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Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages
Published on: March 24, 2023
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Vowel Production in Prelingually Deafened Mandarin-Speaking Children With Cochlear Implants
1Department of Communication Sciences and Disorders, University of Wisconsin-Milwaukee.
Journal of Speech, Language, and Hearing Research : JSLHR
|February 1, 2021
Summary
Children with cochlear implants (CIs) show acoustic differences and reduced vowel intelligibility compared to normal-hearing peers. These findings highlight persistent challenges in speech production despite long-term CI use.
Area of Science:
- Speech Acoustics
- Auditory Rehabilitation
- Linguistics
Background:
- Cochlear implants (CIs) aim to restore hearing in deafened individuals.
- Speech production, particularly vowel acoustics and intelligibility, can be affected by prelingual deafness and CI use.
- Mandarin-speaking children with CIs require specific analysis due to the tonal and vowel-rich nature of the language.
Purpose of the Study:
- To acoustically characterize vowel productions in prelingually deafened Mandarin-speaking children with CIs.
- To evaluate the intelligibility of these vowel productions.
- To compare acoustic and intelligibility measures with age-matched normal-hearing (NH) children.
Main Methods:
- Acoustic analysis of 20 Mandarin vowels produced by 25 children with CIs and 20 NH children.
- Extraction of first (F1) and second (F2) formants at seven time points for acoustic feature comparison.
- Vowel intelligibility assessment by six NH adult listeners identifying vowel productions from both groups.
Main Results:
- Children with CIs exhibited significant acoustic deviations from NH controls, including longer vowel duration, more scattered vowel categories, and smaller vowel space area.
- Vowel intelligibility was significantly lower in the CI group compared to the NH group.
- Despite differences, the confusion patterns in vowel recognition were similar between the CI and NH children.
Conclusions:
- Prelingually deafened children with CIs demonstrate persistent acoustic deviations and reduced vowel intelligibility, even with extended CI use.
- These findings underscore the complexity of achieving normalized speech production post-CI.
- Further research and targeted interventions may be needed to improve speech outcomes in this population.

