Koşaner Julie, Deniz Hüseyin, Uruk Deniz, Deniz Murat, Kara Eyup, Amann Edda
a MEDers Turkey , Meşrutiyet Caddesi Hatay Sok No: 24/4 Kocatepe/Kızılay, 06640 Ankara , Turkey.
b MED-EL Innsbruck , Fürstenweg 77a, 6020 Innsbruck , Austria.
Cochlear Implants Int. 2017 May;18(3):153-161. doi: 10.1080/14670100.2017.1299392. Epub 2017 Mar 15.
To analyse language development of children with a cochlear implant (CI) in relation to length of CI use and age at implantation and to examine the suitability of the TEDIL as an assessment tool for measuring early language development in Turkish children.
A total of 119 children implanted with a CI before 5 years of age were assessed acutely on sound field thresholds, speech recognition thresholds, open-set and closed-set monosyllabic word tests, the TEDIL, categories of auditory performance (CAP), and speech intelligibility rating (SIR). The outcome scores were analysed in relation to length of CI use (3, 4, and 5 years) and age at implantation (<24 months vs. >24 months). The TEDIL scores were compared to all other outcome measures.
Scores significantly increased with CI experience. CAP and SIR were significantly higher in the younger implanted group. No significant difference was observed between the younger and older implanted group on the closed-set and open-set monosyllabic tests and the TEDIL. The TEDIL scores significantly correlated with CAP, SIR, and the closed-set and open-set word scores. The mean TEDIL standard score was close to average.
Performance of CI users improves with increased CI experience. CI users implanted <24 months tend to have better auditory skills and clearer speech than CI users implanted >24 months. CI users implanted between 24 months and 60 months tend to develop language similarly to CI users implanted <24 months. The TEDIL is a suitable tool for assessing early receptive and expressive language development in Turkish children.
分析人工耳蜗植入（CI）儿童的语言发展与CI使用时长及植入时年龄的关系，并检验土耳其语早期语言发展测试（TEDIL）作为评估土耳其儿童早期语言发展的工具的适用性。
对119名5岁前接受CI植入的儿童进行了声场阈值、言语识别阈值、开放式和封闭式单音节词测试、TEDIL、听觉表现类别（CAP）及言语可懂度评分（SIR）的急性评估。分析了与CI使用时长（3年、4年和5年）及植入时年龄（<24个月与>24个月）相关的结果分数。将TEDIL分数与所有其他结果指标进行比较。
分数随CI使用经验显著提高。较年轻植入组的CAP和SIR显著更高。在封闭式和开放式单音节测试及TEDIL方面，较年轻和较年长植入组之间未观察到显著差异。TEDIL分数与CAP、SIR以及封闭式和开放式单词分数显著相关。TEDIL的平均标准分数接近平均值。
CI使用者的表现随着CI使用经验的增加而改善。24个月前植入CI的使用者往往比24个月后植入CI的使用者具有更好的听觉技能和更清晰的言语。24个月至60个月之间植入CI的使用者在语言发展方面与24个月前植入CI的使用者相似。TEDIL是评估土耳其儿童早期接受性和表达性语言发展的合适工具。
