Speech perception in children with auditory neuropathy/dyssynchrony managed with either hearing aids or cochlear implants

Speech perception in children with auditory neuropathy/dyssynchrony managed with either hearing aids or cochlear implants
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DOI:
10.1097/mao.0b013e31815e92fd
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发表时间:
2008-02-01
影响因子:
2.1
通讯作者:
Barker, Elizabeth Janet
Barker, Elizabeth Janet
中科院分区:
医学2区
文献类型:
--
作者:
Rance, Gary;Barker, Elizabeth Janet

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目的:评估通过助听器或人工耳蜗治疗的听神经病 (AN)/听觉不同步 (AD) 型听力损失儿童的言语感知技能。研究设计:在 3 个受试者组中收集前瞻性数据:配备双耳扩音器的 AN/AD 儿童、配备人工耳蜗(单耳或双耳)的 AN/AD 儿童,以及患有感音神经性听力损失的植入儿童的匹配对照组。主要结果指标:开放式单音节词(辅音-核-辅音)。结果:在 10 名植入的 AN/AD 儿童中,9 名表现出明显的言语歧视(辅音-核-辅音音素分数 >= 55%)。辅助 AN/AD 组也获得了类似的结果。两个 AN/AD 受试者组的结果均比植入感音神经队列的结果差。结论:人工耳蜗植入可以为 AN/AD 型听力损失受试者提供有用的听力。然而,对这一群体的期望可能需要低于外周(耳蜗)丧失的患者。
Objective: To evaluate speech perception skills in children with auditory neuropathy (AN)/auditory dyssynchrony (AD)-type hearing loss managed with either hearing aids or cochlear implants.Study Design: Prospective data collection in 3 subject groups: AN/AD children fitted with bilateral amplification, AN/AD children fitted with cochlear implant (in I or both ears), and a matched control group of implanted children with sensorineural hearing loss.Main Outcome Measure: Open-set monosyllabic words (consonant-nucleus-consonant).Results: Of the 10 implanted AN/AD children, 9 demonstrated significant speech discrimination (consonant-nucleus-consonant phoneme score >= 55%). Similar results were obtained for the aided AN/AD group. Findings for both AN/AD subject groups were poorer than those of the implanted sensorineural cohort.Conclusion: Cochlear implantation can offer useful hearing in subjects with AN/AD-type hearing loss. However, expectations for this group may need to be lower than for patients with peripheral (cochlear) loss.