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Updated: Oct 9, 2025

Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages
Published on: March 24, 2023
P-MMR and LDN beside MMN as Speech-evoked Neural Markers in Children with Cochlear Implants: A Review
Zohreh Ziatabar Ahmadi1, Saied Mahmoudian2,3, Hassan Ashayeri4
1Department of Speech Therapy, School of Rehabilitation, Babol University of Medical Sciences, Babol, IR. Iran.
Abstract:
This review mainly explores less-reported neural markers to speech-evoked contrasts in children with cochlear implants (CI). Databases and electronic journals were searched with keywords of "mismatch responses" AND "positive mismatch response" (p-MMR) AND "late discriminate negativity" (LDN). P-MMR likely is as a measurement of brain immaturity in CI children while the developmental trajectories of LDN remain unexplained in older CI children. In CI children, there is a p-MMR-MMN-LDN sequence to speech stimuli developmentally. Whereas these aforementioned neural responses anticipate developmental changes in CI groups, it is still uncertain about the cutoff age for disappearance of p-MMR and LDN.

