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Early speech changes in children with multichannel cochlear implants

G O Te1, M J Hamilton, F M Rizer

  • 1Warren Otologic Group, Warren, OH 44484, USA.

Otolaryngology--Head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
|December 1, 1996
PubMed
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Cochlear implants enable immediate speech improvements in deaf children. Intensive rehabilitation is crucial for maximizing speech skills, with vowel production developing fastest and consonant production being most challenging.

Area of Science:

  • Audiology
  • Speech-language pathology
  • Pediatric audiology

Background:

  • Cochlear implants improve auditory signals for profoundly deaf children.
  • The timing of early speech skill development post-implantation is not well understood.

Purpose of the Study:

  • To investigate the onset and progression of speech skills in prelingually deaf children during the first year after cochlear implantation.

Main Methods:

  • Longitudinal observation of four prelingually deaf children over one year post-implantation.
  • Focus on early rehabilitation within the first few months.
  • Assessment of speech production and perception skills at regular intervals.

Main Results:

  • Immediate improvements in speech scores were observed on the first day of implant activation.

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  • Rapid speech production gains occurred in the first four months, with some skills progressing slower at one year.
  • Vowel production was easiest, followed by word-pattern recognition and consonant voicing; consonant place and manner were most difficult.
  • Speech perception significantly improved in three out of four children after one year.

    • Conclusions:

    • Early and intensive speech rehabilitation is essential to maximize cochlear implant benefits.
    • The study highlights the rapid initial development and subsequent slower progress of specific speech skills.
    • Findings underscore the importance of timely intervention and tailored rehabilitation strategies for pediatric cochlear implant users.