Unit of Hearing, Speech and Balance, Department of Otorhinolaryngology, School of Medicine, Dokuz Eylül University, İzmir, Turkey
Department of Assessment and Evaluation in Education, School of Medicine, Ege University, İzmir, Turkey
Turk J Med Sci. 2020 Jun 23;50(4):1062-1068. doi: 10.3906/sag-1910-233.
BACKGROUND/AIM: The aim of this study was to determine the age-related latency interval of P1 latencies of children with normal hearing, and to evaluate the P1 latency changes after surgery in children who underwent cochlear implantation.
We evaluated 60 children with normal hearing and 16 children with cochlear implants aged 0–6 years using cortical auditory evoked potentials. P1 latencies were measured only once in the children with normal hearing, and on the postoperative first day, and the first, third, and sixth postoperative months in the children with cochlear implants.
There was a statistically significant decrease in the P1 latencies as the age increased in children with normal hearing (P < 0.001). It was determined that when the external partof the cochlear implant was applied, the P1 latencies of children with cochlear implants were significantly longer than those of age-matched children with normal hearing (P < 0.001). This difference disappeared in 10 children with implants at the third and sixth months, but significant differences remained in 6 children.
P1 latency could be used as an objective tool to evaluate the normal development of auditory pathways, and may be helpful in the effective programming of children undergoing cochlear implantation.
背景/目的:本研究旨在确定正常听力儿童 P1 潜伏期的年龄相关潜伏期,并评估接受人工耳蜗植入术儿童手术后 P1 潜伏期的变化。
我们使用皮质听觉诱发电位评估了 60 名正常听力儿童和 16 名人工耳蜗植入儿童,年龄为 0-6 岁。正常听力儿童仅测量一次 P1 潜伏期,而人工耳蜗植入儿童则在术后第 1 天、第 1、3 和第 6 个月测量。
正常听力儿童的 P1 潜伏期随年龄增长呈统计学显著下降(P<0.001)。当人工耳蜗植入的外部部分应用时,植入人工耳蜗的儿童的 P1 潜伏期明显长于年龄匹配的正常听力儿童(P<0.001)。这种差异在 10 名植入者的第 3 和第 6 个月消失,但在 6 名儿童中仍存在显著差异。
P1 潜伏期可作为评估听觉通路正常发育的客观工具,并可能有助于对接受人工耳蜗植入的儿童进行有效的编程。