学龄前儿童人工耳蜗：用LittlEARS听觉问卷预测第一个单词的发音

IF 1.2 4区医学 Q3 OTORHINOLARYNGOLOGY

International journal of pediatric otorhinolaryngology Pub Date : 2025-03-03 DOI:10.1016/j.ijporl.2025.112294

Nihal Hisham Abdelhamid , Mohammad Mostafa Gaballah , Moataz Abdel Baky , Rahma Sweedy

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引用次数: 0

摘要

目的LittlEARS听力问卷（LEAQ）是评估儿童听觉发育的可靠工具。本研究以LEAQ评分为基础，探讨人工耳蜗儿童的第一个单词发音预期时间。方法对94例双侧重度至重度感音神经性听力损失（SNHL）患儿（男50例，女44例）于2022年1月至2024年11月在某三级中心行CI手术进行观察性研究。该研究包括语前听力损失和术后听觉反应满意的儿童，而那些语后发病或智商低于85的儿童被排除在外。术后每3个月应用LEAQ。总分是根据所有“是”的答案计算出来的，直到孩子说出第一个单词，听力年龄才被确定。结果儿童的平均LEAQ得分为11.3±4.1，平均听力年龄为0.8±0.5岁。第一次说话时的平均实足年龄为4.0±1.1岁，而平均种植年龄为3.3±1.1岁。LEAQ得分与第一个单词说话时的实际年龄和听力年龄呈显著正相关。植入年龄对LEAQ评分无显著影响。结论连续语儿童的第一词发展可通过LEAQ评分预测，并受儿童实足年龄和连续语使用时间的影响。而孩子接受植入的年龄似乎不是一个显著的预测因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Cochlear Implant in Prelingual Children: Predicting the First-word Utterance from LittlEARS Auditory Questionnaire

Objective

The LittlEARS Auditory Questionnaire (LEAQ) is a reliable tool for assessing children's auditory development. This study investigates the expected time for the first-word utterance in children with cochlear implant (CI) based on the LEAQ score.

Methods

An observational study was conducted on 94 children (50 males and 44 females) with bilateral severe to profound sensorineural hearing loss (SNHL) who underwent CI surgery at a tertiary center between January 2022 and November 2024. The study included children with prelingual hearing loss and satisfactory auditory responses post-surgery, while those with post-lingual onset or an intelligence quotient (IQ) below 85 were excluded. The LEAQ was applied every 3 months postoperatively. The total score was calculated from all ‘yes’ answers, and hearing age was determined until the child uttered their first word.

Results

Children were expected to utter their first word at an average LEAQ score of 11.3 ± 4.1 and an average hearing age of 0.8 ± 0.5 years. The average chronological age at first-word utterance was 4.0 ± 1.1 years, when the average implantation age was 3.3 ± 1.1 years. Significant positive correlations were found between the LEAQ score and the chronological and hearing ages at first-word utterance. The age of implantation did not significantly affect the LEAQ score.

Conclusion

The first-word development among CI children is predicted by the LEAQ score, influenced by the child's chronological age and duration of CI use. While the age at which the child underwent the implantation seemed to be a non-significant predictor.

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来源期刊

International journal of pediatric otorhinolaryngology 医学-耳鼻喉科学

CiteScore

3.20

自引率

6.70%

发文量

276

审稿时长

62 days

期刊介绍： The purpose of the International Journal of Pediatric Otorhinolaryngology is to concentrate and disseminate information concerning prevention, cure and care of otorhinolaryngological disorders in infants and children due to developmental, degenerative, infectious, neoplastic, traumatic, social, psychiatric and economic causes. The Journal provides a medium for clinical and basic contributions in all of the areas of pediatric otorhinolaryngology. This includes medical and surgical otology, bronchoesophagology, laryngology, rhinology, diseases of the head and neck, and disorders of communication, including voice, speech and language disorders.