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Updated: Jan 18, 2026

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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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Music Perception in Children With Cochlear Implants: A Systematic Review and Meta-analysis
Lauren R McCray1,2, Erin E Briggs1,3, Shaun A Nguyen1
1Department of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston, South Carolina, USA.
Summary
Children with cochlear implants show significant differences in music perception compared to normal-hearing peers. Further research and patient counseling are recommended for these findings.
Area of Science:
- Audiology
- Neuroscience
- Pediatrics
Background:
- Cochlear implants (CIs) aim to restore hearing but music perception remains a challenge.
- Understanding music perception in pediatric CI users is crucial for auditory development and quality of life.
Purpose of the Study:
- To quantitatively assess music perception in children with CIs compared to children with normal hearing.
- To synthesize current evidence on music perception abilities in pediatric CI recipients.
Main Methods:
- Systematic review of cohort and cross-sectional studies on music perception in children (<18 years) with CIs.
- Searched CINAHL, Cochrane Library, PubMed, and SCOPUS databases.
- Extracted data on rhythm, melody, timbre, and pitch recognition; assessed risk of bias.
Main Results:
- Included 29 studies with 1119 participants; average age 9.4 years for CI group.
- Children with CIs demonstrated significantly poorer recognition of rhythm, melody, timbre, and music emotion.
- Pitch recognition accuracy was 50.6% for CI users versus 91% for controls (limited control data).
Conclusions:
- Significant deficits in music perception exist for children with CIs compared to normal-hearing peers.
- Further research is warranted to explore factors influencing music perception in this population.
- Patient counseling regarding realistic expectations for music perception is recommended.
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