Korean Journal of Otorhinolaryngology-Head and Neck Surgery

Korean Society of Otolaryngology-Head and Neck Surgery (대한이비인후과학회)
권호 표지
DOI QR코드

DOI QR Code

Speech Perception and Language Outcome in Congenitally Deaf Children Receiving Cochlear Implants in the First Year of Life

생후 12개월 이전에 인공와우이식을 받은 선천성 농 아동의 말지각과 언어능력

  • Jeong, Sung Wook (Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Dong-A University) ;
  • Seo, Ji-Won (Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Dong-A University) ;
  • Boo, Sung-Hyun (Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Dong-A University) ;
  • Kim, Lee-Suk (Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Dong-A University)
  • 정성욱 (동아대학교 의과대학 이비인후-두경부외과학교실) ;
  • 서지원 (동아대학교 의과대학 이비인후-두경부외과학교실) ;
  • 부성현 (동아대학교 의과대학 이비인후-두경부외과학교실) ;
  • 김리석 (동아대학교 의과대학 이비인후-두경부외과학교실)
  • Received : 2018.03.09
  • Accepted : 2018.06.18
  • Published : 2018.12.25
⟨ Previous Next ⟩

Abstract

Background and Objectives The objective of this study was to examine the effect of early cochlear implantation (CI) performed in infants less than 12 months of age. Subjects and Method Twenty-five children who received their first CI before 12 months of age were included in this study (infant group). The speech perception and language outcomes of these children were compared with those of 14 children who received their first CI between 13 and 24 months of age (older group). All children received sequential bilateral CI with the inter-stage interval of less than 2 years. Speech perception was measured using Categories of Auditory Performance, monosyllabic word test and sentence test, and language ability was measured using Sequenced Language Scale for Infants, Preschool Receptive-Expressive Language Scale, or Receptive & Expressive Vocavulary Test, depending on the age at the time of testing. Results There were no significant differences in speech perception abilities between the infant group and the older group. The mean expressive language score of infant group was higher than that of the older group, but the difference was not statistically significant. However, the receptive language score of infant group was significantly higher than that of the older group. Conclusion Children who received CI before 12 months of age achieved better receptive language ability than those who received it after 12 months of age. Thus CI should be performed as early as before 12 months of age to achieve better language ability.

Keywords

Acknowledgement

Supported by : Dong-A University

References

  1. Kisilevsky BS, Low JA. Human fetal behavior: 100 years of study. Dev Rev 1998;18(1):1-29. https://doi.org/10.1006/drev.1998.0452
  2. Sininger YS, Doyle KJ, Moore JK. The case for early identification of hearing loss in children. Auditory system development, experimental auditory deprivation, and development of speech perception and hearing. Pediatr Clin North Am 1999;46(1):1-14. https://doi.org/10.1016/S0031-3955(05)70077-8
  3. Tait M, De Raeve L, Nikolopoulos TP. Deaf children with cochlear implants before the age of 1 year: comparison of preverbal communication with normally hearing children. Int J Pediatr Otorhinolaryngol 2007;71(10):1605-11. https://doi.org/10.1016/j.ijporl.2007.07.003
  4. Birman C. Cochlear implant surgical issues in the very young child. Cochlear Implants Int 2009;10 Suppl 1:19-22. https://doi.org/10.1002/cii.380
  5. Dettman SJ, Pinder D, Briggs RJ, Dowell RC, Leigh JR. Communication development in children who receive the cochlear implant younger than 12 months: risks versus benefits. Ear Hear 2007;28(2 Suppl):11S-8S. https://doi.org/10.1097/AUD.0b013e31803153f8
  6. Lee DS, Lee JS, Oh SH, Kim SK, Kim JW, Chung JK, et al. Cross-modal plasticity and cochlear implants. Nature 2001;409(6817):149-50.
  7. Fujiwara K, Naito Y, Senda M, Mori T, Manabe T, Shinohara S, et al. Brain metabolism of children with profound deafness: a visual language activation study by 18F-fluorodeoxyglucose positron emission tomography. Acta Otolaryngol 2008;128(4):393-7. https://doi.org/10.1080/00016480701714335
  8. Leigh J, Dettman S, Dowell R, Briggs R. Communication development in children who receive a cochlear implant by 12 months of age. Otol Neurotol 2013;34(3):443-50. https://doi.org/10.1097/MAO.0b013e3182814d2c
  9. Nicholas JG, Geers AE. Spoken language benefits of extending cochlear implant candidacy below 12 months of age. Otol Neurotol 2013;34(3):532-8. https://doi.org/10.1097/MAO.0b013e318281e215
  10. Holman MA, Carlson ML, Driscoll CL, Grim KJ, Petersson RS, Sladen DP, et al. Cochlear implantation in children 12 months of age and younger. Otol Neurotol 2013;34(2):251-8. https://doi.org/10.1097/MAO.0b013e31827d0922
  11. Tajudeen BA, Waltzman SB, Jethanamest D, Svirsky MA. Speech perception in congenitally deaf children receiving cochlear implants in the first year of life. Otol Neurotol 2010;31(8):1254-60. https://doi.org/10.1097/MAO.0b013e3181f2f475
  12. Ching TY, Dillon H, Day J, Crowe K, Close L, Chisholm K, et al. Early language outcomes of children with cochlear implants: interim findings of the NAL study on longitudinal outcomes of children with hearing impairment. Cochlear Implants Int 2009;10 Suppl 1:28-32. https://doi.org/10.1179/cim.2009.10.Supplement-1.28
  13. Colletti L, Mandala M, Zoccante L, Shannon RV, Colletti V. Infants versus older children fitted with cochlear implants: performance over 10 years. Int J Pediatr Otorhinolaryngol 2011;75(4):504-9. https://doi.org/10.1016/j.ijporl.2011.01.005
  14. Colletti L, Mandala M, Colletti V. Cochlear implants in children younger than 6 months. Otolaryngol Head Neck Surg 2012;147(1):139-46. https://doi.org/10.1177/0194599812441572
  15. Holt RF, Svirsky MA, Neuburger H, Miyamoto RT. Age at implantation and communicative outcome in pediatric cochlear implant users: is younger always better? Int Congr Ser 2004;1273:368-71. https://doi.org/10.1016/j.ics.2004.08.043
  16. Holt RF, Svirsky MA. An exploratory look at pediatric cochlear implantation: is earliest always best? Ear Hear 2008;29(4):492-511. https://doi.org/10.1097/AUD.0b013e31816c409f
  17. Bruijnzeel H, Ziylan F, Stegeman I, Topsakal V, Grolman W. A systematic review to define the speech and language benefit of early (<12 months) pediatric cochlear implantation. Audiol Neurootol 2016;21(2):113-26. https://doi.org/10.1159/000443363
  18. Johr M, Ho A, Wagner CS, Linder T. Ear surgery in infants under one year of age: its risks implications for cochlear implant surgery. Otol Neurotol 2008;29(3):310-3. https://doi.org/10.1097/MAO.0b013e3181661866
  19. Kang MY, Jeong SW, Kim LS. Changes in the hearing thresholds of infants who failed the newborn hearing screening test and in infants treated in the neonatal intensive care unit. Clin Exp Otorhinolaryngol 2012;5 Suppl 1:S32-6. https://doi.org/10.3342/ceo.2012.5.S1.S32
  20. Yeh JS, Mooney KL, Gingrich K, Kim JT, Lalwani AK. Anesthetic complications in pediatric patients undergoing cochlear implantation. Laryngoscope 2011;121(10):2240-4. https://doi.org/10.1002/lary.21924
  21. Cohen MM, Cameron CB, Duncan PG. Pediatric anesthesia morbidity and mortality in the perioperative period. Anesth Analg 1990;70(2):160-7. https://doi.org/10.1213/00000539-199002001-00160
  22. Valencia DM, Rimell FL, Friedman BJ, Oblander MR, Helmbrecht J. Cochlear implantation in infants less than 12 months of age. Int J Pediatr Otorhinolaryngol 2008;72(6):767-73. https://doi.org/10.1016/j.ijporl.2008.02.009
  23. Roland JT Jr, Cosetti M, Wang KH, Immerman S, Waltzman SB. Cochlear implantation in the very young child: long-term safety and efficacy. Laryngoscope 2009;119(11):2205-10. https://doi.org/10.1002/lary.20489

Cited by

  1. The Influence of Early Hearing-Aid Use on Receptive Vocabulary and Phonological Processing Skills in Children with Cochlear Implants vol.26, pp.1, 2018, https://doi.org/10.12963/csd.21784