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Updated: Feb 27, 2026

Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages
Published on: March 24, 2023
Auditory Speech Perception Development in Relation to Patient's Age with Cochlear Implant.
Grace Kelly Seixas Ciscare1, Erika Barioni Mantello1, Carla Aparecida Urzedo Fortunato-Queiroz1
1Department of Ophthalmology, Otorhinolaryngology, Head and Neck Surgery, Ribeirão Preto Medical School, Universidade de São Paulo, Ribeirão Preto, São Paulo, Brazil.
Cochlear implants in children with pre-lingual deafness show no difference in speech perception based on age at implantation. However, auditory deprivation and hearing aid use time varied significantly between age groups.
Area of Science:
- Otolaryngology
- Pediatric Audiology
- Speech-Language Pathology
Background:
- Cochlear implantation in pre-lingually deaf adolescents remains a subject of debate.
- Understanding speech perception development post-implantation is crucial for this population.
Purpose of the Study:
- To analyze and compare auditory speech perception development in children with pre-lingual hearing impairment after cochlear implantation.
- To evaluate the impact of different age groups at implantation on speech perception outcomes within the first year.
Main Methods:
- Retrospective documentary research analyzing 78 reports of children with severe bilateral sensorineural hearing loss.
- Participants were divided into three age groups: <42 months (G1), 43-83 months (G2), and >84 months (G3).
- Data collected included medical records, auditory thresholds, speech perception, and auditory skills assessments.
Main Results:
- No statistical difference in speech perception was found among the age groups (G1, G2, G3).
- Moderate correlations were observed between age and hearing aid/cochlear implant use time.
- Strong correlations existed between age and the timing of cochlear implant surgery, and hearing aid use time.
Conclusions:
- Patient age at cochlear implantation did not significantly impact speech perception outcomes.
- Statistically significant differences were noted in auditory deprivation time and hearing aid use time between specific age groups.
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