植入人工耳蜗的青少年在噪音中的言语知觉

IF 1.2 4区医学 Q3 OTORHINOLARYNGOLOGY

International journal of pediatric otorhinolaryngology Pub Date : 2025-03-18 DOI:10.1016/j.ijporl.2025.112317

Guerzoni Letizia , Falzone Chiara , Ghiselli Sara , Nicastri Maria , Mancini Patrizia , Fabrizi Enrico , Domenico Cuda

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引用次数: 0

摘要

目的研究人工耳蜗激活年龄对嘈杂环境下人工耳蜗青少年听力技能的影响。次要目的是研究刺激模式和神经认知能力等变量在CI儿童噪音感知中的作用。材料与方法样本由64名年龄在10 ~ 16岁之间的被试组成。参与者在1到18个月大的时候被诊断出患有耳蜗，在8到42个月大的时候接受了人工耳蜗激活。单侧刺激30例，双峰刺激5例，双侧同时植入8例，双侧顺序植入21例。采用意大利语矩阵句测试（It-Matrix）评估噪声环境下的听力。神经心理功能用nepsyi -II（神经心理学II版）测试电池进行检查。结果语音感知与人工耳蜗月龄高度相关，达到-0.69。方差分析结果表明，噪声环境下的语音感知与刺激方式之间存在显著关系。事后分析显示，顺序双侧CI组与单侧CI组之间存在显著差异（效应值为0.2）。噪声听力与神经心理变量的关系显示听觉注意技能、快速命名测试和语音加工测试有显著关系。结论在噪声环境下语音识别能力可由CI激活年龄和神经心理学变量预测。

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Speech perception in noise in adolescents with cochlear implant

Objectives

The primary objective was to investigate the effect of age at cochlear implant (CI) activation on listening skills in a noisy environment in adolescents who grew up with a CI. The secondary objective was to investigate the role of variables such as stimulation mode and neurocognitive abilities in noise perception in children with a CI.

Materials and methods

The sample consisted of 64 subjects ranged in age from 10 to 16 years. The participants were diagnosed between one and 18 months of age and underwent cochlear implant activation between eight and 42 months of age. Thirty subjects used a unilateral stimulation mode and 5 subjects a bimodal stimulation mode, 8 with simultaneous bilateral implantation and 21 with sequential bilateral implantation. The Italian Matrix Sentence Test (It-Matrix) was employed to assess listening in noise. Neuropsychological functions were examined with the NEPSY-II (NEuroPSYchology II edition) test battery.

Results

Speech perception is high correlated with cochlear implant (CI) age in months attaining the level of -0.69. The results from the ANOVA analysis demonstrated a significant relationship between the speech perception in noise and the stimulation mode. Posthocanalysis showed a significant difference between the group with sequential bilateral CI and the group with unilateral CI (effect size 0.2 ). The relationship between listening in noise and neuropsychological variables revealed a significant relationshipwith auditory attention skill, the fast naming test and phonological processing test.

Conclusions

The ability to recognize speech in noise is predicted by age at CI activation and neuropsychological variables.

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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.