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[Auditory capability evaluation for children after cochlear implantation using meaningful auditory integration

Xue-qing Chen1, Liang Wang, Ying Kong

  • 1Department of Speech and Hearing Rehabilitation, Beijing Institute of Otorhinolaryngology, Affiliated Beijing Tongren Hospital of Capital University of Medical Sciences, China. xueqingchen@sohu.com

Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi = Chinese Journal of Otorhinolaryngology Head and Neck Surgery
|May 5, 2006
PubMed
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Cochlear implantation significantly improved auditory skills in preschool children, with faster development in device use compared to sound interpretation. This enhances hearing ability in prelingually deafened children.

Area of Science:

  • Pediatric audiology
  • Otolaryngology
  • Neuroscience of hearing

Context:

  • Prelingually deaf children often have limited auditory input.
  • Cochlear implantation is a key intervention for restoring hearing in this population.
  • Assessing auditory development post-implantation is crucial for understanding device efficacy.

Purpose:

  • To evaluate auditory capability in preschool children before and after cochlear implantation.
  • To analyze changes in auditory integration using the Meaningful Auditory Integration Scale (MAIS).
  • To compare the development of device usage, sound alerting, and meaning derivation post-implantation.

Summary:

  • Eighty-two prelingually deaf children (ages 3-6 years, 11 months) were assessed using the MAIS questionnaire before and up to 2 years after cochlear implantation.

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  • While device usage scores (Q1a, 1b) showed no significant change over time, scores related to spontaneous auditory responses (Q2-10) significantly improved.
  • Children demonstrated more rapid progress in using the cochlear implant device compared to developing spontaneous sound alerting and deriving meaning from sound.

    • Impact:

    • Cochlear implantation leads to significant auditory gains in preschool children.
    • Auditory development post-implantation is variable but generally positive.
    • The findings highlight the importance of early intervention and ongoing auditory rehabilitation for prelingually deaf children.