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Postoperative Auditory Progress in Cochlear-Implanted Children With Auditory Neuropathy
Nuriye Yildirim Gökay1, Bülent Gündüz1, Recep Karamert2
1Department of Audiology, Faculty of Health Sciences, Gazi University, Ankara, Turkey.
Insights
Children with auditory neuropathy spectrum disorder (ANSD) show poorer outcomes after cochlear implantation (CI). Those without ANSD demonstrate superior auditory perception and listening skills post-surgery.
Area of Science:
- Audiology
- Otolaryngology
- Pediatric Medicine
Background:
- Auditory Neuropathy Spectrum Disorder (ANSD) presents unique challenges in auditory processing.
- Cochlear Implantation (CI) is a common intervention for pediatric hearing loss.
Purpose of the Study:
- To assess the impact of ANSD on auditory perception and listening difficulties in pediatric CI recipients.
- To compare outcomes between pediatric CI users with and without ANSD.
Main Methods:
- Utilized the Children's Auditory Perception Test (CAPT) and Children's Home Inventory of Listening Difficulties (CHILD) Scale.
- Included 40 pediatric CI recipients (ages 5-7) with and without ANSD, controlling for key demographic and clinical factors.
Main Results:
- Children without ANSD showed significantly better performance in integrating visual-auditory stimuli, overall listening, and in noisy environments.
- A positive correlation was found between speech perception and audiovisual integration (p = .005, r = .438).
Conclusions:
- Significant differences exist in postoperative listening skills and auditory perception between pediatric CI recipients with and without ANSD.
- Pediatric CI recipients without ANSD generally exhibit better auditory outcomes.
Purpose:
This study aims to evaluate the effect of auditory neuropathy spectrum disorder (ANSD) on postoperative auditory perception and listening difficulties in pediatric cochlear implant (CI) recipients.
Method:
The Children's Auditory Perception Test (CAPT) assesses auditory perception skills, and the Children's Home Inventory of Listening Difficulties (CHILD) Scale evaluates daily listening difficulties. The study involved pediatric CI recipients (n = 40) aged between 5 and 7 years, with and without diagnosis of ANSD. The research ensured homogeneity across various factors, including chronological age, age at diagnosis, age at initial implantation, bilateral simultaneous surgery, etiologies of hearing loss, and family education level.
Results:
The findings have demonstrated that children without ANSD exhibited better performance in integrating visual-auditory stimuli and overall listening performance, distant sound source scores, and noisy environment scores (respectively p = .047, p = .001, p = .028, and p = .010). Additionally, children with better speech perception also have a better ability to integrate audiovisual stimuli (p = .005, r = .438).
Conclusions:
There are significant differences in postoperative listening skills and auditory perceptions between children with and without an ANSD who have CIs. Accordingly, children without an ANSD perform better.
