Early general development and central auditory system maturation in children with cochlear implants - A case series.

Clicks: 383
ID: 24998
2019
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Ranked #9 of 55 articles by views in international journal of pediatric otorhinolaryngology

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Abstract
A cochlear implant (CI) has the potential to improve the functioning of a deaf child in many aspects. Nevertheless, the dynamics of the general development, beyond the typically measured language abilities, directly after CI, is still unknown, especially if a child is implanted early. In this study we present a methodological framework for assessment of different domains of development, as well as the central auditory nervous system (CANS) maturation in infants and toddlers with a CI.Three children with bilateral congenital hearing loss and a unilateral CI, aged below 2.5 years, participated in a longitudinal study. Children were tested at three time points after cochlear implantation using the Polish Children Development Scale (CDS) consisting of a comprehensive battery of tests, as well as recordings of Cortical Auditory Evoked Potentials (CAEP).All three children revealed gradual improvement in the overall CDS result as well as most of the CDS subscales. After 9 months of CI experience two younger children showed age-appropriate performance. In CAEP measurements a decrease of latency of the P1 component (an established biomarker of cortical auditory maturation) was observed in the same two children, with one achieving normal ranges of P1 latency after 9 months of CI use.Our novel methodological framework can be successfully applied in small children with cochlear implants. It contributes to better understanding of the general development in early implanted children. The preliminary results indicate variability in children's performance in various developmental domains and thus the need to monitor the development of each child individually and holistically.
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paulina2019earlyinternational Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Paulina, Paluch;Bartosz, Kochański;Małgorzata, Ganc;Katarzyna, Cieśla;Rafał, Milner;Agnieszka, Pluta;Monika, Lewandowska;
Journal international journal of pediatric otorhinolaryngology
Year 2019
DOI
S0165-5876(19)30369-6
URL
Keywords Keywords not found

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