Bacciu Andrea, Pasanisi Enrico, Vincenti Vincenzo, Ormitti Francesca, Di Lella Filippo, Guida Maurizio, Berghenti Mariateresa, Bacciu Salvatore
Department of Otolaryngology, University of Parma, Parma, Italy.
Int J Pediatr Otorhinolaryngol. 2009 May;73(5):717-21. doi: 10.1016/j.ijporl.2009.01.010. Epub 2009 Feb 7.
The aim of this study is to assess the post-implantation speech perception and intelligibility of speech produced by five profoundly deaf children with cerebral palsy.
This study is derived by a review of a prospectively maintained data collection on all patients entering the cochlear implant program. Five children with cerebral palsy who underwent cochlear implantation participated in this study. Functional outcome was assessed using the Speech Perception Categories and the Speech Intelligibility Rating scale. The follow-up of the series ranged from 12 to 45 months.
At the last follow-up, two children who were placed into speech perception category 1 (detection of a speech signal) preoperatively progressed to category 6 (open-set word recognition with familiar words) postoperatively. Two children moved from preoperative category 2 (pattern perception) to postoperative category 6. One child placed into category 0 (no detection of speech) preoperatively progressed to category 4 (word identification) postoperatively. Before implantation, three children had connected speech unintelligible, and two subjects had connected speech intelligible to a listener who concentrates and lip-reads. At the last follow-up, one child had connected speech unintelligible, two children had connected speech intelligible to a listener who concentrate and lip-reads, one child had connected speech intelligible to a listener who has little experience of a deaf person's speech, and one child had connected speech intelligible to all listeners.
Cochlear implantation allowed these patients to dramatically improve their quality of life, increasing their self-confidence, independence and social integration.
本研究旨在评估5名重度失聪的脑瘫儿童植入人工耳蜗后的言语感知和言语清晰度。
本研究源自对所有进入人工耳蜗植入项目患者的前瞻性维护数据收集的回顾。5名接受人工耳蜗植入的脑瘫儿童参与了本研究。使用言语感知类别和言语清晰度评定量表评估功能结果。该系列的随访时间为12至45个月。
在最后一次随访时，术前处于言语感知类别1（检测言语信号）的两名儿童术后进展到类别6（识别熟悉单词的开放式单词识别）。两名儿童从术前类别2（模式感知）转变为术后类别6。一名术前处于类别0（未检测到言语）的儿童术后进展到类别4（单词识别）。植入前，三名儿童的连贯言语难以理解，两名受试者的连贯言语对于专注并唇读的听众来说是可理解的。在最后一次随访时，一名儿童的连贯言语难以理解，两名儿童的连贯言语对于专注并唇读的听众来说是可理解的，一名儿童的连贯言语对于几乎没有聋人言语经验的听众来说是可理解的，一名儿童的连贯言语对于所有听众来说都是可理解的。
人工耳蜗植入使这些患者的生活质量得到显著改善，增强了他们的自信心、独立性和社会融合度。
