Kosaner Julie, Sonuguler Samime, Olgun Levent, Amann Edda
MED-EL Worldwide Headquarters, Fuerstenweg 77a, 6020 Innsbruck, Austria.
Int J Pediatr Otorhinolaryngol. 2013 Aug;77(8):1359-63. doi: 10.1016/j.ijporl.2013.05.036. Epub 2013 Jun 28.
This study aims to assess the usefulness of the LittlEARS(®) Auditory Questionnaire (LEAQ) in determining the audiological development of Turkish children who have received a cochlear implant.
20 children received a cochlear implant before their 3rd birthday. Each child's progress was evaluated with the LittlEARS(®) Auditory Questionnaire at first device fitting and then at 3-month intervals for 2 years. Scores were compared with the age-related norms established by hearing children.
All children showed a significant increase in LittlEARS(®) Auditory Questionnaire scores over time. Nearly all children showed a growth in auditory skills similar to that of hearing children. Children without additional needs showed more development than did children with additional needs.
The LittlEARS(®) Auditory Questionnaire is useful for monitoring the audiological development of young children with a cochlear implant. Confirmation that a cochlear implant user is achieving typical auditory milestones serves to boost parental morale during a child's pre-verbal stage when parents may be anxious about their child's ability to talk. The questionnaire could also be useful as an early warning system. Poor scores likely indicate that something is impeding the child's development. This should prompt professionals to try to identify the impediment, whether technical, medical, social or educational and, possibly, eliminate/mitigate its effects while the child is still in his/her critical development stages.
本研究旨在评估LittlEARS(®)听觉问卷(LEAQ)在确定接受人工耳蜗植入的土耳其儿童听觉发育情况方面的实用性。
20名儿童在3岁生日前接受了人工耳蜗植入。在初次设备调试时,以及之后的2年中每隔3个月,使用LittlEARS(®)听觉问卷对每个儿童的进展进行评估。将得分与听力正常儿童建立的年龄相关标准进行比较。
随着时间的推移,所有儿童的LittlEARS(®)听觉问卷得分均显著提高。几乎所有儿童的听觉技能增长情况与听力正常儿童相似。无其他特殊需求的儿童比有其他特殊需求的儿童发育得更好。
LittlEARS(®)听觉问卷有助于监测人工耳蜗植入幼儿的听觉发育情况。确认人工耳蜗使用者正在实现典型的听觉里程碑,有助于在儿童语言前阶段提升父母的士气,因为在此阶段父母可能会对孩子的说话能力感到焦虑。该问卷还可作为一个早期预警系统。得分较低可能表明有某种因素阻碍了儿童的发育。这应促使专业人员尝试找出阻碍因素,无论是技术、医疗、社会还是教育方面的,并在儿童仍处于关键发育阶段时,尽可能消除/减轻其影响。