Beijing Key Laboratory for Pediatric Diseases of Otolaryngology, Head and Neck Surgery, Department of Otolaryngology, Head and Neck Surgery, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, 100045, China.
Beijing Tongren Hospital, Capital Medical University, Key Laboratory of Otolaryngology Head and Neck Surgery (Capital Medical University), Ministry of Education, Beijing, China.
J Int Adv Otol. 2022 Jul;18(4):291-296. doi: 10.5152/iao.2022.21442.
To investigate the relationship between residual hearing and early auditory speech performance in Mandarin-speaking children with cochlear implants.
Twenty-four prelingually deaf children implanted with a cochlear implants participated in the study. Auditory performance and speech intelligibility were longitudinally evaluated by categories of auditory performance, infant-toddler meaningful auditory integration scale/ meaningful auditory integration scale, speech intelligibility rating, and meaningful use of speech scale. According to the postoperative pure tone average threshold, children were grouped as "better" and "worse" residual hearing.
Better hearing preservation was observed in 7 children (29.2%) and worse preservation in 17 children (70.8%). The scores of categories of auditory performance, infant-toddler meaningful auditory integration scale/meaningful auditory integration scale, speech intelligibility rating, and meaningful use of speech scalewere higher in children with better residual hearing. The residual hearing level was significantly associated with the performance of meaningful use of speech scale (P = .004), as well as the performance of speech intelligibility rating (P = .049).
The present study showed that children with better residual hearing exhibited advantages in the early auditory and speech out- comes. The study highlighted the effects of residual hearing on early auditory performance and speech intelligibility development in Mandarin- speaking children with cochlear implants.
探讨人工耳蜗植入的普通话儿童残余听力与早期言语感知表现的关系。
本研究纳入了 24 名语前聋植入人工耳蜗的儿童。通过类别听觉表现、婴幼儿意义听觉整合量表/意义听觉整合量表、言语可懂度评定和言语的有意义使用量表对听觉表现和言语清晰度进行了纵向评估。根据术后纯音平均听阈，患儿被分为“较好”残余听力组和“较差”残余听力组。
7 名儿童（29.2%）的听力保存较好，17 名儿童（70.8%）的听力保存较差。较好残余听力组的类别听觉表现、婴幼儿意义听觉整合量表/意义听觉整合量表、言语可懂度评定和言语的有意义使用量表的得分较高。残余听力水平与言语的有意义使用量表的表现显著相关（P =.004），也与言语可懂度评定的表现显著相关（P =.049）。
本研究表明，残余听力较好的儿童在早期听觉和言语表现方面具有优势。该研究强调了残余听力对人工耳蜗植入的普通话儿童早期听觉表现和言语清晰度发展的影响。
