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Quantitative Assessment of Cortical Auditory-tactile Processing in Children with Disabilities
09:38

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Published on: January 29, 2014

Electric acoustic stimulation in children.

Henryk Skarzynski, Artur Lorens

    Advances in Oto-Rhino-Laryngology
    |December 4, 2009
    PubMed
    Summary

    Combined electric acoustic stimulation (EAS) in children with partial deafness significantly improved speech understanding and communication skills. This cochlear implant technique enhances both quiet and noisy listening conditions for pediatric patients.

    Area of Science:

    • Otolaryngology
    • Audiology
    • Biomedical Engineering

    Background:

    • Combined electric acoustic stimulation (EAS) is an established technique for adult cochlear implant (CI) candidates with borderline hearing.
    • EAS involves using both a cochlear implant and a hearing aid to stimulate residual hearing.
    • Previous research has focused on adult applications, with limited investigation in pediatric populations.

    Purpose of the Study:

    • To investigate the efficacy of EAS in children diagnosed with partial deafness (PD).
    • To evaluate the impact of EAS on speech recognition and communication abilities in pediatric patients with residual hearing.

    Main Methods:

    • A cohort of 15 children with PD underwent EAS implantation using either COMBI 40+ or PULSAR devices.
    • The 'round window' surgical technique was employed to maximize hearing preservation.

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    Electrically Evoked Stapedius Reflex Measurements in Cochlear Implantation and Its Application in the Postoperative Fitting Process
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  • A control group of 10 children using platinum hearing aids was included for comparison.

    • Main Results:

    • In the EAS group, monosyllabic word recognition improved from 34% to 67% in quiet and 7% to 47% in noise over 12 months.
    • The control group showed improvements from 31% to 60% in quiet and 1% to 19% in noise.
    • EAS demonstrated a significant enhancement in speech understanding compared to conventional hearing aids in children with partial deafness.

    Conclusions:

    • EAS is a viable and effective treatment for children with partial deafness, significantly improving their ability to understand speech.
    • The application of EAS in pediatric patients leads to enhanced overall communication skills, increasing efficiency and effectiveness.
    • This study supports the expansion of EAS to pediatric populations with significant residual hearing.