Kröger Stefanie, Aschendorff Antje, Glaubitz Cynthia, Kreibohm-Strauß Kerstin, Kronesser Dominique, Seebens Yvonne, Streicher Barbara, Overlach Fabian, Rother Stephanie, Beck Rainer
Klinik und Poliklinik für Hals-Nasen-Ohrenheilkunde, Sektion Implant Centrum Freiburg (ICF), Universitätsklinikum Freiburg, Medizinische Fakultät, Albert-Ludwigs-Universität Freiburg, Elsässerstraße 2n, 79110, Freiburg, Deutschland.
Hals-Nasen-Ohren-Klinik, Kopf- und Halschirurgie, CICERO Cochlear-Implant-Centrum, Uniklinikum Erlangen, FAU Erlangen-Nürnberg, Erlangen, Deutschland.
HNO. 2025 May;73(5):311-320. doi: 10.1007/s00106-024-01536-6. Epub 2024 Dec 10.
Age-appropriate speech development is a primary aim of the rehabilitation of children treated with cochlear implants (CI). Various assessment tools are available, including the speech development test for 2‑year-olds (SETK-2). All tests are normalized to normal-hearing children; additionally, results are evaluated according to age and the duration of CI (hearing age). The present study presents current practices and evaluates them as far as is possible.
In a multicentric retrospective study, 375 SETK‑2 datasets of congenitally deaf children treated with CI from five centers were included. All children had been treated before the fourth year of life, and the interval between treatment of the two sides was less than 12 months.
In the analyses according to age and hearing age, all subtests in the observed groups, with the exception of word comprehension, showed significantly worse results than the normative values. Isolated results demonstrated results similar to or even better than the normative values. The more complex the tested performance, the higher the proportion of conspicuous test results. The timepoint of implantation had no significant influence on test performance.
The SETK‑2 should be evaluated according to chronological age; otherwise, the progress of early speech development may be incorrectly assessed and interventions initiated too late. Moreover, evaluation according to hearing age disregards the child's cognitive skills.
适合年龄的言语发育是人工耳蜗（CI）治疗儿童康复的主要目标。有多种评估工具可供使用，包括2岁儿童言语发育测试（SETK - 2）。所有测试均针对听力正常儿童进行了标准化；此外，结果会根据年龄和CI使用时长（听力年龄）进行评估。本研究介绍了当前的做法并尽可能对其进行评估。
在一项多中心回顾性研究中，纳入了来自五个中心的375例接受CI治疗的先天性聋儿的SETK - 2数据集。所有儿童均在4岁前接受治疗，且双侧治疗间隔小于12个月。
在按年龄和听力年龄进行的分析中，观察组中除单词理解外的所有子测试结果均显著低于标准值。个别结果显示与标准值相似甚至更好。测试表现越复杂，明显异常的测试结果比例越高。植入时间对测试表现无显著影响。
SETK - 2应按实际年龄进行评估；否则，早期言语发育的进展可能会被错误评估，干预措施启动过晚。此外，按听力年龄进行评估会忽略儿童的认知技能。
