E102 Speech and language development in children with profound prelingual sensory-neural hearing loss. Comparison of cochlear implant and hearing aid users

Author(s):  
P. Stagiopoulos ◽  
G. Kyriafinis ◽  
I. Konstantinidis ◽  
G. Psillas ◽  
M. Tsalighopoulos
2021 ◽  
pp. 019459982110273
Author(s):  
Samantha Anne ◽  
Kevin D. Brown ◽  
Donald M. Goldberg ◽  
Oliver F. Adunka ◽  
Margaret Kenna ◽  
...  

Among the various cochlear implant systems approved by the Food and Drug Administration, current labeling for pediatric usage encompasses (1) bilateral profound bilateral sensorineural hearing loss in children aged 9 to 24 months and bilateral severe to profound sensorineural hearing loss in children older than 2 years; (2) use of appropriately fitted hearing aids for 3 months (this can be waived if there is evidence of ossification); and (3) demonstration of limited progress with auditory, speech, and language development. Pediatric guidelines require children to have significantly worse speech understanding before qualifying for cochlear implantation. The early years of life have been shown to be critical for speech and language development, and auditory deprivation is especially detrimental during this crucial time. Level of evidence: 2.


Author(s):  
Majid Haddadi Aval ◽  
Fatemeh Abdollahi ◽  
Sadegh Jafarzadeh

Background and Aim: Auditory rehabilitation is an essential step after hearing aid fitting for children with hearing loss. The aim of this study was to evaluate the auditory rehabilitation results based on auditory verbal therapy approach in children with severe to profound sensory-neural hearing loss. Auditory verbal therapy is a popular approach for rehabilitation children with hearing loss. Methods: This is a retrospective study that eva­luates the results of auditory rehabilitation of 19 children with severe to profound hearing loss. Most children were about three years old at the beginning of the rehabilitation process. They were received bilateral hearing aid and auditory rehabilitation based on auditory verbal therapy (AVT) approach. Each case progress was meas­ured by Newsha developmental scale. Results: All of the children showed progress during the AVT program (p < 0.05). The Newsha developmental scale showed that hearing and receptive language categories had more progress. The progress was similar between male and female participants and there was no difference in all of categories (p > 0.05). Conclusion: The AVT approach is beneficial for rehabilitation of older children with bilateral sev­ere to profound sensory-neural hearing loss.  The progress was observed in all categories of Newsha developmental scale. Keywords: Auditory rehabilitation; auditory verbal therapy approach; hearing-impaired


2016 ◽  
Vol 1 (9) ◽  
pp. 49-59
Author(s):  
Traci Flynn

Children with aural atresia (AA) present with a hearing loss due to differing degrees of malformations of the ear. The effects of this hearing loss on audition, speech/language development, and academic achievement are not well understood. The literature is quite sparse on this topic, including studies with only small numbers of children or retrospective chart reviews. The few studies that have been completed demonstrate that the hearing loss caused by AA affects auditory, as well as speech and language, development and, therefore, results in delays. Children with bilateral atresia are more adversely affected than children with unilateral atresia. However, the delays are not well understood with respect to whether or not amplification mitigates them. This paper presents the current evidence in the literature on the audiological management, the auditory and speech/language development, and the academic achievement of children with aural atresia.


PEDIATRICS ◽  
1983 ◽  
Vol 71 (2) ◽  
pp. 257-261
Author(s):  
Nan Holmes ◽  
M. J. Conway ◽  
L. Flood ◽  
J. G. Fraser ◽  
Ann Stewart

A new instrument for the detection of the postauricular myogenic (PAM) response was used to test the hearing of 106 infants weighing ≤1,500 g when they were aged 1 to 21 months. Eighty-eight infants showed a positive response at 60 dB hearing level (HL) (normal). The other 18 did not respond; four were found to have sensory neural hearing loss and another six had conductive loss due to secretory otitis media. Of the 106 children, 90 aged 2 years or more (mean 27 months) were living in the United Kingdom, and their language development was assessed. It was normal in 67/75 children whose PAM response had been normal in infancy. The remaining eight children with normal PAM responses in infancy, had language delay. All eight children had problems that were thought to account for the delay, including three with mental retardation, three with cerebral palsy, and two whose families did not speak English. Language development was normal in 11/15 children tested whose PAM responses had been found to be abnormal, including all six whose secretory otitis media had been diagnosed and treated at the time of the PAM test. Delay in language development was found in 3/4 children with sensory neural hearing loss who were available for testing and in one child with overall developmental delay. It is concluded that a positive PAM response at 60 dB HL in infancy indicated hearing adequate for the development of normal speech in otherwise normal children among a group of infants at high risk of hearing loss.


2021 ◽  
Vol 9 ◽  
Author(s):  
Hannah Walsh ◽  
Jillian Zuwala ◽  
Jessica Hunter ◽  
Yonghee Oh

Prenatal infections can have adverse effects on an infant's hearing, speech, and language development. Congenital cytomegalovirus (CMV) and human immunodeficiency virus (HIV) are two such infections that may lead to these complications, especially when left untreated. CMV is commonly associated with sensorineural hearing loss in children, and it can also be associated with anatomical abnormalities in the central nervous system responsible for speech, language, and intellectual acquisition. In terms of speech, language, and hearing, HIV is most associated with conductive and/or sensorineural hearing loss and expressive language deficits. Children born with these infections may benefit from cochlear implantation for severe to profound sensorineural hearing losses and/or speech therapy for speech/language deficits. CMV and HIV simultaneously present in infants has not been thoroughly studied, but one may hypothesize these speech, language, and hearing deficits to be present with potentially higher severity. Early identification of the infection in combination with early intervention strategies yields better results for these children than no identification or intervention. The purpose of this review was to investigate how congenital CMV and/or HIV may affect hearing, speech, and language development in children, and the importance of early identification for these populations.


2021 ◽  
Vol 28 (3) ◽  
pp. 277-281
Author(s):  
Joyanta Chandra Mandal ◽  
Indranil Chatterjee ◽  
Suman Kumar ◽  
Shilpi Chakraborty

Introduction This study aimed to document the effect of Auditory Verbal Therapy (AVT) with proper assessment and management in early intervention of a child with bimodal hearing. Bimodal Hearing is the use of a cochlear implant in one ear and a hearing aid in the opposite ear. Auditory Verbal Therapy is a highly specialist early intervention programme which equips parents with the skills to maximise their deaf child’s speech and language development. Case Report A male child aged 5 years 1 month had bilateral severe to profound hearing loss and speech-language problem. He was using cochlear implant in the right ear and BTE hearing aid in left ear (Bimodal hearing). Speech and language assessment revealed delayed semantic, syntax and pragmatic skills. Assessment of language development test showed poor receptive and expressive language score. The functional auditory performance indicator score indicated poor auditory function. Auditory verbal therapy hierarchy plan was used for treatment. Post 15 sessions after applying AVT the child’s listening and linguistic skills showed a great improvement. Discussion The scales used to measure the efficacy of AVT are found to be useful for the assessment and goal setting for intervention. Thus, appropriate quantification of various aspects of communication skills may describe its potential impact in this case under ADIP scheme.


2015 ◽  
Vol 24 (3) ◽  
pp. 354-359 ◽  
Author(s):  
Judy Attaway ◽  
Christopher L. Stone ◽  
Cindy Sendor ◽  
Emily R. Rosario

Purpose There currently is no guideline regarding amplification or verification for children with aural atresia. This population, with the absence of the ear canal, has obvious congenital hearing loss. Research suggests that delayed treatment for hearing loss can result in speech and language impairments, including poor performance in school. In this study we examined the relationship between amplification and emerging speech and language development in children with aural atresia. Method Subjects included children, 3 to 6 years of age, with conductive hearing loss due to atresia. Clinical evaluations were used to determine relationships between amplification and speech and language development. Subjects underwent an audiology exam, including pure-tone or warble-tone air and bone conduction using play audiometry techniques, and a speech and language evaluation assessing language and vocabulary skills. Results Subjects who were fitted before 1 year of age showed better compliance with aid use and exhibited fewer delays in speech and language development. Children with right-sided atresia had significantly greater speech and language delays when compared with age norms from standardized tests. Conclusion Our findings highlight a relationship between side of atresia, time of first amplification, compliance in aid use, and speech and language abilities.


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