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Updated: Mar 20, 2026
Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages
Published on: March 24, 2023
Comparison of Auditory Perception in Cochlear Implanted Children with and without Additional Disabilities
Seyed Basir Hashemi1, Leila Monshizadeh2
1Department of Otorhinolaryngology, Khalili Hospital, Shiraz University of Medical Sciences, Shiraz, Iran.
Insights
Children with cochlear implants and additional disabilities show significantly lower auditory perception. This highlights the need for tailored communication strategies beyond auditory input for these complex cases.
Area of Science:
- Pediatric audiology
- Neuroscience
- Rehabilitation medicine
Background:
- Increasing prevalence of cochlear implantation in children with co-occurring conditions like attention deficit and cerebral palsy.
- Limited research exists on the outcomes of cochlear implants in this specific pediatric population.
- Growing need to understand auditory perception development in children with cochlear implants and additional disabilities.
Purpose of the Study:
- To compare auditory perception levels in pediatric cochlear implant recipients with and without additional disabilities.
- To investigate the impact of co-occurring conditions on speech perception outcomes post-cochlear implantation.
- To identify disparities in auditory performance based on the presence and number of additional disabilities.
Main Methods:
- Utilized a spondee test with 20 two-syllable words to assess auditory perception.
- Compared 31 children who received cochlear implants two years prior, with an average age of 7.5 years.
- Employed SPSS version 19 for statistical data analysis.
Main Results:
- Children with one or more additional disabilities (15 out of 31) scored approximately 30 points lower on auditory perception than those without.
- All children demonstrated improvement in auditory perception after cochlear implantation.
- A significant difference in auditory perception was observed between children with and without additional disabilities.
Conclusions:
- Auditory perception levels differ notably between pediatric cochlear implant recipients with and without additional disabilities.
- Children with multiple additional disabilities exhibited significantly lower auditory perception compared to those with a single additional disability.
- Effective communication for deaf children with additional disabilities necessitates a multimodal approach, integrating lip-reading with auditory strategies.
Background:
The number of children with cochlear implants who have other difficulties such as attention deficiency and cerebral palsy has increased dramatically. Despite the need for information on the results of cochlear implantation in this group, the available literature is extremely limited. We, therefore, sought to compare the levels of auditory perception in children with cochlear implants with and without additional disabilities.
Methods:
A spondee test comprising 20 two-syllable words was performed. The data analysis was done using SPSS, version 19.
Results:
Thirty-one children who had received cochlear implants 2 years previously and were at an average age of 7.5 years were compared via the spondee test. From the 31 children, 15 had one or more additional disabilities. The data analysis indicated that the mean score of auditory perception in this group was approximately 30 scores below that of the children with cochlear implants who had no additional disabilities.
Conclusion:
Although there was an improvement in the auditory perception of all the children with cochlear implants, there was a noticeable difference in the level of auditory perception between those with and without additional disabilities. Deafness and additional disabilities depended the children on lip reading alongside the auditory ways of communication. In addition, the level of auditory perception in the children with cochlear implants who had more than one additional disability was significantly less than that of the other children with cochlear implants who had one additional disability.
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