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Predictors of language and auditory skills in Egyptian children with a cochlear implant
The Egyptian Journal of Otolaryngology volume 31, pages170–175(2015)
The aim of this study was to investigate the prognostic factors contributing toward the comprehension and production of Arabic language as well as auditory abilities after cochlear implantation of Egyptian children.
Participants and methods
A total of 150 children with severe to profound sensory neural congenital hearing loss were implanted with multichannel cochlear implants. Children had received their implants 3 months to 2 years before the onset of the study. They had received their implants between the age range of 3 and 6 years. Tests of receptive, expressive language, and sets of auditory abilities were administered. Characteristics of the child and the family (age before implant and duration of implant use, preimplant use of hearing aids and language therapy, parents’ involvement in therapy, mode of communication at home, type of the implant, and geographic distribution) were considered the predictors. Predictors of total language and auditory abilities were determined using statistical analysis by univariate and multivariate analyses.
Some significant predictors of language and auditory skills in this study included duration of implant use, use of auditory mode of communication and parent interaction. There is a positive correlation between language age and both individual and total auditory abilities scores.
Prognostic factors for language and auditory abilities are useful in a rehabilitation program after cochlear implantation.
Niparko JK. Speech, language, and reading skills after early cochlear implantation. JAMA 2004; 291: 2378–2380.
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 (Suppl):11S–18SS.
Geers A, Tobey E, Moog J, Brenner C. Long-term outcomes of cochlear implantation in the preschool years: from elementary grades to high school. Int J Audiol 2008; 47:Suppl 2:S21–S21S30.
Holt RF, Svirsky MA. An exploratory look at pediatric cochlear implantation: is earliest always best?. Ear Hear 2008; 29: 492–511.
Nicholas JG, Geers AE. Will they catch up? The role of age at cochlear implantation in the spoken language development of children with severe to profound hearing loss. J Speech Lang Hear Res 2007; 50: 1048–1062.
Bradham T, Jones J. Cochlear implant candidacy in the United States: prevalence in children 12 months to 6 years of age. Int J Pediatr Otorhinolaryngol 2008; 72: 1023–1028.
McConkey Robbins A, Koch DB, Osberger MJ, Zimmerman-Phillips S, Kishon-Rabin L. Effect of age at cochlear implantation on auditory skill development in infants and toddlers. Arch Otolaryngol Head Neck Surg 2004; 130:570–574.
ASHA. Technical report: cochlear implants. Am J Speech Lang Pathol 2003; 24:1–35.
Esser-Leyding B, Anderson I. EARS® (Evaluation of Auditory Responses to Speech): an internationally validated assessment tool for children provided with cochlear implants. ORL J Otorhinolaryngol Relat Spec 2012; 74: 42–51.
Scoring of scale for measuring family socioeconomic status for health research in Egypt). Eastern Mediterranean Health Journal; Vol 18, No 9. 2012.
Meinzen-Derr J, Wiley S, Creighton J, Choo D. Auditory Skills Checklist: clinical tool for monitoring functional auditory skill development in young children with cochlear implants. Ann Otol Rhinol Laryngol 2007; 116: 812–818.
Kotby M, Khairy A, Baraka M, El-Shobarry A, Rifaie, N. Language testing of Arabic speaking children. Proceedings of the XXIII World Congress of the International Association of the Logopedics and Pediatrics; August 1995.
Nikolopoulos TP, O’Donoghue GM, Archbold S. Age at implantation: its importance in pediatric cochlear implantation. Laryngoscope 1999; 109: 595–599.
Miyamoto RT, Osberger MJ, Todd SL, Robbins AM, Stroer BS, Zimmerman-Phillips S, Carney AE. Variables affecting implant performance in children. Laryngoscope 1994; 104: 1120–1124.
Sharma A, Tobey E, Dorman M, Bharadwaj S, Martin K, Gilley P, Kunkel F. Central auditory maturation and babbling development in infants with cochlear implants. Arch Otolaryngol Head Neck Surg 2004; 130: 511–516.
Geers AE, Nicholas JG, Sedey AL. Language skills of children with early cochlear implantation. Ear Hear 2003; 24 (Suppl):46S–58SS.
Fenson L, Pethick S, Renda C, Cox JL, Dale PS, Renznick JS. Short-form versions of the MacArthur communicative development inventories. Appl Psycholinguist 2000; 21: 95–115.
Easterbrooks SR, O’Rourke CM. Gender differences are response to auditory-verbal intervention in children who are deaf or hard-of-hearing. Am Ann Deaf 2001; 146: 309–319.
Niparko JK, Tobey EA, Thal DJ, Eisenberg LS, Wang NY, Quittner AL, Fink NE. CDaCI Investigative Team. Spoken language development in children following cochlear implantation. JAMA 2010; 303: 1498–1506.
Hodges AV, Dolan Ash M, Balkany TJ, Schloffman JJ, Butts SL. Speech perception results in children with cochlear implants: contributing factors. Otolaryngol Head Neck Surg 1999; 121: 31–3134.
Geers AE, Moog JS. Speech perception and production skills of students with impaired hearing from oral and total communication education settings. J Speech Hear Res 1992; 35: 1384–1393.
Miyamoto RT, Houston DM, Kirk KI, Perdew AE, Svirsky MA. Language development in deaf infants following cochlear implantation. Acta Otolaryngol 2003; 123: 241–244.
Spencer PE. Individual differences in language performance after cochlear implantation at one to three years of age: child, family, and linguistic factors. J Deaf Stud Deaf Educ 2004; 9: 395–412.
DesJardin JL, Eisenberg LS, Hodapp RM. Sound beginnings: supporting families of young deaf children with cochlear implants. Infant Young Child 2006; 19: 179–189.
Spencer PE, Meadow-Orlans KP. Play, language, and maternal responsiveness: a longitudinal study of deaf and hearing infants. Child Dev 1996; 67: 3176–3191.
Quittner AL, Leibach P, Marciel K. The impact of cochlear implants on young deaf children: new methods to assess cognitive and behavioral development. Arch Otolaryngol Head Neck Surg 2004; 130: 547–554.
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Hamid, A.A., Elshazly, M., Eldessouky, T. et al. Predictors of language and auditory skills in Egyptian children with a cochlear implant. Egypt J Otolaryngol 31, 170–175 (2015). https://doi.org/10.4103/1012-5574.161605
- auditory abilities
- language age
- multichannel cochlear implants