear implants. J Speech Lang Hear Res 53:237–261. https://doi.org/10.1044/1092-4388(2009/08-0139)

    Article  PubMed  Google Scholar 

  28. Geers AE, Hayes H (2011) Reading, writing, and phonological processing skills of adolescents with 10 or more years of cochlear implant experience. Ear Hear 32:49S-59S. https://doi.org/10.1097/AUD.0b013e3181fa41fa

    Article  PubMed  PubMed Central  Google Scholar 

  29. Mayer C, Watson L, Archbold S, Ng ZY, Mulla I (2016) Reading and writing skills of deaf pupils with cochlear implants. Deaf Educ Int 18(2):71–86. https://doi.org/10.1080/14643154.2016.1155346

    Article  Google Scholar 

  30. Spencer LJ, Barker BA, Tomblin JB (2003) Exploring the language and literacy outcomes of pediatric cochlear implant users. Ear Hear 24(3):236. https://doi.org/10.1097/01.AUD.0000069231.72244.94

    Article  PubMed  PubMed Central  Google Scholar 

  31. Karasu HP (2017) Writing skills of hearing-impaired students who benefit from support services at public schools in Turkey. World J Ed 7(4):104–116. https://doi.org/10.5430/wje.v7n4p104

    Article  Google Scholar 

  32. Aslan F, Ozkan HB, Yücel E, Sennaroglu G, Bilginer B, Sennaroglu L (2020) Effects of age at auditory brainstem implantation: impact on auditory perception, language development, speech Intelligibility. Otol Neurotol 41(1):11–20. https://doi.org/10.1097/MAO.0000000000002455

    Article  PubMed  Google Scholar 

  33. Celik ME (2012) An evaluation of the eighth grade students writing skills on various different variables. Turkluk Bilimi Arastirmalari XXXII:13–21

    Google Scholar 

  34. Yasamsal A, Yucel E, Sennaroglu G (2013) Relationship between age of cochlear implantation with written language skills in children. J Int Adv Otol 9(1):38–45

    Google Scholar 

  35. Easterbrooks SR, Stoner M (2006) Using a visual tool to increase adjectives in the written language of students who are deaf or hard of hearing. Comm Disord Q 27(2):95–109. https://doi.org/10.1177/15257401060270020701

    Article  Google Scholar 

  36. Seidman LJ, Biederman J, Monuteaux MC, Doyle AE, Faraone SV (2001) Learning disabilities and executive dysfunction in boys with attention-deficit/hyperactivity disorder. Neuropsychol 15(4):544. https://doi.org/10.1037/0894-4105.15.4.544

    Article  CAS  Google Scholar 

  37. Re AM, Pedron M, Cornoldi C (2007) Expressive writing difficulties in children described as exhibiting ADHD symptoms. J Learn Dis 40(3):244–255. https://doi.org/10.1177/00222194070400030501

    Article  Google Scholar 

  38. Re AM, Caeran M, Cornoldi C (2008) Improving expressive writing skills of children rated for ADHD symptoms. J Learn Dis 41(6):535–544

    Article  Google Scholar 

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Acknowledgements

There are no funding sources to declare. The authors thank the participants and their families for their involvement in this study. The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.

Funding

The authors did not receive support from any organization for the submitted work.

Author information

Authors and Affiliations

  1. Department of Audiology, Faculty of Health Sciences, Hacettepe University, Sihhiye/Ankara, 06100, Ankara, Turkey

    Hilal Burcu Ozkan, Filiz Aslan, Esra Yucel & Gonca Sennaroglu

  2. Department of Otorhinolaryngology, Hacettepe University, Ankara, Turkey

    Levent Sennaroglu

Authors
  1. Hilal Burcu Ozkan
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  2. Filiz Aslan
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  3. Esra Yucel
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  4. Gonca Sennaroglu
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  5. Levent Sennaroglu
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Contributions

All the authors contributed to the study conception, analysis and design. Material preparation, data collection and analysis were performed by HBO, FA and EY. The first draft of the manuscript was written by HBO, FA, EY, GS and LS. All the authors read and approved the final manuscript.

Corresponding author

Correspondence to Hilal Burcu Ozkan.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

All the 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. Our current study was presented as a preliminary study at the 15th International Conference on Cochlear Implants and other Implantable Auditory Technologies, 27–30 June 2018.

Consent to participate

This study was conducted at the Hacettepe University Department of Otorhinolaryngology and Audiology. Patients routinely signed a form consenting the use of personal data for scientific and research purposes before enrollment.

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Ozkan, H.B., Aslan, F., Yucel, E. et al. Written language skills in children with auditory brainstem implants. Eur Arch Otorhinolaryngol 279, 3937–3945 (2022). https://doi.org/10.1007/s00405-022-07359-x

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  • DOI: https://doi.org/10.1007/s00405-022-07359-x

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