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Updated: Apr 20, 2026

Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages
Published on: March 24, 2023
Performance of hearing skills in children with auditory neuropathy spectrum disorder using cochlear implant: a
Nayara Freitas Fernandes1, Marina Morettin1, Elisabete Honda Yamaguti2
1Department of Sciences, Faculdade de Odontologia de Bauru, Universidade de São Paulo (FOB - USP), Bauru, SP, Brazil; Department of Phonoaudiology, Universidade de São Paulo (USP), Bauru, SP, Brazil.
Insights
Cochlear implants benefit children with auditory neuropathy spectrum disorder (ANSD), significantly improving their hearing skills. Their performance after implantation is comparable to children with sensorineural hearing loss.
Area of Science:
- Audiology
- Pediatric Otolaryngology
- Neuroscience
Background:
- Cochlear implants (CIs) are established for severe/profound hearing loss.
- Benefits of CIs for auditory neuropathy spectrum disorder (ANSD) hearing skill improvement remain debated.
Purpose of the Study:
- To systematically review the literature on hearing skill performance in children with ANSD using CIs.
Main Methods:
- Systematic literature review.
- Searched electronic databases for publications from 2002-2013.
- Included 22 studies meeting review criteria.
Main Results:
- Children with ANSD demonstrated improved hearing skills post-CI implantation.
- Performance outcomes in ANSD children were comparable to those with sensorineural hearing loss (SNHL) using CIs.
Conclusions:
- Cochlear implantation is effective in enhancing hearing skills for children with ANSD.
- ANSD patients show similar CI outcomes to SNHL patients.
Introduction:
Currently, there are no doubts about the benefits of cochlear implants for the development of children with severe or profound hearing loss. However, there is still no consensus among researchers and professionals regarding the benefits for the improvement of hearing skills in children with auditory neuropathy spectrum disorder using cochlear implants.
Objective:
Review the available evidence in the literature to answer the following: "What is the performance of hearing skills in children with auditory neuropathy spectrum disorder using cochlear implants?"
Methods:
Systematic review of the literature through electronic database consultation, considering publications in the period 2002-2013.
Results:
Twenty-two studies met the criteria and were included in the systematic review.
Conclusion:
The analyzed studies demonstrated that after cochlear implant surgery, individuals with auditory neuropathy spectrum disorder improved their performance of hearing skills and had similar performance to that of children with sensorineural hearing loss using cochlear implant.

