کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
6213211 1605982 2016 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
The effect of device use after sequential bilateral cochlear implantation in children: An electrophysiological approach
ترجمه فارسی عنوان
اثر استفاده از دستگاه پس از پیوند دو جانبه دو طرفه در کودکان: یک رویکرد الکتروفیزیولوژیکی
کلمات کلیدی
کاشت حلزون دو طرفه، اطفال، استفاده از دستگاه، واکنش مغزی شنوایی شنوایی الکتریکی، تشخیص گفتار،
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی بیماری های گوش و جراحی پلاستیک صورت
چکیده انگلیسی

ObjectivesIn many studies evaluating the effect of sequential bilateral cochlear implantation in congenitally deaf children, device use is not taken into account. In this study, however, device use was analyzed in relation to auditory brainstem maturation and speech recognition, which were measured in children with early-onset deafness, 5-6 years after bilateral cochlear implantation. We hypothesized that auditory brainstem maturation is mostly functionally driven by auditory stimulation and is therefore influenced by device use and not mainly by inter-implant delay.MethodsTwenty-one children participated and had inter-implant delays between 1.2 and 7.2 years. The electrically-evoked auditory brainstem response was measured for both implants separately. The difference in interaural wave V latency and speech recognition between both implants were used in the analyses. Device use was measured with a Likert scale.ResultsResults showed that the less the second device is used, the larger the difference in interaural wave V latencies is, which consequently leads to larger differences in interaural speech recognition.ConclusionsIn children with early-onset deafness, after various periods of unilateral deprivation, full-time device use can lead to similar auditory brainstem responses and speech recognition between both ears. Therefore, device use should be considered as a relevant factor contributing to outcomes after sequential bilateral cochlear implantation. These results are indicative for a longer window between implantations in children with early-onset deafness to obtain symmetrical auditory pathway maturation than is mentioned in the literature. Results, however, must be interpreted as preliminary findings as actual device use with data logging was not yet available at the time of the study.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: International Journal of Pediatric Otorhinolaryngology - Volume 86, July 2016, Pages 161-166
نویسندگان
, , , ,