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Original Articles

Factors affecting phoneme discrimination in children with sequential bilateral cochlear implants

ORCID Icon, , &
Pages 329-335 | Received 25 Aug 2020, Accepted 02 Apr 2021, Published online: 20 Jun 2021
 

Abstract

Objectives

To investigate the effects of a number of variables on phoneme discrimination (PD) performance in children with sequential bilateral cochlear implants (SeqBiCIs) and compare PD performance between the 2 implantation sides and between children with bilateral cochlear implants (BiCIs) and their age-matched peers with normal hearing (NH).

Design

All participants completed the Auditory Speech Sound Evaluation Phoneme Discrimination Test.

Study sample

The sample included 23 children with SeqBiCIs as the study group and 23 with NH as the control group.

Results

A significant difference was found between the scores of the two groups under the CI1 and CI2 conditions (p = 0.001), CI1 and BiCI conditions (p = 0.002), and CI2 and BiCI conditions (p = 0.001). PD scores with CI1 significantly depend on age at CI1 and duration of bilateral use. PD scores with CI1 were significant predictors of PD performance with CI2. Duration of BiCI use was a significant predictor of PD scores with BiCI.

Conclusions

The age at CI1 and the duration of bilateral cochlear implant use were found to improve phoneme discrimination performance in children with a sequential bilateral cochlear implant. According to the success of the CI1, it is possible to predict the success of CI2 use.

Ethical approval

The present work was approved by the Hacettepe University Clinical Research Ethics Board (05/11/2018-11-E.45058).

Declaration of interest

No potential conflict of interest was reported by the author(s).

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