Evaluation of the Curative Effect after Cochlear Implantation in Children and Adolescents

CHEN Xin-yu; CUI Zhong-tao; CAI Xun-gong; ZHOU Bin

doi:10.3969/j.issn.1672-4933.2023.05.010

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Evaluation of the Curative Effect after Cochlear Implantation in Children and Adolescents

Preoperative Evaluation and Postoperative Outcome Assessment of Cochlear Implant | 更新时间：2023-11-03

- Evaluation of the Curative Effect after Cochlear Implantation in Children and Adolescents
- Chinese Scientific Journal of Hearing and Speech Rehabilitation Vol. 21, Issue 5, Pages: 489-491(2023)
- 作者机构：
  
  哈尔滨医科大学附属第四医院耳鼻咽喉科哈尔滨 150001
- 作者简介：
- 基金信息：
- DOI：10.3969/j.issn.1672-4933.2023.05.010
  CLC：
- Published：15 September 2023，
  
  Received：01 July 2023，
- 稿件说明：
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陈薪羽,崔忠涛,蔡勋功等.儿童及青少年人工耳蜗植入术后疗效影响因素分析[J].中国听力语言康复科学杂志,2023,21(05):489-491.

CHEN Xin-yu,CUI Zhong-tao,CAI Xun-gong,et al.Evaluation of the Curative Effect after Cochlear Implantation in Children and Adolescents[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2023,21(05):489-491.
陈薪羽,崔忠涛,蔡勋功等.儿童及青少年人工耳蜗植入术后疗效影响因素分析[J].中国听力语言康复科学杂志,2023,21(05):489-491. DOI： 10.3969/j.issn.1672-4933.2023.05.010.

CHEN Xin-yu,CUI Zhong-tao,CAI Xun-gong,et al.Evaluation of the Curative Effect after Cochlear Implantation in Children and Adolescents[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2023,21(05):489-491. DOI： 10.3969/j.issn.1672-4933.2023.05.010.

摘要

目的

评估儿童和青少年人工耳蜗植入术后听觉和言语感知发展，探讨哪些因素与预测术后效果有关。

方法

选取128名儿童和青少年，均为语前双侧重度感音神经性听力损失。收集所有受试者术后听觉言语情况，以及植入年龄、人工耳蜗使用时间、受试者接受的教育系统及家长文化水平。以听觉感知类别（CAP）和语言清晰度（SIR）结果测量康复效果。

结果

①植入年龄越小，预后越好；②听觉表现和语言清晰度在术后2年趋于平稳；③在主流学校就读的学生较聋哑学校学生预后更好。

结论

语前聋儿童及青少年人工耳蜗植入年龄、使用人工耳蜗的时间、接受的教育系统是评估言语预后结果的相关因素。

Abstract

Objective

To evaluate the development of auditory and speech perception in children and adolescents after cochlear implantation and to determine which factors are associated with predicting postoperative outcome.

Method

128 children and adolescents participated in this study. All subjects had prelingual bilateral severe sensorineural hearing loss. Postoperative auditory and speech performance was collected for all subjects

as well as age at implantation

duration of cochlear implant use

educational system received by the subject

and primary parent's literacy level. The categorical auditory performance (CAP) and speech intelligibility rating (SIR) were used as outcome measures.

Results

The younger the implantation age was

the better the prognosis; Auditory performance and speech articulation tended to be stable two years after surgery; Patients who attended mainstream schools had a better prognosis than those who attended deaf schools.

Conclusion

The age of cochlear implantation in children and adolescents with prelingual deafness

the duration of cochlear implant use and the educational system the patient receives are all relevant factors in assessing the prognostic outcome of speech.

关键词

语前聋人工耳蜗植入效果预测

Keywords

Prelingual deafnessCochlear implantationOutcome predictors

references

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许京菁,王利,乔国庆,等.家庭支持教育对学龄前人工耳蜗植入儿童言语能力提升的影响[J]. 中国听力语言康复科学杂志, 2022, 20(6): 458-460.

张标新,邱建新,虞银香,等.不同家庭状况学龄前人工耳蜗植入儿童术后康复效果分析[J]. 听力学及言语疾病杂志, 2016, 24(4): 390-392.

Karltorp E, Eklöf M, Östlund E, et al. Cochlear implants before 9 months of age led to more natural spoken language development without increased surgical risks [J]. Acta Paediatr, 2020, 109(2): 332-341.

程佳佳,陈雪清,刘博,等.植入年龄对婴幼儿人工耳蜗患者早期听力发育的影响[J]. 临床耳鼻咽喉头颈外科杂志, 2012, 26(13): 595-597.

陈雪清,程佳佳,刘博,等.植入年龄对婴幼儿人工耳蜗植入患者早期言语可懂度的影响[J]. 中国耳鼻咽喉头颈外科, 2012, 19(10): 529-531.

Lyu J, Kong Y, Xu TQ, et al. Long-term follow-up of auditory performance and speech perception and effects of age on cochlear implantation in children with pre-lingual deafness [J]. Chin Med J (Engl), 2019, 132(16): 1925-1934.

Wie OB, Torkildsen JVK, Schauber S, et al. Long-Term Language Development in Children With Early Simultaneous Bilateral Cochlear Implants [J]. Ear Hear, 2020, 41(5): 1294-1305.

卢星,王斌,宋凡,等.人工耳蜗植入儿童术后长期言语识别及语言理解表达能力研究 [J]. 听力学及言语疾病杂志, 2023, 31(2): 138-143.

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