Relationship between age at cochlear implantation and auditory speech perception development skills in children

The presented prospective study investigated whether structural brain damage, measured with the Fazekas score, could predict hearing rehabilitation outcomes with cochlear implantation (CI). With a follow-up period of 24 months, this study included 49 bilaterally, postlingually hearing impaired CI candidates for unilateral CI (67.3 ± 8.7 years; 20 men, 29 women) older than 50 at the time of implantation. The differences in the predictive value between two age groups, 50–70 year-olds (mid-age; n = 26) and over 70-year-olds (elderly; n = 23), were analyzed. The patients were evaluated using speech perception (SP) measured in quiet (Freiburg monosyllabic test; FMT) and noise (Oldenburg sentence test; OLSA). The subjective hearing ability was assessed using Oldenburg inventory (OI). The Fazekas PVWM score predicted postoperative speech perception two years after CI in the mid-age population. The periventricular white matter lesions (PVWM) could explain 27.4% of the speech perception (FMT) variance. Our findings support the hypothesis about the influence of pre-existing WMLs on CI outcome. We recommend the evaluation of Fazekas score as a predictive factor for post-implantation hearing ability.

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The use of intra-operative electrical auditory brainstem responses to predict the speech perception outcome after cochlear implantation

Cochlear Implants International ◽

10.1179/cim.2009.10.supplement-1.53 ◽

2009 ◽

Vol 10 (sup1) ◽

pp. 53-57 ◽

Cited By ~ 5

Author(s):

William PR Gibson ◽

Halit Sanli ◽

Colleen Psarros

Keyword(s):

Speech Perception ◽

Cochlear Implantation ◽

Auditory Brainstem ◽

Auditory Brainstem Responses

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Speech perception in elderly patients following cochlear implantation

Acta Oto-Laryngologica ◽

10.1080/00016480510044214 ◽

2005 ◽

Vol 125 (12) ◽

pp. 1272-1276 ◽

Cited By ~ 35

Author(s):

Jan Haensel ◽

Justus Ilgner ◽

Yue-Shih Chen ◽

Christian Thuermer ◽

Martin Westhofen

Keyword(s):

Speech Perception ◽

Elderly Patients ◽

Cochlear Implantation

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Auditory Speech Perception Development in Relation to Patient's Age with Cochlear Implant

International Archives of Otorhinolaryngology ◽

10.1055/s-0036-1584296 ◽

2016 ◽

Vol 21 (03) ◽

pp. 206-212 ◽

Cited By ~ 3

Author(s):

Grace Ciscare ◽

Erika Mantello ◽

Carla Fortunato-Queiroz ◽

Miguel Hyppolito ◽

Ana Reis

Keyword(s):

Speech Perception ◽

Cochlear Implant ◽

Cochlear Implants ◽

Statistical Difference ◽

Hearing Aid ◽

Age Groups ◽

Auditory Thresholds ◽

Caregiver Education ◽

Auditory Speech ◽

Hearing Aid Use

Introduction A cochlear implant in adolescent patients with pre-lingual deafness is still a debatable issue. Objective The objective of this study is to analyze and compare the development of auditory speech perception in children with pre-lingual auditory impairment submitted to cochlear implant, in different age groups in the first year after implantation. Method This is a retrospective study, documentary research, in which we analyzed 78 reports of children with severe bilateral sensorineural hearing loss, unilateral cochlear implant users of both sexes. They were divided into three groups: G1, 22 infants aged less than 42 months; G2, 28 infants aged between 43 to 83 months; and G3, 28 older than 84 months. We collected medical record data to characterize the patients, auditory thresholds with cochlear implants, assessment of speech perception, and auditory skills. Results There was no statistical difference in the association of the results among groups G1, G2, and G3 with sex, caregiver education level, city of residence, and speech perception level. There was a moderate correlation between age and hearing aid use time, age and cochlear implants use time. There was a strong correlation between age and the age cochlear implants was performed, hearing aid use time and age CI was performed. Conclusion There was no statistical difference in the speech perception in relation to the patient's age when cochlear implant was performed. There were statistically significant differences for the variables of auditory deprivation time between G3 - G1 and G2 - G1 and hearing aid use time between G3 - G2 and G3 - G1.

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