Yildirim Gökay Nuriye, Gündüz Bülent, Karamert Recep, Tutar Hakan
Department of Audiology, Faculty of Health Sciences, Gazi University, Ankara, Turkey.
Department of Otorhinolaryngology, Faculty of Medicine, Gazi University, Ankara, Turkey.
Am J Audiol. 2025 Mar 3;34(1):29-36. doi: 10.1044/2024_AJA-24-00168. Epub 2024 Nov 7.
This study aims to evaluate the effect of auditory neuropathy spectrum disorder (ANSD) on postoperative auditory perception and listening difficulties in pediatric cochlear implant (CI) recipients.
The Children's Auditory Perception Test (CAPT) assesses auditory perception skills, and the Children's Home Inventory of Listening Difficulties (CHILD) Scale evaluates daily listening difficulties. The study involved pediatric CI recipients ( = 40) aged between 5 and 7 years, with and without diagnosis of ANSD. The research ensured homogeneity across various factors, including chronological age, age at diagnosis, age at initial implantation, bilateral simultaneous surgery, etiologies of hearing loss, and family education level.
The findings have demonstrated that children without ANSD exhibited better performance in integrating visual-auditory stimuli and overall listening performance, distant sound source scores, and noisy environment scores (respectively = .047, = .001, = .028, and = .010). Additionally, children with better speech perception also have a better ability to integrate audiovisual stimuli ( = .005, = .438).
There are significant differences in postoperative listening skills and auditory perceptions between children with and without an ANSD who have CIs. Accordingly, children without an ANSD perform better.
本研究旨在评估听觉神经病谱系障碍（ANSD）对小儿人工耳蜗（CI）植入受者术后听觉感知及听力困难的影响。
儿童听觉感知测试（CAPT）用于评估听觉感知技能，儿童家庭听力困难量表（CHILD）用于评估日常听力困难。该研究纳入了年龄在5至7岁之间、诊断为或未诊断为ANSD的小儿CI植入受者（n = 40）。研究确保了各因素的同质性，包括实际年龄、诊断年龄、初次植入年龄、双侧同期手术、听力损失病因及家庭教育水平。
研究结果表明，未患ANSD的儿童在整合视听觉刺激及整体听力表现、远距离声源得分和嘈杂环境得分方面表现更好（分别为p = .047、p = .001、p = .028和p = .010）。此外，言语感知能力较好的儿童整合视听刺激的能力也更强（p = .005，p = .438）。
患有和未患ANSD的CI植入儿童在术后听力技能和听觉感知方面存在显著差异。因此，未患ANSD的儿童表现更佳。
