Department of Otorhinolaryngology-Head and Neck Surgery, Faculty of Medicine, Universiti Kebangsaan Malaysia (UKM), Kuala Lumpur, Malaysia; Hospital Canselor Tuanku Muhriz, Jalan Yaacob Latif, Bandar Tun Razak, Kuala Lumpur, Malaysia; Center of Ear, Hearing and Speech (HEARS), Faculty of Health Sciences, Universiti Kebangsaan Malaysia (UKM), Kuala Lumpur, Malaysia.
Department of Otorhinolaryngology-Head and Neck Surgery, Faculty of Medicine, Universiti Kebangsaan Malaysia (UKM), Kuala Lumpur, Malaysia; Hospital Canselor Tuanku Muhriz, Jalan Yaacob Latif, Bandar Tun Razak, Kuala Lumpur, Malaysia.
Braz J Otorhinolaryngol. 2024 Jul-Aug;90(4):101423. doi: 10.1016/j.bjorl.2024.101423. Epub 2024 Mar 21.
To determine the benefits of cochlear implantation in hearing loss children with multiple disabilities (MD) in terms of auditory outcomes, speech performance, and their quality of life.
This was a cross sectional study from January 2019 to December 2020 in which thirty-one children with hearing loss and multiple disabilities were evaluated. Their improvement in auditory and speech performances were assessed using Categories of Auditory Performance version II (CAP-II) and the Speech Intelligibility Rating (SIR) scales. The assessment was done at 6-month intervals, with the baseline evaluation done at least six months after activation of the implant. Parents were asked to fill the Parents Evaluation of Aural/Oral Performance of Children (PEACH) diary and Perceived Benefit Questionnaire (PBQ) to evaluate the child's quality of life.
All 31 children have Global Developmental Delay (GDD), with 11 having an additional disability. Both mean CAP-II and SIR scores showed significant improvement with increased hearing age (p < 0.05) after 6-month intervals. In addition, 20 out of 31 children (64.5%) have achieved verbal communication after implantation. The mean PEACH score in quiet was significantly better than in noise (p = 0.007) and improved with the increased of hearing age. The majority of parents (96%‒100%) perceived a cochlear implant as beneficial to their child in terms of auditory response, awareness, interaction, communication, and speech development.
Cochlear implantation had shown benefits in children with multiple disabilities. Outcome measures should not only focus on auditory and speech performances but the improvement in quality of life. Hence, individualized each case with realistic expectation from families must be emphasized in this group of children.
Level 3.
评估患有多重残疾（MD）的听力损失儿童在听力结果、言语表现及其生活质量方面接受人工耳蜗植入的益处。
这是一项 2019 年 1 月至 2020 年 12 月的横断面研究，其中评估了 31 名患有听力损失和多重残疾的儿童。使用听力表现类别 II（CAP-II）和言语可懂度评定（SIR）量表评估他们在听觉和言语表现方面的改善情况。评估每 6 个月进行一次，在植入物激活后至少 6 个月进行基线评估。要求家长填写儿童听觉/口语表现家长评估（PEACH）日记和感知益处问卷（PBQ），以评估孩子的生活质量。
所有 31 名儿童均存在全面发育迟缓（GDD），其中 11 名儿童存在其他残疾。在 6 个月间隔后，随着听力年龄的增加，CAP-II 和 SIR 的平均得分均显著提高（p < 0.05）。此外，31 名儿童中有 20 名（64.5%）在植入后实现了言语交流。在安静环境下，PEACH 评分均值显著优于噪声环境（p = 0.007），且随着听力年龄的增加而提高。大多数家长（96%‒100%）认为人工耳蜗植入在听觉反应、意识、互动、交流和言语发展方面对孩子有益。
人工耳蜗植入在患有多重残疾的儿童中显示出益处。评估结果不仅应关注听觉和言语表现，还应关注生活质量的改善。因此，必须强调在这组儿童中根据每个病例的情况并结合家庭的实际期望进行个体化评估。
3 级。
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