Cochlear implantation in prelingually deafened children with residual hearing.

Abstract:

OBJECTIVE:The purpose of this study was to examine the speech perception skills of prelingually deafened French children with preoperative residual hearing who received multichannel cochlear implants. DESIGN:The design of the study incorporated a within-subject, repeated measures design for assessing speech perception skills. SETTING:Montpellier, Toulouse and Lyon Pediatric Cochlear Implant Centers. SUBJECTS:Seven prelingually deafened children demonstrating marginal benefit from conventional amplification prior to implantation with a Nucleus multichannel cochlear implant, served as subjects for the speech perception assessment (a speech recognition score less than 30% defines marginal benefit from acoustic amplification on open set materials). The mean age at implantation was 7 years, 9 months. OUTCOME MEASURES:Speech perception skills were assessed using open set materials and the MUSS and MAIS questionnaires. RESULTS:Open-set speech recognition averaged 21.4% before implantation, and 83.6% after 1 year's cochlear implant experience. All children demonstrated an open-set score over 60% after 12 months of CI use. MAIS test scores averaged 18.1/40 before implantation and 35.1/40 after 9 months of CI use. MUSS test scores averaged 24.4/40 before implantation and 34.1/40 after 9 months of CI use. CONCLUSIONS:Cochlear implantation should be considered for prelingually hearing impaired children demonstrating marginal benefit from hearing aids, with a speech recognition score less than 30% on open set materials, in order to improve their speech discrimination skills.

authors

Mondain M,Sillon M,Vieu A,Levi A,Reuillard-Artieres F,Deguine O,Fraysse B,Cochard N,Truy E,Uziel A

doi

10.1016/s0165-5876(01)00638-3

subject

Has Abstract

pub_date

2002-04-25 00:00:00

pages

91-7

issue

2

eissn

0165-5876

issn

1872-8464

pii

S0165587601006383

journal_volume

63

pub_type

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