Mesallam Tamer A, Yousef Medhat, Almasaad Ayna
Department of Otolaryngology, Head and Neck Surgery, King Saud University, Riyadh, Saudi Arabia.
Research Chair of Voice, Swallowing, and Communication Disorders, ENT Department, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Eur Arch Otorhinolaryngol. 2019 Jan;276(1):49-55. doi: 10.1007/s00405-018-5184-0. Epub 2018 Oct 27.
Cochlear implantation (CI) in children with additional disabilities can be a fundamental and supportive intervention. Although, there may be some positive impacts of CI on children with multiple disabilities such as better outcomes of communication skills, development, and quality of life, the families of those children complain from the post-implant habilitation efforts that considered as a burden.
To investigate the outcomes of CI children with different co-disabilities through using the Meaningful Auditory Integration Scale (MAIS) and the Meaningful Use of Speech Scale (MUSS) as outcome measurement tools.
The study sample comprised 25 hearing-impaired children with co-disability who received cochlear implantation. Age and gender-matched control group of 25 cochlear-implanted children without any other disability has been also included. The participants' auditory skills and speech outcomes were assessed using MAIS and MUSS tests.
There was a statistically significant difference in the different outcomes measure between the two groups. However, the outcomes of some multiple disabilities subgroups were comparable to the control group. Around 40% of the participants with co-disabilities experienced advancement in their methods of communication from behavior to oral mode.
Cochlear-implanted children with multiple disabilities showed variable degrees of auditory and speech outcomes. The degree of benefits depends on the type of the co-disability. Long-term follow-up is recommended for those children.
对患有其他残疾的儿童进行人工耳蜗植入（CI）可能是一种根本性的支持性干预措施。尽管人工耳蜗植入对患有多种残疾的儿童可能有一些积极影响，如沟通技能、发育和生活质量方面有更好的结果，但这些儿童的家庭抱怨植入后的康复训练工作是一种负担。
通过使用有意义听觉整合量表（MAIS）和言语有意义使用量表（MUSS）作为结果测量工具，调查患有不同合并残疾的人工耳蜗植入儿童的结果。
研究样本包括25名接受人工耳蜗植入的合并残疾的听力受损儿童。还纳入了年龄和性别匹配的25名无任何其他残疾的人工耳蜗植入儿童作为对照组。使用MAIS和MUSS测试评估参与者的听觉技能和言语结果。
两组之间在不同的结果测量方面存在统计学上的显著差异。然而，一些合并多种残疾的亚组的结果与对照组相当。约40%的合并残疾参与者的沟通方式从行为模式发展到口语模式。
患有多种残疾的人工耳蜗植入儿童表现出不同程度的听觉和言语结果。受益程度取决于合并残疾的类型。建议对这些儿童进行长期随访。
