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논문KCI 등재

순차적 양측 인공와우 아동들의 일상생활에서의 기능적 듣기수행력

Functional Listening Performance of Children with Sequential Bilateral Cochlear Implantation in Daily Life

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초록

Background and Objectives This study aims to identify whether the sequential bilateral cochlear implantation in children with a long inter-implant interval provides functional benefits in everyday situation. Subjects and Method Seventeen children with sequential bilateral cochlear implants (BiCIs) (mean age at first implantation, 2.6 years; mean age at second implantation, 8.5 years; mean inter-implant interval, 6.0 years) and 17 children with unilateral cochlear implants (UniCIs) were included in this study. The questionnaire SSQ (The Speech, Spatial, and Qualities of hearing scale for parents of children with impaired hearing, Galvin, 2007) was used to evaluate the performance of two groups by individually interviewing the parents of the subjects. For the BiCIs, anecdotal reports of the performance in everyday listening situation and device use were also collected in interviews. Results The BiCI group showed significantly better performance in all three areas (speech perception, spatial hearing, and other qualities of hearing) of the SSQ than did the UniCI group. The differences between the two groups were significantly larger in performance on ‘spatial hearing’ and ‘other qualities of hearing’ than on ‘speech perception’. All subjects with bilateral cochlear implants had a positive attitude on bilateral hearing. Anecdotal reports indicated that bilateral hearing has positive effects such as reduced repeated questions, increased participation in conversation, facilitated language and learning acquisition, and improved concentration. Conclusion Children who received sequential bilateral cochlear implantation with a long inter-implant interval could obtain functional benefits in daily life. Also it turned out that these benefits have positive effects on children’s communication, language, learning, and socio-emotional areas.

Abstract

Background and Objectives This study aims to identify whether the sequential bilateral cochlear implantation in children with a long inter-implant interval provides functional benefits in everyday situation. Subjects and Method Seventeen children with sequential bilateral cochlear implants (BiCIs) (mean age at first implantation, 2.6 years; mean age at second implantation, 8.5 years; mean inter-implant interval, 6.0 years) and 17 children with unilateral cochlear implants (UniCIs) were included in this study. The questionnaire SSQ (The Speech, Spatial, and Qualities of hearing scale for parents of children with impaired hearing, Galvin, 2007) was used to evaluate the performance of two groups by individually interviewing the parents of the subjects. For the BiCIs, anecdotal reports of the performance in everyday listening situation and device use were also collected in interviews. Results The BiCI group showed significantly better performance in all three areas (speech perception, spatial hearing, and other qualities of hearing) of the SSQ than did the UniCI group. The differences between the two groups were significantly larger in performance on ‘spatial hearing’ and ‘other qualities of hearing’ than on ‘speech perception’. All subjects with bilateral cochlear implants had a positive attitude on bilateral hearing. Anecdotal reports indicated that bilateral hearing has positive effects such as reduced repeated questions, increased participation in conversation, facilitated language and learning acquisition, and improved concentration. Conclusion Children who received sequential bilateral cochlear implantation with a long inter-implant interval could obtain functional benefits in daily life. Also it turned out that these benefits have positive effects on children’s communication, language, learning, and socio-emotional areas.

참고문헌 (14)

  1. Tyler RS, "Patients utilizing a hearing aid and a cochlear implant: speech perception and localization", Ear Hear, 23(2), pp.98~105 (2002)
  2. Sharma A, "The influence of a sensitive period on central auditory development in children with unilateral and bilateral cochlear implants", Hear Res, 203(1-2), pp.134~143 (2005)
  3. Papsin BC, "Bilateral cochlear implants should be the standard for children with bilateral sensorineural deafness", Curr Opin Otolaryngol Head Neck Surg, 16(1), pp.69~74 (2008)
  4. Gordon KA, "Benefits of short interimplant delays in children receiving bilateral cochlear implants", Otol Neurotol, 30(3), pp.319~331 (2009)
  5. Peters BR, "Importance of age and postimplantation experience on speech perception measures in children with sequential bilateral cochlear implants", Otol Neurotol, 28(5), pp.649~657 (2007)
  6. Galvin KL, "Can adolescents and young adults with prelingual hearing loss benefit from a second, sequential cochlear implant?", Int J Audiol, 49, pp.368~377 (2010)
  7. Manrique M, "Bilateral sequential implantation in children", Audiol Med, 5, pp.224~231 (2007)
  8. Kim JS, "Functional benefits of sequential bilateral cochlear implantation in children with long inter-stage interval between two implants", Int J Pediatr Otorhinolaryngol, 77(2), pp.162~169 (2013)
  9. Galvin KL, "Perceptual benefit and functional outcomes for children using sequential bilateral cochlear implants", Ear Hear, 28(4), pp.470~482 (2007)
  10. Lovett RE, "Bilateral or unilateral cochlear implantation for deaf children: an observational study", Arch Dis Child, 95(2), pp.107~112 (2010)
  11. Beijen JW, "Sound localization ability of young children with bilateral cochlear implants", Otol Neurotol, 28(4), pp.479~485 (2007)
  12. Sparreboom M, "Sequential bilateral cochlear implantation in children: quality of life", Arch Otolaryngol Head Neck Surg, 138(2), pp.134~141 (2012)
  13. Fitzgerald MB, "Factors influencing consistent device use in pediatric recipients of bilateral cochlear implants", Cochlear Implants Int, 14(5), pp.257~265 (2013)
  14. Kühn-Inacker H, "Bilateral cochlear implants: a way to optimize auditory perception abilities in deaf children?", Int J Pediatr Otorhinolaryngol, 68(10), pp.1257~1266 (2004)

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