植入人工耳蜗儿童与主流学校正常听力儿童皮质听觉成熟的比较

IF 1.2 4区医学 Q3 OTORHINOLARYNGOLOGY

International journal of pediatric otorhinolaryngology Pub Date : 2025-04-29 DOI:10.1016/j.ijporl.2025.112368

Nabihah Roslle , Wan Fazlina Wan Hashim , Khairul Farhah Khairuddin , Asma Abdullah , Rosnah Ismail , Noor Dina Hashim

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引用次数: 0

摘要

皮层听觉诱发电位（CAEP）是评价中枢听觉通路发育的客观工具。目的评估人工耳蜗植入儿童在主流教育环境下的听觉生长和学习能力，并与听力正常的同龄人进行比较。此外，本研究还探讨了言语听觉感知与学业成绩的关系。材料与方法本实验为准实验设计，对照后测。74例7 ~ 12岁儿童分为两组：CI受体组（n = 37）和听力正常组（n = 37）。比较各组CAEP P1波潜伏期。使用CAPS-II和SIRS对CI受者的听觉和言语表现进行评估。目标教育风险筛查工具（SIFTER）和一份有效的家长问卷用于评估教育绩效。评估了听觉言语感知与学业成绩之间的关系。结果脊髓损伤患儿P1波潜伏期延长。尽管存在这种差异，但他们的教育表现与同龄人相当，对应于较高的CAPS II和SIRS分数。有趣的是，CI儿童的听觉言语感知与学习成绩之间没有显著的关联。结论caep能可靠地量化脑皮质听觉通路的发展，在脑损伤治疗中应常规应用。人工耳蜗植入可提高CI患儿的听觉和学习成绩。

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Comparison of cortical auditory maturation between children with cochlear implants VS normal hearing children attending mainstream school

Background

Cortical auditory evoked potential (CAEP) is an objective tool for assessing the development of central auditory pathways.

Objectives

Aimed to assess auditory growth and learning abilities of cochlear-implanted children in mainstream educational settings, comparing with normal-hearing peers. Additionally, the study investigated the association of auditory speech perception with academic performances.

Materials and methods

This was a quasi-experimental design post-test with control. Seventy-four children aged 7–12 years old were divided into two groups: CI recipient (n = 37) and normal-hearing (n = 37). P1 wave latency of CAEP was compared between groups. The auditory and speech performances of CI recipients were assessed using CAPS-II and SIRS. Screening Instrument for Targeting Education Risk (SIFTER) and a validated parental questionnaire used to evaluate educational performances. The association between auditory speech perception and academic performances was assessed.

Results

CI children exhibited prolonged P1 wave latency. Despite this difference, the educational performances were comparable to their peers, corresponding to high CAPS II and SIRS scores. Interestingly, no significant association between auditory speech perception and academic performance among CI children.

Conclusion

CAEP is reliable to quantify the development of cortical auditory pathways and should be routinely conducted in the management of CI. Cochlear implantation improves the auditory and academic performances of CI children.

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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.