Catli Tolgahan, Uckan Burcu, Olgun Levent
Department of Otorhinolaryngology, Bozyaka Teaching and Research Hospital, Saim Cikrikci Street, 35320, Bozyaka, Izmir, Turkey.
Department of Otorhinolaryngology, Medikar Hospital, Karabuk, Turkey.
Eur Arch Otorhinolaryngol. 2015 Nov;272(11):3131-6. doi: 10.1007/s00405-014-3319-5. Epub 2014 Oct 5.
The aim of this study was to investigate speech and language development after long-term cochlear implantation in children with bony labyrinth malformations (BLMs) and to present the surgical findings in this group of patients. The auditory and linguistic skills of 21 children who had BLM were assessed in this study. They were implanted between 1998 and 2009. Twenty-two sex-matched and age-matched implantees without BLM were evaluated as the control group. To compare speech perception and speech intelligibility between the groups, the categories of auditory performance (CAP) test and speech intelligibility rating (SIR) test, respectively, were administered. The Turkish version of the Test of Early Language Development (TELD-3-T) was administered to evaluate and compare the linguistic skills of the groups. Surgical findings and complications were also analyzed. Implanted anomalies were common cavity in five patients, incomplete partition type 1 in 5 patients, and incomplete partition type 2 in 11 patients. The CAP and SIR scores were significantly higher in the control group (p < 0.05), but the TELD-3-T test scores were comparable among the groups (p > 0.05). Based on the specific type of malformation, the CAP and SIR scores were comparable between the subgroups (p > 0.05). No perioperative complications occurred in the control group. However, various perioperative complications (gusher, etc.) and surgical difficulty occurred in the anomaly group. The malformation group had unsatisfactory results with regard to speech perception skills; however, this group and the non-anomalous group exhibited comparable long-term results on linguistic development.
本研究的目的是调查患有骨迷路畸形（BLM）的儿童长期植入人工耳蜗后的言语和语言发育情况，并展示该组患者的手术结果。本研究评估了21例患有BLM的儿童的听觉和语言技能。他们于1998年至2009年期间接受了植入手术。将22例性别和年龄匹配的无BLM的植入者作为对照组进行评估。为了比较两组之间的言语感知和言语清晰度，分别进行了听觉表现类别（CAP）测试和言语清晰度评级（SIR）测试。使用早期语言发展测试（TELD-3-T）的土耳其语版本来评估和比较两组的语言技能。还分析了手术结果和并发症。植入异常情况包括5例共同腔、5例不完全分隔1型和11例不完全分隔2型。对照组的CAP和SIR评分显著更高（p < 0.05），但两组之间的TELD-3-T测试评分相当（p > 0.05）。根据畸形的具体类型，各亚组之间的CAP和SIR评分相当（p > 0.05）。对照组未发生围手术期并发症。然而，异常组出现了各种围手术期并发症（如脑脊液耳漏等）和手术困难。畸形组在言语感知技能方面结果不理想；然而，该组和非畸形组在语言发育方面表现出相当的长期结果。
