Skip to main content
The Egyptian Journal of Otolaryngology
Download PDF

Predictors of language and auditory skills in Egyptian children with a cochlear implant

The Egyptian Journal of Otolaryngology volume 31, pages 170–175 (2015)Cite this article

En

Abstract

Aim

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.

Results

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.

Conclusion

Prognostic factors for language and auditory abilities are useful in a rehabilitation program after cochlear implantation.

References

  1. Niparko JK. Speech, language, and reading skills after early cochlear implantation. JAMA 2004; 291: 2378–2380.

    Article  PubMed  Google Scholar 

  2. 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.

    Article  PubMed  Google Scholar 

  3. 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.

    Article  Google Scholar 

  4. Holt RF, Svirsky MA. An exploratory look at pediatric cochlear implantation: is earliest always best?. Ear Hear 2008; 29: 492–511.

    Article  PubMed  Google Scholar 

  5. 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.

    Article  PubMed  Google Scholar 

  6. 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.

    Article  Google Scholar 

  7. 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.

    Article  Google Scholar 

  8. ASHA. Technical report: cochlear implants. Am J Speech Lang Pathol 2003; 24:1–35.

    Google Scholar 

  9. 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.

    Article  Google Scholar 

  10. Scoring of scale for measuring family socioeconomic status for health research in Egypt). Eastern Mediterranean Health Journal; Vol 18, No 9. 2012.

  11. 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.

    Article  Google Scholar 

  12. 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.

  13. Nikolopoulos TP, O’Donoghue GM, Archbold S. Age at implantation: its importance in pediatric cochlear implantation. Laryngoscope 1999; 109: 595–599.

    Article  CAS  Google Scholar 

  14. 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.

    Article  CAS  Google Scholar 

  15. 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.

    Article  Google Scholar 

  16. Geers AE, Nicholas JG, Sedey AL. Language skills of children with early cochlear implantation. Ear Hear 2003; 24 (Suppl):46S–58SS.

    Article  Google Scholar 

  17. 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.

    Article  Google Scholar 

  18. 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.

    Article  CAS  Google Scholar 

  19. 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.

    Article  CAS  PubMed  Google Scholar 

  20. 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.

    Article  CAS  Google Scholar 

  21. 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.

    Article  CAS  Google Scholar 

  22. Miyamoto RT, Houston DM, Kirk KI, Perdew AE, Svirsky MA. Language development in deaf infants following cochlear implantation. Acta Otolaryngol 2003; 123: 241–244.

    Article  Google Scholar 

  23. 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.

    Article  Google Scholar 

  24. DesJardin JL, Eisenberg LS, Hodapp RM. Sound beginnings: supporting families of young deaf children with cochlear implants. Infant Young Child 2006; 19: 179–189.

    Article  Google Scholar 

  25. Spencer PE, Meadow-Orlans KP. Play, language, and maternal responsiveness: a longitudinal study of deaf and hearing infants. Child Dev 1996; 67: 3176–3191.

    Article  CAS  Google Scholar 

  26. 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.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Phoniatrics Unit, Kasr Aini, Cairo University, Haram St., Giza, Egypt

    Asmaa Abdel Hamid (Lecturer of Phoniatrics)

  2. Department of ENT, Cairo University, Giza, Egypt

    Mohammed Elshazly (Professor of ENT)

  3. Beni Suef University, Beni Suef, Egypt

    Tarek Eldessouky (Assistant Professor of Audiology)

  4. Fayoum University, Al Fayoum, Egypt

    Ahmed Abdel Monem (Assistant Lecturer of Phoniatrics)

  5. Cairo University, Giza, Egypt

    Hosam Abdel Ghaffar (Professor of Audiology)

  6. Beni Suef University, Beni Suef, Egypt

    Ahmed Radwan (Specialist of ENT Student’s Hospital)

Authors
  1. Asmaa Abdel Hamid
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Mohammed Elshazly
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Tarek Eldessouky
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Hosam Abdel Ghaffar
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Ahmed Radwan
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Ahmed Abdel Monem
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Asmaa Abdel Hamid.

Additional information

This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.

Financial support and sponsorship

Nil.

Conflicts of Interest

There are no conflicts of interest.

Rights and permissions

This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.

To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

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

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.4103/1012-5574.161605

Keywords