Evolution of communication abilities after cochlear implantation in prelingually deaf children

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• 作者：Jean-Marc Gé ; rard ; Naima Deggouj ; Chloé ; Hupin ; Anne-Laure Buisson ; Veronique Monteyne ; C. Lavis ; K. Dahan ; Michel Gersdorff
• 刊名：International Journal of Pediatric Otorhinolaryngology
• 出版年：2010
• 出版时间：June 2010
• 年：2010
• 卷：74
• 期：6
• 页码：642-648
• 全文大小：532 K

文摘

Objective

This study tries to evaluate different factors on communication ability outcomes in cochlear implanted children.

Methods

Communication abilities are studied using the validated APCEI-scale based on five components of the language: cochlear implant acceptance, perceptive language performance, comprehension of the oral orders, expressive language and speech intelligibility.

APCEI-scores were calculated every 6 months for the first 2 years, then yearly.

The studied variables were: gender, social origin, preoperative residual hearing, age, aetiology of hearing loss, and associated disabilities.

Results

Communication ability scores increased with high socioeconomic level, presence of residual hearing, younger patients when no residual hearing, connexin mutation related deafness, and absence of associated disabilities. No significant difference has been noted between both sexes.

Conclusion

Many different factors influence the evolution of communication abilities of cochlear implanted children.

Investigating the cause of hearing loss, presence of associated disabilities and residual hearing before surgery may help to predict outcome and plan appropriate care to those children with negative predictive factors.