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Effects of Age at Auditory Brainstem Implantation: Impact on Auditory Perception, Language Development, Speech Intelligibility.

التفاصيل البيبلوغرافية
العنوان: Effects of Age at Auditory Brainstem Implantation: Impact on Auditory Perception, Language Development, Speech Intelligibility.
المؤلفون: Aslan F; Audiology Department, Faculty of Health Sciences., Ozkan HB; Audiology Department, Faculty of Health Sciences., Yücel E; Audiology Department, Faculty of Health Sciences., Sennaroğlu G; Audiology Department, Faculty of Health Sciences., Bilginer B; Neurosurgery Department., Sennaroğlu L; Otorhinolaryngology Department, Faculty of Medicine, Hacettepe University, Ankara, Turkey.
المصدر: Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology [Otol Neurotol] 2020 Jan; Vol. 41 (1), pp. 11-20.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 100961504 Publication Model: Print Cited Medium: Internet ISSN: 1537-4505 (Electronic) Linking ISSN: 15317129 NLM ISO Abbreviation: Otol Neurotol Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Hagerstown, MD : Lippincott Williams & Wilkins, c2001-
مواضيع طبية MeSH: Language Development* , Speech Intelligibility* , Speech Perception* , Treatment Outcome*, Auditory Brain Stem Implantation/*methods, Age Factors ; Auditory Brain Stem Implants ; Child ; Child, Preschool ; Cohort Studies ; Deafness/surgery ; Female ; Humans ; Infant ; Male ; Retrospective Studies
مستخلص: Objective: To study the effect of age at auditory brainstem implant (ABI) surgery on auditory perception, language, and speech intelligibility.
Study Design: Retrospective single cohort design.
Setting: Tertiary referral center.
Patients: In this study, 30 pediatric ABI users with no significant developmental issues were included. Participants were divided into two groups, according to age at surgery (Early Group: < 3 yr old [n = 15], Late Group: ≥ 3 yr old [n = 15]). Groups were matched by duration of ABI use and participants were evaluated after 5 years (±1 yr) experience with their device. The mean age at ABI surgery was 22.27 (ranged ± 6.5) months in the early group, 45.53 (ranged ± 7.9) months in the late group.
Intervention(s): Retrosigmoid craniotomy and ABI placement.
Main Outcome Measure(s): Auditory perception skills were evaluated using the Meaningful Auditory Integration Scale and Categories of Auditory Performance from the Children's Auditory Perception Test Battery. We used a closed-set pattern perception subtest, a closed-set word identification subtest, and an open-set sentence recognition subtest. Language performance was assessed with the Test of Early Language Development and Speech Intelligibility Rating, which was administered in a quiet room.
Results: In this study, the results demonstrated that the Early Group's auditory perception performance was better than the Late Group after 5 years of ABI use, when children had no additional needs (U = 12, p < 0.001). Speech intelligibility was the most challenging skill to develop, in both groups. Due to multiple regression analysis, we found that auditory perception categories can be estimated with speech intelligibility scores, pattern perception scores, receptive language scores, and age at ABI surgery variables in ABI users with no additional handicaps.
Conclusions: ABI is a viable option to provide auditory sensations for children with cochlear anomalies. ABI surgery under age 3 is associated with improved auditory perception and language development compared with older users.
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تواريخ الأحداث: Date Created: 20191203 Date Completed: 20200909 Latest Revision: 20210212
رمز التحديث: 20231215
DOI: 10.1097/MAO.0000000000002455
PMID: 31789803
قاعدة البيانات: MEDLINE
الوصف
تدمد:1537-4505
DOI:10.1097/MAO.0000000000002455