Auditory performance and speech intelligibility of Mandarin-speaking children implanted before age 5

2014 ◽  
Vol 78 (5) ◽  
pp. 799-803 ◽  
Author(s):  
Hsuan-Yeh Fang ◽  
Hui-Chen Ko ◽  
Nan-Mai Wang ◽  
Tuan-Jen Fang ◽  
Wei-Chieh Chao ◽  
...  
2011 ◽  
Vol 2011 ◽  
pp. 1-9 ◽  
Author(s):  
B. Y. Roukema ◽  
M. C. Van Loon ◽  
C. Smits ◽  
C. F. Smit ◽  
S. T. Goverts ◽  
...  

Objective. To describe the audiological, anesthesiological, and surgical key points of cochlear implantation after bacterial meningitis in very young infants.Material and Methods. Between 2005 and 2010, 4 patients received 7 cochlear implants before the age of 9 months (range 4–8 months) because of profound hearing loss after pneumococcal meningitis.Results. Full electrode insertions were achieved in all operated ears. The audiological and linguistic outcome varied considerably, with categories of auditory performance (CAP) scores between 3 and 6, and speech intelligibility rating (SIR) scores between 0 and 5. The audiological, anesthesiological, and surgical issues that apply in this patient group are discussed.Conclusion. Cochlear implantation in very young postmeningitic infants is challenging due to their young age, sequelae of meningitis, and the risk of cochlear obliteration. A swift diagnostic workup is essential, specific audiological, anesthesiological, and surgical considerations apply, and the outcome is variable even in successful implantations.


Author(s):  
T. S. Selvavinayagam ◽  
Sudharshini Subramaniam ◽  
Senthil Kumar P.

Background: Cochlear implant is the intervention for improving the auditory performance and speech ability for children between 6-12 years with congenital deafness under the Chief Minister’s Comprehensive Health Insurance Scheme, a state-sponsored insurance scheme in Tamil Nadu. Until 2020, 4107 children had been provided with a cochlear implant under the scheme. However, the outcome of this intervention was not studied so far. Hence, as a program evaluation auditory performance and speech intelligibility among patients who received cochlear implant under the scheme is studied.Methods: A cross-sectional study was conducted among 203 patients who had received a cochlear implant at least 1 year ago. Children were evaluated for auditory performance and speech intelligibility using revised Categories of Auditory Performance (CAP) and Speech Intelligibility Rating (SIR) scores by trained speech therapists in Government Medical College hospitals. The proportion of good scorers in CAP (level ≥7) and SIR (category ≥ 3) was computed. The difference in proportion between different demographics was tested using the Chi-square test and Fischer exact test.Results: The median CAP and SIR scores of the children were 8 (Interquartile Range – 4) and 3 (IQR – 2) respectively. Almost 2/3rd of the children had good auditory performance and speech intelligibility. Factors that were associated with good auditory performance and speech intelligibility were being a girl child, getting the implant before 3 years of age, and getting it in a private institution.Conclusions: Gender and age at implant influences auditory performance and speech intelligibility after cochlear implant. Hence, early screening for deafness should be made a routine to enable early detection and management, thereby preventing permanent disability.


2019 ◽  
Vol 28 (1) ◽  
pp. 62-68
Author(s):  
Yasser Albalawi ◽  
Mohamad Nidami ◽  
Fida Almohawas ◽  
Abdulrahman Hagr ◽  
Soha N. Garadat

2020 ◽  
Vol 22 (2) ◽  
pp. 71-77
Author(s):  
Mohammad Delwar Hossain ◽  
Jannatul Fardous ◽  
AKM Asaduzzaman ◽  
Md Nasir Uddin Ahamed ◽  
Munshi Mojibur Rahman

This retrospective study is based on the assessment of outcomes of Cochlear Implantation (CI) basing on various scoring systems like Category of Auditory Performance (CAP) and Speech Intelligibility Rating (SIR). 50 candidates, 45 of them who were implanted at CMH Dhaka, a tertiary referral center for cochlear implantation and 05 were implanted outsides (home and Abroad) between June 2012- January 2015 included in the study. The results were analyzed using the above scoring systems to assess the performance levels of each implantee and to arrive at a cumulative result on the outcome of the implantation. Practical issues of concern to Cochlear Implantation in Bangladesh was also analyzed. Bangladesh J Otorhinolaryngol; October 2016; 22(2): 71-77


Author(s):  
Abhipsa Hota

<p class="abstract"><strong>Background:</strong> The primary aim is to understand the factors affecting the audiological, speech and language outcome in prelingually deaf children, with bilateral severe to profound sensorineural hearing loss, who have undergone cochlear implantation.</p><p class="abstract"><strong>Methods:</strong> 40 prelingually deaf children, with bilateral severe to profound sensorineural hearing loss, who have undergone cochlear implantation were enrolled. Auditory performance and speech intelligibility was gauged by revised categories of auditory performance (CAP) score and speech intelligibility rating (SIR) respectively, preoperatively and at 3 months, 6 months and 1 year post cochlear implantation. These values were analysed using statistical package for social sciences with respect to duration of auditory deprivation, duration of use of hearing aid prior to cochlear implantation, duration of auditory verbal therapy prior to cochlear implantation and age of child at cochlear implantation.  </p><p class="abstract"><strong>Results:</strong> There is a negative relation between CAP and duration of auditory deprivation at 6 months and 1 year post cochlear implantation. Also, negative relation is seen between CAP and age of child at cochlear implantation at 6 months and 1 year post cochlear implantation. There is a negative relation between SIR and duration of auditory deprivation at 6 months and 1 year post cochlear implantation. Also, negative relation is seen between SIR score and age of child at cochlear implantation at 3 months, 6 months and 1 year post cochlear implantation.</p><p class="abstract"><strong>Conclusions:</strong> Lesser the auditory deprivation and younger the child at cochlear implantation, better is the audiological performance and speech intelligibility post cochlear implantation.</p><p> </p>


2003 ◽  
Vol 19 (2) ◽  
pp. 421-431 ◽  
Author(s):  
T. Sach ◽  
C. O'Neill ◽  
D.K. Whynes ◽  
S.M. Archbold ◽  
G.M. O'Donoghue

Objectives: To examine the cost-effectiveness of pediatric cochlear implantation over time.Methods: A prospective study based on ninety-eight children implanted between 1989 and 1996 at Nottingham's Paediatric Cochlear Implantation Programme, UK. The influence of outcomes and other variables on total costs was examined using multivariate regression analysis.Results: Having controlled for potential confounding variables, total cost was negatively related to year of implant and positively related to the number of hours of rehabilitation (p=.000).Conclusions: Having controlled for outcomes (Categories of Auditory Performance and Speech Intelligibility Rating), the cost-effectiveness improved over time. This finding may be due to a learning curve and have policy implications.


1992 ◽  
Vol 36 (3) ◽  
pp. 237-241
Author(s):  
Leslie A. Whitaker ◽  
Leslie J. Peters ◽  
Jennifer Mitchell

Auditory communication is critical for the successful completion of many tasks which require information be transmitted among crew members. The purpose of the present program of research is to determine the impact that speech communication has on performance of such tasks. As guidance for this program, a model of auditory communication has been developed. This model describes performance as a function of three factors: transmission, linguistic, and individual. The model assumes that variables affecting these three factors alter the level of auditory workload and task performance is a consequence of this workload (Peters, 1991). The present paper describes the effects of two transmission factors: speech intelligibility and communication structure. Speech intelligibility was measured using the Modified Rhymes Test. Communication structure was defined as command, interrogative, and discussion levels. Three studies have been completed in this research program. The focus of the present paper is the most recent study, completed at the Ft. Knox Close Combat Test Bed, an M1A1 tank simulator facility. After describing the results of this study, the results of all three studies are reviewed and found to be consistent with the auditory-performance model proposed by the authors.


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