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A Prospective Longitudinal Study of U.S. Children Unable to Achieve Open-Set Speech Recognition 5 Years After Cochlear Implantation

Overview
Journal Otol Neurotol
Date 2015 Feb 21
PMID 25700015
Citations 13
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Abstract

Objective: To identify characteristics associated with the inability to progress to open-set speech recognition in children 5 years after cochlear implantation.

Study Design: Prospective, longitudinal, and multidimensional assessment of auditory development for 5 years.

Setting: Six tertiary cochlear implant (CI) referral centers in the United States.

Patients: Children with severe-to-profound hearing loss who underwent implantation before age 5 years enrolled in the Childhood Development after Cochlear Implantation study, categorized by level of speech recognition ability.

Intervention(s): Cochlear implantation before 5 years of age and annual assessment of emergent speech recognition skills.

Main Outcome Measure(s): Progression to open-set speech recognition by 5 years after implantation.

Results: Less functional hearing before implantation, older age at onset of amplification, lower maternal sensitivity to communication needs, minority status, and complicated perinatal history were associated with the inability to obtain open-set speech recognition by 5 years.

Conclusion: Characteristics of a subpopulation of children with CIs associated with an inability to achieve open-set speech recognition after 5 years of CI experience were investigated. These data distinguish pediatric CI recipients at risk for poor auditory development and highlight areas for future interventions to enhance support of early implantation.

Citing Articles

Social Determinants of Health and Language and Academic Outcomes in Pediatric Cochlear Implantation: A Systematic Review and Meta-Analysis.

Mueller L, Adkins D, Kao A, Munyemana M, Kallogjeri D, Lieu J JAMA Otolaryngol Head Neck Surg. 2024; 151(1):29-38.

PMID: 39541141 PMC: 11565371. DOI: 10.1001/jamaoto.2024.3564.


Electrically evoked late latency response using single electrode stimulation and its relation to speech perception among paediatric cochlear implant users.

Saravanan P, Devi N, Geetha C Front Hum Neurosci. 2024; 18:1441854.

PMID: 39345947 PMC: 11427271. DOI: 10.3389/fnhum.2024.1441854.


Cochlear Health and Cochlear-implant Function.

Schvartz-Leyzac K, Colesa D, Swiderski D, Raphael Y, Pfingst B J Assoc Res Otolaryngol. 2023; 24(1):5-29.

PMID: 36600147 PMC: 9971430. DOI: 10.1007/s10162-022-00882-y.


and Mutations in Non-Syndromic Childhood Hearing Impairment in Ghana.

Adadey S, Manyisa N, Mnika K, de Kock C, Nembaware V, Quaye O Front Genet. 2019; 10:841.

PMID: 31620164 PMC: 6759689. DOI: 10.3389/fgene.2019.00841.


Morphological Accuracy in the Speech of Bimodal Bilingual Children with CIs.

Goodwin C, Lillo-Martin D J Deaf Stud Deaf Educ. 2019; 24(4):435-447.

PMID: 31063195 PMC: 6786513. DOI: 10.1093/deafed/enz019.


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