Factors Affecting the Development of Speech in Children After Cochlear Implant
DOI:
https://doi.org/10.51253/pafmj.v74i2.9375Keywords:
Children, Cochlear Implantation, Pre-Lingual Deafness, Speech intelligibilityAbstract
Objective: To determine the odds of different factors for developing poor speech intelligibility in pre-lingually deaf children who have undergone cochlear implantation.
Study Design: Case-control study.
Place and Duration of Study: Department of ENT, Combined Military Hospital, Rawalpindi Pakistan, Jan 2020 to Aug 2022.
Methodology: This study was based on a sample of 60 patients: 30 cases with cochlear implants placed before two years of age, with a total time of using a cochlear implant of ≥1 year, and 30 controls. Both groups consisted of both genders aged between 3 and 12 years. All patients underwent assessment using the Speech Intelligibility Rating system and were documented for var-ious factors influencing speech development.
Results: The mean age of the sample at the time of the study was 6.37±3.17 years. A total of 34(56.7%) participants were male. Factors associated with poorer speech outcomes were male gender (OR0.44[CI 95% 0.15–1.30]), no peers in the household (OR 0.53 [CI 95% 0.15–1.84]), higher maternal literacy (OR 0.42[CI 95% 0.13–1.30]). Factors associated with improved speech devel-opment included primarily oral form of communication (OR 2.14[CI 95%0.41–11.17]), less than one-year age at implantation (OR 1.29 [CI 95% 0.24–6.96]), a total duration of speech therapy less than two years (OR 1.70[CI 95% 0.32–8.74]) and the pres-ence of unilateral implants, (OR 6.33[CI 95% 1.00–40.07]).
Conclusion: Earlier cochlear implantation with frequent verbal skill exercise appears essential to developing good speech in-telligibility in pre-lingually deaf children. Keywords: Children, Cochlear Implantation, Pre-Lingual Deafness, Speech intelligibility
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Raza SH, Waris R, Akhtar S, Riaz R. Precochlear Implant Assessment: Clinical Profile and Family History of Children with Severe Bilateral Prelingual Hearing Loss. Int Arch Otorhinolaryngol 2020; 24(4): e457-461.https://doi.org/10.1055/s-0039-3402442.
Satterfield-Nash A, Umrigar A, Lanzieri TM. Etiology of Prelingual Hearing Loss in the Universal Newborn Hearing Screening Era: A Scoping Review. Otolaryngol Head Neck Surg 2020; 163(4): 662-670.https://doi.org/10.1177/0194599820921870.
Renauld JM, Basch ML. Congenital Deafness and Recent Advances Towards Restoring Hearing Loss. Curr Protoc 2021; 1(3): e76. https://doi.org/10.1002/cpz1.76.
Anastasiadou S, Al Khalili Y. Hearing Loss. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2022.
Young A, Ng M. Genetic Hearing Loss. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2022.
Jallu AS, Hussain T, Hamid WU, Pampori RA. Prelingual Deafness: An Overview of Treatment Outcome. Indian J Otolaryngol Head Neck Surg 2019; 71(Suppl 2): 1078-1089.
https://doi.org/10.1007/s12070-017-1181-7.
Deep NL, Dowling EM, Jethanamest D, Carlson ML. Cochlear Implantation: An Overview. J Neurol Surg B Skull Base 2019; 80(2): 169-177. https://doi.org/10.1055/s-0038-1669411.
Naples JG, Ruckenstein MJ. Cochlear Implant. Otolaryngol Clin North Am 2020; 53(1): 87-102.
https://doi.org/10.1016/j.otc.2019.09.004.
Sharma SD, Cushing SL, Papsin BC, Gordon KA. Hearing and speech benefits of cochlear implantation in children: A review of the literature. Int J Pediatr Otorhinolaryngol 2020; 133(1): 109984. https://doi.org/10.1016/j.ijporl.2020.109984.
Long GC, Umat C, Din NC. Socio-Emotional Development of Children with Cochlear Implant: A Systematic Review. Malays J Med Sci 2021; 28(5): 10-33.
https://doi.org/10.21315/mjms2021.28.5.2.
Nassar JF, Kaddah FA, Abdelhamid A, Taha HM. Variables affecting speech intelligibility in prelingual Arabic speaking cochlear-implanted children. Egypt J Otolaryngol 2015; 31(1): 54–60. https://doi.org/10.4103/1012-5574.152710.
Van Riper C. Speech correction. In: Principles and methods. 4th Edition. Englewood Cliffs, NJ: Prentice-Hall; 1963.
Allen MC, Nikolopoulos TP, O’Donoghue GM. Speech intelligibility in children after cochlear implantation. Am J Otol 1998; 19(6): 742-746.
Krogmann RJ, Al Khalili Y. Cochlear Implants. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2022.
Geers AE, Nicholas JG, Moog JS. Estimating the Influence of Cochlear Implantation on Language Development in Children. Audiol Med 2007; 5(4): 2 62-273.
https://doi.org/10.1080/16513860701659404.
Adani S, Cepanec M. Sex differences in early communication development: behavioral and neurobiological indicators of more vulnerable communication system development in boys. Croat Med J 2019; 60(2): 141-149.
https://doi.org/10.3325/cmj.2019.60.141.
Yorgancılar AE, Sizer B. Evaluation of the language development of children with cochlear implant users living in a multilingual environment. Int J PediatrOtorhinolaryngol 2022; 152(1): 111007.
https://doi.org/10.1016/j.ijporl.2021.111007.
Sosa AV, Bunta F. Speech Production Accuracy and Variability in Monolingual and Bilingual Children With Cochlear Implants: A Comparison to Their Peers With Normal Hearing. J Speech Lang Hear Res 2019; 62(8): 2601-2616.
https://doi.org/10.1044/2019_JSLHR-S-18-0263.
Schafer E, Utrup A. The Effect of Age of Cochlear Implantation on Speech Intelligibility to Others. J Educ Audiol 2016; 22(1): 51-71.
Panda S, Sikka K, Singh V, Agarwal S, Kumar R, Thakar A, et al. Comprehensive Analysis of Factors Leading to Poor Per-formance in Prelingual Cochlear Implant Recipients. OtolNeurotol 2019; 40(6): 754-760.
https://doi.org/10.1097/MAO.0000000000002237.
Ganesh V, Ram B, Nandhan R, Kameswaran M. A Retrospective Clinical Audit of Outcomes of Cochlear Implantation in Children with Multiple Disabilities in Comparison with Normal Implantees: A South Indian Experience. Indian J Otolaryngol Head Neck Surg 2021; 73(2): 140-146.
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