Speech perception in adolescents with pre-lingual hearing impairment with cochlear implants

Braz J Otorhinolaryngol. 2011 Mar-Apr;77(2):153-7. doi: 10.1590/s1808-86942011000200003.
[Article in English, Portuguese]

Abstract

Profound hearing loss is a disability that affects personality and when it involves teenagers before language acquisition, these bio-psychosocial conflicts can be exacerbated, requiring careful evaluation and choice of them for cochlear implant.

Aim: To evaluate speech perception by adolescents with profound hearing loss, users of cochlear implants.

Study design: Prospective.

Materials and methods: Twenty-five individuals with severe or profound pre-lingual hearing loss who underwent cochlear implantation during adolescence, between 10 to 17 years and 11 months, who went through speech perception tests before the implant and 2 years after device activation. For comparison and analysis we used the results from tests of four choice, recognition of vowels and recognition of sentences in a closed setting and the open environment.

Results: The average percentage of correct answers in the four choice test before the implant was 46.9% and after 24 months of device use, this value went up to 86.1% in the vowels recognition test, the average difference was 45.13% to 83.13% and the sentences recognition test together in closed and open settings was 19.3% to 60.6% and 1.08% to 20.47% respectively.

Conclusion: All patients, although with mixed results, achieved statistical improvement in all speech tests that were employed.

MeSH terms

  • Adolescent
  • Child
  • Cochlear Implants*
  • Cognition / physiology
  • Female
  • Hearing Loss, Sensorineural / surgery*
  • Humans
  • Male
  • Prospective Studies
  • Severity of Illness Index
  • Speech Discrimination Tests*
  • Speech Perception / physiology*
  • Time Factors