Ma Y, Zheng Y, Li G, Lu T, Nie M
Otolaryngology Head and Neck Surgery Hearing Center, West China Hospital of Sichuan University, Hearing and Speech Science Laboratory, Chengdu, 610041, China.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2018 Jun;32(12):905-909. doi: 10.13201/j.issn.1001-1781.2018.12.006.
To study the early prelingual auditory development in the pediatric cochlear implant(CI) recipients from 1 years old to 5 years old. The study was designed as retrospectively. A total of 103 children with profound prelingual sensorineural hearing loss were included in this study. All participants were divided into four groups as 1-2 yr,>2-3 yr,>3-4 yr and >4-5 yr,according to the age of cochlear implantation. The scores of IT-MAIS/MAIS(total scores,sound detection scores and sound recognition scores)before implantation(or at switch-on)and 3,6,12 months after implantation were analyzed with Mixed linear model. The scores of IT-MAIS/MAIS improved notably after cochlear implantation in all four groups as time prolonged(<0.01).There were no significant difference in total scores,sound detection scores and sound recognition scores among those four different implant age groups(>0.05)after switch-on. As the rehabilitation duration,the abilities of overall auditory,sound detection and sound recognition for those CI recipients showed a similar increasing trend in normal hearing pediatrics,and there were no significant difference among the four groups(>0.05). The early prelingual auditory abilities of pediatric CI recipients implanted at 1-year-old up to 5-year-old developed considerably within the first year after cochlear implantation. What's more, the implant age has no obvious influence on their early prelingual auditory abilities after implant surgery.
研究1至5岁小儿人工耳蜗(CI)植入受者的早期语前听觉发育情况。本研究为回顾性设计。共纳入103例语前重度感音神经性听力损失患儿。根据人工耳蜗植入年龄,将所有参与者分为1 - 2岁、>2 - 3岁、>3 - 4岁和>4 - 5岁四组。采用混合线性模型分析植入前(或开机时)以及植入后3、6、12个月时的IT - MAIS/MAIS评分(总分、声音察觉评分和声音识别评分)。随着时间延长,四组患儿人工耳蜗植入后IT - MAIS/MAIS评分均显著提高(<0.01)。开机后,四个不同植入年龄组在总分、声音察觉评分和声音识别评分方面无显著差异(>0.05)。随着康复时间的延长,人工耳蜗植入受者的整体听觉、声音察觉和声音识别能力在正常听力小儿中呈现出相似的上升趋势,四组之间无显著差异(>0.05)。1至5岁接受人工耳蜗植入的小儿语前听觉能力在植入后的第一年内有显著发展。此外,植入年龄对植入手术后的早期语前听觉能力无明显影响。