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The use of the LittlEARS Auditory Questionnaire in assessing children before and after cochlear implantation

Abstract

Background

The age of cochlear implant (CI) is a crucial factor that affects auditory skills and speech outcome in children after CI. Speech and auditory skills outcome using the Arabic form of the LittlEARS Auditory Questionnaire (LEAQ) on Arabic-speaking cochlear-implanted children is not sufficiently studied.

Objective

The aim of the present study was to assess. the use of the Arabic form of the LEAQ to determine the effect of age of CI on the outcome of auditory skills in children with CIs, to enhance better intervention protocols for children in need of CI and to achieve the best communicative skills for those children.

Patients and Methods

A total of 45 children with CI were classified into three groups according to their ages, and they were assessed using the Arabic version of LEAQ preoperatively as well as 6 and 18 months after mapping.

Results

Significant improvement in auditory skills and speech was reported in the three groups. The improvement was highly significant in the youngest group in comparison with the other two groups 6 and 18 months after mapping. In addition, speech and auditory skills were highly significant in each group after CI.

Conclusion

The age of the child at which CI is placed is a crucial factor in speech and auditory skills development. The earlier the age of CI, the better the result.

References

  1. 1

    Tobey E, Geers A, Brenner C, Altuna D, Gabbert G. Factors associated with development of speech production skills in children implanted by age five. Ear Hear 2003; 24:36s–45s.

    Article  Google Scholar 

  2. 2

    Archbold S, Lutman ME, Marshall DH. Categories of auditory performance. Ann Otol Rhinol Laryngol Suppl 1995; 166:312–314.

    CAS  PubMed  Google Scholar 

  3. 3

    Pollack D, Goldberg DM, Caleffe-Schenck N. Educational audiology for the limited-hearing infant and preschooler: an auditory–verbal program. 3rd ed. Springfield, IL: Charles C. Thomas; 1997.

    Google Scholar 

  4. 4

    Estabrooks W. Cochlear implants for kids: Alexander Graham Bell Association for the Deaf, Bell Association for the Deaf & Hard of Hearing, Incorporated, Alexander Graham ISBN 978-0882002231. Washington, DC; 1998.

  5. 5

    Wilkes EM. Cottage acquisition scales for listening, language & speech. San Antonio: Sunshine Cottage school for Deaf Children; 1999.

    Google Scholar 

  6. 6

    Auditory Skills Checklist, (2004) Adapted by Karen Anderson, from Auditory Skills Checklist by Nancy S. Caleffe-Schneck, M. Ed., CCC-A (1992). Tuohy J, Brown J, Mercer-Moseley CSt. Gabriel’s curriculum for the development of audition, language, speech, cognition, 2nd ed. Castle Hill, N.S.W.: St. Gabriel’s School for the Hearing Impaired Children; 2005.

  7. 7

    Cole EB, Flexer CA. Children with hearing loss: developing listening and talking birth to six. Oxfordshire: Oxfordshire Plural Publishing; 2007.

    Google Scholar 

  8. 8

    Davis A, Fulcher A, Hansen A, Neal K. Tracking listening skills from 0–6 years: changing progress, changing outcomes. AG Bell LSLS Symposium; 10 July 2015; Baltimore, Maryland, USA.

  9. 9

    Coninx F, Weichbold V, Tsiakpini L. LittlEARS Auditory Questionnaire. Innsbruck, Austria: MED-EL; 2003.

    Google Scholar 

  10. 10

    Allum-Mecklenburg DJ. Evaluation of Auditory Responses to Speech (EARS). Innsbruck, Austria: MED-EL; 1996.

    Google Scholar 

  11. 11

    Coninx F, Fischbach TH. Second hearing screening at the age of 12 months-the use of LittlEARS as screening questionnaire. Düsseldorf, Germany: Annual Conference of the German Society for Phoniatrics and Pedaudiology; 2008. Available at: http://www.egms.de/en/meetings/dgpp2008/08dgpp26.shtml.

  12. 12

    Geal-Dor M, Jbarah R, Meilijson S, Adelman C, Levi H. The Hebrew and the Arabic version of the LittlEARS® Auditory Questionnaire for the assessment of auditory development: results in normal hearing children and children with cochlear implants. Int J Pediatr Otorhinolaryngol 2011; 7:1327–2.

    Article  Google Scholar 

  13. 13

    Weichbold V, Tsiakpini L, Coninx F, D’Haese P. Development of a parent questionnaire for assessment of auditory behaviour of infants up to two years of age [in German]. Laryngorhinootologie 2003; 84:328–334.

    Article  Google Scholar 

  14. 14

    Coninx F, Weichbold V, Tsiakpini L, Autrique E, Bescond G, Tamas L et al. Validation of the LittlEARS® Auditory Questionnaire in children with normal hearing. Int J Pediatr Otorhinolaryngol 2009; 73: 1761–1768.

    CAS  Article  Google Scholar 

  15. 15

    Russell JL, Pine HS, Young DL. Pediatric cochlear implantation. Expanding applications and outcomes. Pediatr Clin North Am 2013; 60:841–843.

    Article  Google Scholar 

  16. 16

    Coninx F, Schäfer K. Second hearing screening after NHS using the LittlEARS® Auditory Questionnaire – a German field study. NHS Conference; 5th to 7th June 2012; Cernobbio, Italy.

  17. 17

    Purdy SC, Farrington DR, Moran CA, Chard LL, Hodgson SA. A Parental Questionnaire to Evaluate Children’s Auditory Behaviour in Everyday Life (ABEL). Am J Audiol 2002; 11:72–82.

    Article  Google Scholar 

  18. 18

    Anderson KL Early Listening Function (ELF). User’s manual; 2000. Available at: http://successforkidswithhearingloss.com/uploads/ELF_Questionnaire.pdf. [Accessed 5 December 2012].

  19. 19

    Ching TC, Hill M, Psarros C. Strategies for evaluation of hearing aid fitting for children. International Hearing Aid Research Conference; 23–27 August 2000; Lake Tahoe, USA. Available at: http://www.nal.gov.au.

  20. 20

    Bagatto MP, Moodie ST, Seewald RC, Bartlett DJ, Scoll SD. A critical review of audiological outcome measures for infants and children. Trends Amplif 2011; 15:23–33.

    Article  Google Scholar 

  21. 21

    May-Mederake B, Kuehn H, Vogel A, Keilmann A, Bohnert A, Mueller S, Coninx F. Evaluation of auditory development in infants and toddlers who received cochlear implants under the age of 24 months with the LittlEARS Auditory Questionnaire. Int J Pediatr Otorhinolaryngol 2010; 74:1149–1155.

    Article  Google Scholar 

  22. 22

    Schäfer K. Screening with LittlEARS® (MED-EL) – An empirical study on the possibility of a second hearing screening for children in the age of 10-12 months in the Framework of the screening testU6. Dissertation; University of Cologne, Germany; 2013.

  23. 23

    Obrycka A, Pankowska A, Lorens A, Skarzynski H. Validation of results of the Polish version of the LittlEARS Auditory Questionnaire. Cochlear Implants Int 2010; 11:346–350.

    Article  Google Scholar 

  24. 24

    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: 1605–1611.

    CAS  Article  Google Scholar 

  25. 25

    Geers A, Tobey E, Moog J. Long-term outcomes of cochlear implantation in the preschool years: from elementary grades to high school. Int J Audiol 2008; 47:21–30.

    Article  Google Scholar 

  26. 26

    Kaplan DM, Puterman M. Pediatric cochlear implants in prelingual deafness: medium and long-term outcomes. Isr Med Assoc J 2010; 12:107–109.

    PubMed  Google Scholar 

  27. 27

    Manrique M, Cervera-Paz FJ, Huarte A. Prospective long-term auditory results of cochlear implantation in prelinguistically deafened children: the importance of early implantation. Acta Otolaryngol Suppl 2004; 552:55–63.

    Article  Google Scholar 

  28. 28

    McConkey Robbins A, Koch DB, Osberger MJ. 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 

  29. 29

    Zwolan TA, Ashbaugh CM, Alarfaj A, Kileny PR, Arts HA, El-Kashlan HK, Telian SA. Pediatric cochlear implant patient performance as a function of age at implantation. Otol Neurotol 2004; 25:112–120.

    CAS  Article  Google Scholar 

  30. 30

    Geers A, Nicholas JG, Sedey AL. Language skills of children with early cochlear implantation. Ear Hear 2003; 24:46–58.

    Article  Google Scholar 

  31. 31

    Dunn CC, Walker EA, Oleson J, Kenworthy M, Van Voorst T, Tomblin JB. Longitudinal speech perception and language performance in pediatric cochlear implant users: the effect of age at implantation. Ear Hear 2014; 35:148–160.

    Article  Google Scholar 

  32. 32

    Hassan SM, Hegazi M, Al-Kassaby R. The effect of intensive auditory training on auditory skills and on speech intelligibility of prelingual cochlear implanted adolescents and adults. Egypt J Ear Nose Throat Allied Sci 2013; 14:201–206.

    Article  Google Scholar 

  33. 33

    Kirk KI, Pisoni DB, Miyamoto RT. Lexical discrimination by children with cochlear implants: effects of age at implantation and communication mode. In: Waltzman SB, Cohen NL, editors Cochlear implants. New York, NY: Thieme; 2000: pp. 252–254.

    Google Scholar 

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Correspondence to Hatem Ezzeldin MD.

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Ezzeldin, H., Kaddah, F.EZ.A. & Al Hameed, A.A. The use of the LittlEARS Auditory Questionnaire in assessing children before and after cochlear implantation. Egypt J Otolaryngol 34, 138–143 (2018). https://doi.org/10.4103/ejo.ejo_23_17

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Keywords

  • auditory skills
  • cochlear implant
  • littlears auditory questionnaire