Rocha Larissa Veloso, Zabeu-Fernandes Julia Speranza, Neto Rubens Vuono de Brito, Morettin-Zupelari Marina, Lourençone Luiz Fernando Manzoni
Cochlear Implant Unit, Hospital de Reabilitação de Anomalias Craniofaciais, Universidade de São Paulo, Bauru, São Paulo, Brazil.
Faculdade de Medicina, Universidade de São Paulo, São Paulo, São Paulo, Brazil.
Int Arch Otorhinolaryngol. 2023 Aug 4;27(3):e487-e498. doi: 10.1055/s-0042-1750765. eCollection 2023 Jul.
Between 15% to 30% of individuals with bilateral prelingual sensorineural hearing loss present with associated disabilities. Cochlear implant (CI) is an alternative treatment that provides consistent access to environmental and speech sounds, which results in significant benefits regarding quality of life and auditory and language development. To study the auditory and communicative performance of individuals with CI and delayed neuropsychomotor development after a minimum of five years using the device. A total of eight patients were included in the study. We collected the multidisciplinary clinical records of participants, as well as the answers for the questionnaires applied remotely, which included the Children with Cochlear Implants: Parental Perspectives (CCIPP), International Classification of Functioning, Disability and Health: Children and Youth Version (ICF-CY), and the Gross Motor Function Classification System (GMFCS). We found that throughout the years of CI use, the auditory threshold means improved significantly in all tested frequencies, as did the speech detection threshold and the language and hearing results. Regarding parental perception, parents evaluated aspects related to their children's social relations to be positive, and had worse perceptions regarding aspects related to their education. We observed a progression in the participants' auditory and language skills throughout the years of CI use; even in the presence of other associated disabilities. Future multicentric studies with larger samples are needed to further the advancement of rehabilitation in patients with other associated disabilities.
15%至30%的双侧语前感音神经性听力损失患者伴有相关残疾。人工耳蜗植入（CI）是一种替代治疗方法，可让患者持续接收到环境声音和语音，从而在生活质量以及听觉和语言发育方面带来显著益处。 为了研究使用人工耳蜗至少五年后，伴有神经心理运动发育迟缓的人工耳蜗植入患者的听觉和交流表现。 该研究共纳入了八名患者。我们收集了参与者的多学科临床记录，以及通过远程方式填写的问卷答案，这些问卷包括《人工耳蜗植入儿童：家长观点》（CCIPP）、《国际功能、残疾和健康分类：儿童和青少年版》（ICF-CY）以及粗大运动功能分类系统（GMFCS）。 我们发现，在使用人工耳蜗的这些年里，所有测试频率的平均听觉阈值都有显著改善，言语检测阈值以及语言和听力结果也有显著改善。关于家长的看法，家长对与孩子社会关系相关的方面评价为积极，但对与孩子教育相关的方面看法较差。 在使用人工耳蜗的这些年里，我们观察到参与者的听觉和语言技能有所进步；即使存在其他相关残疾也是如此。未来需要开展更大样本量的多中心研究，以进一步推动其他相关残疾患者的康复进展。
