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Articles

Speech and language outcomes in children with auditory neuropathy/dys-synchrony managed with either cochlear implants or hearing aids

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Pages 313-320 | Received 03 Oct 2008, Published online: 21 Jul 2009
 

Abstract

The aim of this study was to assess the receptive language and speech production abilities of a group of school-aged children with auditory neuropathy/dys-synchrony-type hearing loss. Ten children who had received a cochlear implant in one or both ears participated. Findings for this group were compared with those for a matched cohort of implanted children with other forms of sensorineural hearing loss and with those for a group of auditory neuropathy/dys-synchrony children who were long-term hearing aid users.

Results for 9 of the ten implanted children with auditory neuropathy/dys-synchrony were similar to those of the general population of paediatric implant recipients. (One child, who gained little perceptual benefit from his device, showed severely delayed spoken language development). Results for the group of aided auditory neuropathy/dys-synchrony subjects were comparable to those for their implanted counterparts suggesting that affected children should not automatically be considered cochlear implant candidates.

Abbreviations
ABR=

Auditory brainstem response

AN/AD=

Auditory neuropathy/dys-synchrony

CM=

Cochlear microphonic

DEAP=

Diagnostic Evaluation of Articulation & Phonology

LQ=

Language quotient

OAE=

Otoacoustic emission

PPVT=

Peabody picture vocabulary test

Abbreviations
ABR=

Auditory brainstem response

AN/AD=

Auditory neuropathy/dys-synchrony

CM=

Cochlear microphonic

DEAP=

Diagnostic Evaluation of Articulation & Phonology

LQ=

Language quotient

OAE=

Otoacoustic emission

PPVT=

Peabody picture vocabulary test

Abstract

El objetivo de este estudio fue evaluar las habilidades de recepción del lenguaje y la producción del habla en un grupo de niños de edad escolar con pérdidas del tipo de la neuropatía/disincronía auditiva. Participaron diez niños con implantes cocleares en uno o en ambos oídos. Los hallazgos en este grupo se compararon con los de una cohorte equiparada de niños implantados, con otras formas de pérdida sensorineural y con los de otro grupo de niños con neuropatía/disincronía auditiva que eran usuarios por mucho tiempo, de auxiliares auditivos. Los resultados de 9 de los diez niños implantados que tenían neuropatía/disincronía auditiva fueron similares a los de la población pediátrica general con implantes. (Un niño, que obtuvo un pequeño beneficio perceptual con su instrumento mostró un desarrollo del lenguaje hablado severamente retrasado). Los resultados del grupo de sujetos con neuropatía/disincronía auditiva que usaban auxiliares fueron comparables a los de sus equivalentes implantados, lo que sugiere que los niños afectados no pueden considerarse candidatos a implante coclear, de manera automática.

Notes

1The term ”total communication“ denotes an educational strategy where oral communication is supplemented with signed language support.

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