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Updated: Jul 13, 2025

Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages
Published on: March 24, 2023
Evaluation of musical emotion perception and language development in children with cochlear implants
İrem Sendesen1, Eser Sendesen2, Esra Yücel2
1Department of Audiology, Gazi University, Ankara, Turkey; Ankara University, Faculty of Medicine, Otolaryngology Department, Audiology, Speech, Balance Disorders Diagnosis and Rehabilitation Unit, Ankara, Turkey.
Objectives:
While the primary purpose of cochlear implant (CI) fitting is to improve individuals' receptive and expressive skills, musical emotion perception (MEP) is generally ignored. This study assesses the MEP and language skills (LS) of children using CI.
Methods:
26 CI users and 26 matched healthy controls between the ages of 6 and 9 were included in the study. The Test of Language Development (TOLD) was applied to evaluate the LS of the participants, and the Montreal Emotion Identification Test (MEI) was applied to evaluate the MEP.
Results:
MEI test scores and all subtests of TOLD were statistically significantly lower in the CI group. Also, there was a statistically significant and moderate correlation between the listening subtest of TOLD and the MEI test.
Conclusions:
MEP and language skills are poor in children with CI. Although language skills are primarily targeted in CI performance, improving MEP should also be included in rehabilitation programs. The relationship between music and the TOLD's listening subtest may provide evidence that listening skills can be improved by paying attention to the MEP, which is frequently ignored in rehabilitation programs.
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