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Auditory Performance in Late Implanted Congenitally Hearing Impaired Children: A Reality Check

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Abstract

The present study aimed at determining auditory performance in children with congenital hearing impairment who underwent cochlear implant surgery unilaterally at or after age of 5 years. Study also aimed at studying association of factors such as chronological age (CA), implant age (IA), age at implantation (AAI), hearing age (HA), parental support, compliance to therapy, mode of therapy and parental satisfaction with auditory performance. It is a retrospective study. Files of 41 participants who fulfilled the inclusion criteria were reviewed for scores of Revised categories of auditory perception (CAP), Listening skills scale (LSS) and Speech intelligibility rating (SIR) along with other factors. Only 20 participants with complete data were included in the study. Researcher rated parental support and compliance to therapy while parental satisfaction was noted prospectively using a single yes–no type question. Participants showed improvement on CAP, LSS, SIR however they did not reach normal or near normal scores. CAP and LSS did not correlate with CA nor AAI or with IA. However CAP and LSS showed significant correlation with HA. SIR showed significant correlation with CA, AAI, IA and HA. Good auditory performance was associated with parental support and compliance to therapy but not with mode of therapy offered. 17 out of 20 parents were satisfied with outcomes of cochlear implant. Late implanted children showed improved auditory performance with implantation when they had previous hearing aid experience and parent support and compliance to therapy though they did not reach normal levels.

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References

  1. Yoshinaga-Itano C, Sedey AL, Coulter DK, Mehl AL (1998) Language of early and later identified children with hearing loss. Pediatrics 102:1161–1171

    Article  CAS  Google Scholar 

  2. Kuhl PK, Conboy BT, Padden D, Nelson T, Pruitt J (2005) early speech perception and later language development: implications for the “critical period”. Lang Learn Dev. https://doi.org/10.1111/j.1751-228X.2011.01121.x

    Article  Google Scholar 

  3. Sharma A, Gilley PM, Dorman MF, Baldwin R (2007) Deprivation-induced cortical reorganization in children with cochlear implants. Int J Audiol 46:494–499

    Article  Google Scholar 

  4. Sharma A, Nash AA, Dorman M (2009) Cortical development, plasticity and re-organization in children with cochlear implants. J Commun Disord 42:272–279. https://doi.org/10.1016/j.jcomdis.2009.03.003

    Article  PubMed  PubMed Central  Google Scholar 

  5. Sharma A, Dorman MF, Spahr JA (2002) Sensitive period for the development of the central auditory system in children with cochlear implants: implications for age of implantation. Ear Hear 23:532–539

    Article  Google Scholar 

  6. National Sample Survey Organization. Disabled persons in India, NSSO 58th round (July December 2002) Report no. 485 (58/26/1). New Delhi: National Sample Survey Organization, Ministry of Statistics and Programme Implementation, Government of India, 2003

  7. Kothari S, Keshree NK, Bhatnagar S (2015) Pediatric cochlear implantation—why the delay. Indian J Otolaryngol Head Neck Surg 67:165–169. https://doi.org/10.1007/s12070-015-0838-3

    Article  PubMed  PubMed Central  Google Scholar 

  8. Das A (2004) Performance outcome of paediatric prelingual cochlear implantation. Bengal J Otolaryngol Head Neck Surg 22:29–37

    Google Scholar 

  9. Svirsky MA, Teoh SW, Neuburger H (2004) Development of language and speech perception in congenitally, profoundly deaf children as a function of age at cochlear implantation. Audiol Neurotol 9:224–233

    Article  Google Scholar 

  10. Robin AM, Koch DB, Osberger MJ (2004) Effect of age at cochlear implantation on auditory skill development in infants and toddlers. Arch Otolaryngol Head Neck Surg 130:570–574

    Article  Google Scholar 

  11. Ghiselli S, Gheller F, Trevisi P, Rampazzo P, Ermani M, Martini A (2016) The impact of age and duration of cochlear implant in a congenital deaf population: an ERP study. J Biomed Sci Eng. https://doi.org/10.4236/jbise.2016.98033

    Article  Google Scholar 

  12. Chen X, Liu S, Liu B, Mo L, Kong Y, Liu H, Gong S, Han D, Zang L (2010) The effects of age at cochlear implantation and hearing aid trial on auditory performance in Chinese infants. Acta Otolaryngol 130:263–270

    Article  Google Scholar 

  13. Clare AM, Nikolopoulos TP, Apos O, Donoghue GM (1998) Speech intelligibility in children after cochlear implantation. Otol Neurotol 23:372–378

    Google Scholar 

  14. Sininger YS, Grimes A, Christensen E (2010) Auditory development in early amplified children: factors influencing auditory-based communication outcomes in children with hearing loss. Ear Hear 31:166–185. https://doi.org/10.1097/AUD.0b013e3181c8e7b6

    Article  PubMed  PubMed Central  Google Scholar 

  15. Fayaz MJ (2017) Rehabilitation outcomes for children with cochlear implants in Tanzania. Glob J Otolaryngol 10:555–786. https://doi.org/10.19080/GJO.2017.10.555786.002

    Article  Google Scholar 

  16. Renata PA, Matas CG, Couto MIV, Carvalho ACM (2015) Quality of life evaluation in children with cochlear implants. CoDAS 27:29–36. https://doi.org/10.1590/2317-1782/20152014129

    Article  Google Scholar 

  17. Archbold SM, Lutman ME, Gregory S, O’Neill C, Nikolopoulos TP (2002) Parents and their deaf child: their perceptions 3 years after cochlear implantation. Deaf Educ Int 4:12–40

    Article  Google Scholar 

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Acknowledgements

We are grateful to all parents of recipients for their participation.

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This research did not receive any specific grant from funding agenies in the public, commercial, or not-for-profit sectors.

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Karandikar, P., Valame, D.A. Auditory Performance in Late Implanted Congenitally Hearing Impaired Children: A Reality Check. Indian J Otolaryngol Head Neck Surg 72, 313–319 (2020). https://doi.org/10.1007/s12070-020-01808-x

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  • DOI: https://doi.org/10.1007/s12070-020-01808-x

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