Speech development in young children with Mondini dysplasia who had undergone cochlear implantation

被引:14
|
作者
Qi, Shuang [1 ,2 ]
Kong, Ying [1 ,2 ]
Xu, Tianqiu [1 ,2 ]
Dong, Ruijuan [1 ,2 ]
Lv, Jing [1 ,2 ]
Wang, Xianlei [1 ,2 ]
Qi, Beier [1 ,2 ]
Wang, Shuo [1 ,2 ]
Yan, Fei [3 ]
Li, Yongxin [1 ,2 ]
Huang, Lihui [1 ,2 ]
Chen, Xueqing [1 ,2 ]
机构
[1] Capital Med Univ, Beijing Tongren Hosp, Dept Otolaryngol Head & Neck Surg, Beijing 100005, Peoples R China
[2] Beijing Inst Otolaryngol, 17 HouGouHuTong, Beijing 100005, Peoples R China
[3] Capital Med Univ, Beijing Tongren Hosp, Dept Radiol, Beijing 100730, Peoples R China
关键词
Children; Cochlear implantation; Speech intelligibility; Meaningful use of speech scale; Mondini dysplasia; INNER-EAR MALFORMATIONS; LANGUAGE-DEVELOPMENT; RESIDUAL HEARING; DEAF-CHILDREN; FOLLOW-UP; CLASSIFICATION; PERFORMANCE; PERCEPTION; OUTCOMES; INTELLIGIBILITY;
D O I
10.1016/j.ijporl.2018.10.013
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
Objective: The purpose of this study was to investigate the development of speech skills in young children with Mondini dysplasia and age-matched deaf children with radiologically normal inner ears over a period of 5 years after cochlear implantation (CI). Methods: In total, 700 congenitally severely to profoundly deaf children (281 girls and 419 boys) participated in this study. All of the participants had undergone unilateral CI surgery before 36 months of age. The participants were categorized into two groups based on the absence or presence of Mondini dysplasia in the implanted ear, as assessed via high-resolution, thin-slice computerized tomography or magnetic resonance imaging: group A comprised 592 children with radiologically normal inner ears and group B comprised 108 children with Mondini dysplasia. The Meaningful Use of Speech Scale (MUSS) and Speech Intelligibility Rating (SIR) were used to evaluate the speech performance of all young children at various time points: pre-surgery and at 1, 3, 6, 12, 24, 36, 48, and 60 months after switch-on programming. Results: The mean scores of SIR and MUSS in children from both group A and group B showed significant improvements over time. No significant differences were found in the mean scores of SIR between the two groups at any time interval during the 5-year follow-up. The mean score of MUSS was significantly different between group A and group B at 12, 24, and 36 months after implantation, whereas no obvious differences were noted pre-surgery, and at 1, 3, 6, 48, and 60 months post-operation. Conclusions: Young children with Mondini dysplasia develop their speech skills at a fast rate and achieve similar speech acquisition compared to age-matched children with radiologically normal inner ears 5 years post-operation. Therefore, CI is an effective intervention method for young children with Mondini dysplasia.
引用
收藏
页码:118 / 124
页数:7
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