Department of Otolaryngology Head and Neck Surgery, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing, 100045, China.
Royal National Ear, Nose, Throat & Eastman Dental Hospitals, London, 110686, UK.
Int J Pediatr Otorhinolaryngol. 2023 Sep;172:111687. doi: 10.1016/j.ijporl.2023.111687. Epub 2023 Jul 22.
This study aimed to explore the correlation between the characteristics of cortical auditory evoked potential (CAEP) of children with cochlear implants (CIs) and auditory and speech rehabilitation performance by an objective evaluation technique and subjective auditory and speech skills measurements.
All participants were recruited from Beijing Children's Hospital, Beijing, China. 19 children with CIs had their responses to the CAEP and MMN recorded. The LittlEARs® Auditory Questionnaire (LEAQ), Categories of Auditory Performance (CAP), Speech Intelligibility Rating Scale (SIR), Infant-Toddler Meaningful Auditory Integration Scale (IT-MAIS), and Meaningful Use of Speech Scale (MUSS) measures were taken to assess the children's speech and hearing abilities.
P1 and MMN of CAEP were negatively related to the duration of CI usage. The duration of CI usage and scores of auditory-verbal assessment questionnaires all showed significant relationships. Additionally, scores of these questionnaires were significantly inversely associated with the latency of P1 and MMN.
P1 and MMN could be used as objective methods to evaluate the effectiveness of hearing and speech rehabilitation in children with CIs. In particular to those who cannot give effectively feedback of auditory and verbal effects, these methods might have a certain guiding significance.
本研究旨在通过客观评估技术和主观听觉及言语技能测量，探讨人工耳蜗植入儿童皮质听觉诱发电位（CAEP）特征与听觉和言语康复效果之间的相关性。
所有参与者均来自中国北京儿童医院。对 19 名人工耳蜗植入儿童的 CAEP 和 MMN 反应进行记录。采用 LittlEARs®听觉问卷（LEAQ）、听觉绩效分类（CAP）、言语可懂度评定量表（SIR）、婴幼儿有意义听觉整合量表（IT-MAIS）和言语有效使用量表（MUSS）来评估儿童的言语和听力能力。
CAEP 的 P1 和 MMN 与人工耳蜗使用时间呈负相关。人工耳蜗使用时间和听觉言语评估问卷的得分均显示出显著的相关性。此外，这些问卷的得分与 P1 和 MMN 的潜伏期呈显著负相关。
P1 和 MMN 可作为评估人工耳蜗植入儿童听力和言语康复效果的客观方法。对于那些无法有效反馈听觉和言语效果的患者，这些方法可能具有一定的指导意义。
