Analysis of Long-Term Effect of Bimodal Intervention in Children with Hearing Loss

HUANG Mei-ping; LI Jin; YANG Lu; ZHOU Qian; LI Yun; HUANG Zhi-wu

doi:10.3969/j.issn.1672-4933.2023.02.004

您当前的位置：

首页 >

文章列表页 >

Analysis of Long-Term Effect of Bimodal Intervention in Children with Hearing Loss

Clinical Application and Remote Fitting of Hearing Aid | 更新时间：2023-05-22

- Analysis of Long-Term Effect of Bimodal Intervention in Children with Hearing Loss
- Chinese Scientific Journal of Hearing and Speech Rehabilitation Vol. 21, Issue 2, Pages: 125-129(2023)
- 作者机构：
  
  上海交通大学医学院附属第九人民医院耳鼻咽喉头颈外科上海 200012
- 作者简介：
- 基金信息：
- DOI：10.3969/j.issn.1672-4933.2023.02.004
  CLC：
- Published：15 March 2023，
  
  Received：24 June 2022，
- 稿件说明：
移动端阅览
黄美萍,李进,杨璐等.儿童听力障碍双模式干预远期效果分析[J].中国听力语言康复科学杂志,2023,21(02):125-129.

HUANG Mei-ping,LI Jin,YANG Lu,et al.Analysis of Long-Term Effect of Bimodal Intervention in Children with Hearing Loss[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2023,21(02):125-129.
黄美萍,李进,杨璐等.儿童听力障碍双模式干预远期效果分析[J].中国听力语言康复科学杂志,2023,21(02):125-129. DOI： 10.3969/j.issn.1672-4933.2023.02.004.

HUANG Mei-ping,LI Jin,YANG Lu,et al.Analysis of Long-Term Effect of Bimodal Intervention in Children with Hearing Loss[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2023,21(02):125-129. DOI： 10.3969/j.issn.1672-4933.2023.02.004.

摘要

目的

调查双侧极重度听力损失儿童双模式干预［一侧人工耳蜗植入（CI），一侧使用助听器（HA）］情况及影响因素，评估双模式干预（bimodal intervention ，BI）远期效果。

方法

招募术前诊断为双侧极重度听力损失，单侧植入CI且开机时间≥5年的儿童受试者，共103人（男63名，女40名），平均植入年龄1.5±0.6岁，平均开机时长8.3±2.6年，问卷调查术后对侧HA使用情况，包括术后对侧是否曾使用HA、未曾使用HA的原因、是否坚持使用HA等；选择目前对侧仍在坚持使用HA的11名受试者（男6名，女5名）作为实验组（BI组），平均植入年龄1.5±0.4岁，平均开机时长5.7±0.7年；并选择目前对侧不使用HA且对侧耳残余听力、CI开机时长、性别、年龄与BI组相匹配的11名受试者为对照组（CI组），植入年龄1.7±0.6岁，开机时长5.7±0.8年；采用中文版噪声言语测试材料分别对两组受试者进行了三种模式下（言语声固定来自于前方，噪声分别来自于前方、植入侧、非植入侧）噪声言语识别能力评估。

结果

问卷调查结果显示CI术后从未使用过HA的63人（61.17%），主要原因是HA效果不佳（50.79%）；曾使用过HA的40人（38.83%），目前仍坚持使用的仅有21人（20.39%），对侧坚持使用HA受试者双模式干预效果比单独使用CI整体效益平均可以提升27.62 %。噪声下言语识别能力测试结果显示三种模式下BI组的平均言语识别阈均低于CI组，但差异无统计学意义（

＞0.05）。

结论

双侧极重度听力损失儿童由于各种原因不能进行双侧CI时，建议单侧CI后对侧耳同时使用HA。对侧耳如无残余听力，HA受益可能有限。

Abstract

Objective

To investigate the bimodal intervention (cochlear implant (CI) on one side and hearing aid (HA) on the other side) in children with bilateral profound hearing loss (HL) and its influencing factors

and evaluate the long-term effect of bimodal intervention(BI).

Methods

103 children with preoperative diagnosis of bilateral profound HL

unilateral CI and the time of postactivation more than 5 years were recruited

including 63 males and 40 females. The average age of CI implantation was 1.5±0.6y and the average postactivation time was 8.3 ± 2.6y. To investigate the use of HA on the contralateral side after operation

including whether the contralateral ear had worn HA after operation

the reasons why they had not worn HA

and whether they insisted on wearing HA. A total of 11 cases who still insisted on wearing HA were taken as the experimental group (BI group). Another 11 cases without HA

with the matched residual hearing in the non-implanted ear

the experience of CI

gender and age

were taken as the control group (CI group). The mandarin hearing in noise test (M-HINT) was used to evaluate the speech recognition ability of subjects under noise. Three modes were set during the test: the fixed speech sound came from the front

and the noise came from the front

CI side and non-implant side respectively.

Results

63 patients (61.17%) never wore HA after CI

mainly due to the poor performance of HA (50.79%); 40 people (38.83%) had worn HA on the opposite side

and only 21 people (20.39%) still insist on wearing HA; For subjects who insisted on wearing HA

the average performance in BI modes was 27.62% higher than that in CI alone mode. The average speech recognition threshold of M-HINT in BI group was lower than that in CI group

but there was no significant difference between the two groups (

0.05).

Conclusion

For those children with bilateral profound HL

it is recommended to wear HA on the contralateral ear after unilateral CI when they cannot have bilateral CI due to various reasons. However

if there is no residual hearing on the contralateral ear

the benefits of HA may be limited.

关键词

双模式干预双侧极重度听力损失儿童远期效果

Keywords

Bimodal interventionBilateral profound hearing lossChildrenLong-term effect

references

Warren SE, Dunbar MN. Bimodal Hearing in Individuals with Severe-to-Profound Hearing Loss: Benefits, Challenges, and Management[J]. Semin Hear,2018 ,39(4):405-413.

Nilakantan A, Raj P, Saini S, et al. Early Speech Perception Test Outcome in Children with Severe Sensorineural Hearing Loss with Unilateral Cochlear Implants Alone versus Bimodal Stimulation[J]. Indian J Otolaryngol Head Neck Surg,2018 ,70(3):398-404.

Scherf FWA, Arnold LP. Exploring the clinical approach to the bimodal fitting of hearing aids and cochlear implants: results of an international survey[J].Acta Otolaryngol,2014,134(11):1151-1157.

Davidson LS, Geers AE, Uchanski RM, et al. Effects of Early Acoustic Hearing on Speech Perception and Language for Pediatric Cochlear Implant Recipients[J]. J Speech Lang Hear Res,2019,62(9):3620-3637.

Chen Y, Huang M, Li B, et al. Bimodal Stimulation in Children With Bilateral Profound Sensorineural Hearing Loss: A Suitable Intervention Model for Children at the Early Developmental Stage[J]. Otol Neurotol, 2020 ,41(10):1357-1362.

张宁,刘莎,徐娟娟,等. 儿童版普通话噪声下言语测试年龄特异性校准因子的建立[J]. 听力学及言语疾病杂志,2012,20(2):97-101.

Fielden CA, Kitterick PT. Contralateral acoustic hearing aid use in adult unilateral cochlear implant recipients: Current provision, practice, and clinical experience in the UK[J]. Cochlear Implants Int,2016 ,17(3):132-145.

Suneel D, Davidson LS, Lieu J. Self-reported hearing quality of life measures in pediatric cochlear implant recipients with bilateral input[J]. Cochlear Implants Int,2020 ,21(2):83-91.

Shpak T, Most T, Luntz M. Phoneme recognition in bimodal hearing[J]. Acta Otolaryngol, 2020 ,140(10):854-860.

Lotfi Y, Hasanalifard M, Moossavi A,et al. Binaural hearing advantages for children with bimodal fitting[J]. Int J Pediatr Otorhinolaryngol, 2019 ,121:58-63.

Views

107

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Guidance for Family Rehabilitation of 0～3 Years Old Children with Communication Disorders

The Improvement Effects of Digital Cognitive Intervention on Cognitive Ability of Children with Autism Spectrum Disorder

Research Progress of Game-based Rehabilitation in Children with Speech and Language Disorders

Online Teaching and Practice of Speech Rehabilitation for Children with Autism Spectrum Disorder

Related Author

MAO Li-juan

LIU Jing

ZHENG Tian-tian

SU Xing

LI Jia-xiao

GUO Yan-qing

LI Xue

CAI Zhao-na

Related Institution

宁夏残疾人康复中心

北京阿叟阿巴科技有限公司

北京大学第六医院/北京大学精神卫生研究所/国家卫生健康委员会精神卫生学重点实验室（北京大学）/国家精神心理疾病临床医学研究中心

华东师范大学教育学部康复科学系

浙江省宁波市康复医院

⁰