Auditory and Language Development after Cochlear Implantation in Children with Inner Ear Malformation

Jiao-lei ZHOU; Fan ZHANG; Yi-bing YANG; Yong TANG; Qing-yan YANG

doi:10.12259/j.issn.2095-610X.S20211113

Volume 42 Issue 11

Nov. 2021

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Jiao-lei ZHOU, Fan ZHANG, Yi-bing YANG, Yong TANG, Qing-yan YANG. Auditory and Language Development after Cochlear Implantation in Children with Inner Ear Malformation[J]. Journal of Kunming Medical University, 2021, 42(11): 68-73. doi: 10.12259/j.issn.2095-610X.S20211113

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Auditory and Language Development after Cochlear Implantation in Children with Inner Ear Malformation

doi: 10.12259/j.issn.2095-610X.S20211113

1.
Dept. of Otolaryngology，The First Hospital of Kunming Calmette Hospital，Kunming Yunnan 650224
2.
Dept. of Otolaryngology，The 1st Affiliated Hospital of Kunming Medical University，Kunming Yunnan 650032，China

Received Date: 2021-10-10
Available Online: 2021-11-15
Publish Date: 2021-11-30

Abstract

Abstract

Objective To systematically evaluate the development of auditory and language in children with inner ear malformation after cochlear implantation, in addition, to compare and analyze the differences of auditory and language development between these children and children with normal inner ear structure. Methods The 52 children with unilateral cochlear implantation were retrospectively selected and analyzed, they were divided into abnormal inner ear structure group and normal inner ear structure group according to whether the inner ear structure was abnormal or not, with 26 cases in each group. The auditory and language development of the two groups were compared and analyzed before operation, the 1^st month, 3^rd month, 6^th month and 12^th month after operation. The auditory function was assessed with CAP and ITMAIS scales, while the language function was assessed with SIR and MUSS scales. Results At the 1^st month, 3^rd month, 6^th month and 12^th month after cochlear implantation, the scores of auditory and language development （CAP, ITMAIS, SIR and MUSS） were significantly different from those before cochlear implantation, which has showed a gradually increasing trend. The auditory function of normal inner ear structure group and abnormal inner ear structure group were compared before operation, the 1^st month, 3^rd month, 6^th month and 12^th month after operation, there was statistical significant difference （P < 0.001）. There was no significant difference between the normal inner ear structure group and the abnormal inner ear structure group in the preoperative language function SIR score （P = 0.303）, however, there were significant differences in language function between the two groups at the 1^st month, 3^rd month, 6^th month and 12^th month after operation （P < 0.05）. Conclusion Within one year after cochlear implantation, the auditory and language ability of children with inner ear malformation has been significantly improved, however, there are some differences between the children with abnormal inner ear structure and those with normal inner ear structure.
- Inner ear malformation,
- Cochlear implantation,
- Auditory and language development

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