Massachusetts Eye and Ear Infirmary, Pediatric Otolaryngology, Boston, Massachusetts, USA.
Massachusetts General Hospital, Boston, MA, USA.
Otolaryngol Head Neck Surg. 2020 Sep;163(3):588-590. doi: 10.1177/0194599820915741. Epub 2020 Apr 14.
Poor language development in patients with sensorineural hearing loss (SNHL) may be related to an auditory deficit and/or other neurologic condition that influences the ability to communicate. A retrospective chart review of children (mean age = 4.0 years) with congenital, bilateral SNHL was performed to assess for linguistic and nonlinguistic neurodevelopmental differences between those who were language-impaired (LI) versus non-language-impaired (NLI). Language, neurodevelopmental functioning, and behavior were assessed. Twenty-two patients were identified: 12 were LI and 10 were NLI. Average pure-tone thresholds and nonverbal intelligence were not different between the language groups, but the LI group demonstrated significantly lower median overall adaptive skills, personal living skills, and motor skills. Behavioral dysregulation was significantly higher in the LI versus NLI group (58% vs 10%; = .031), although the median neurodevelopmental scores did not differ significantly. These findings introduce the possibility that nonlinguistic processing deficit(s) may be confounding the ability to develop language.
患者的语言发育不良可能与听觉缺陷和/或其他影响交流能力的神经状况有关。对患有先天性双侧感音神经性听力损失的儿童（平均年龄=4.0 岁）进行回顾性图表审查，以评估语言障碍（LI）与非语言障碍（NLI）患者之间的语言和非语言神经发育差异。评估了语言、神经发育功能和行为。确定了 22 名患者：12 名是 LI，10 名是 NLI。语言组之间的平均纯音阈值和非言语智力没有差异，但 LI 组的整体适应能力、个人生活技能和运动技能中位数明显较低。行为失调在 LI 组明显高于 NLI 组（58%比 10%； =.031），尽管神经发育评分中位数没有显著差异。这些发现表明，非语言处理缺陷可能会影响语言发展能力。
