Outcomes and Measures of Children with Bilateral Cochlear Implants: A Single-center Experience in Bangladesh

Mohammod Delwar Hossain, Mohammed Sirazul Islam, Artur Lorens, Ranjith Rajeswaran, Siva Ganesan
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Abstract

Children dealing with hearing impairment encounter challenges associated with speech and language delays, significantly impacting their quality of life. Recent data from the World Health Organization indicate that 466 million people worldwide experience disabling hearing loss, with 34 million being children. Cochlear implantation (CI) is a novel approach for severe to profound sensorineural hearing loss. In pediatric CI, the main objective is to enable hearing-impaired children to perceive sound promptly, facilitating speech and language development. This study investigated the outcomes of bilateral pediatric cochlear implant (CI) users in Bangladesh, applying the Speech, Spatial, and Qualities of Hearing questionnaire and the Classification of Auditory Performance-II (CAP-II). Conducted at the Combined Military Hospital in Bangladesh, the study involved 10 children with bilateral cochlear implants. The results revealed commendable scores in speech understanding, spatial hearing, and qualities of hearing, underscoring the effectiveness of cochlear implant interventions. Deeply examining the implications is the topic of discussion of these findings, emphasizing the positive impact of early implantation and the adaptability of assessment tools in diverse cultural contexts.
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双侧人工耳蜗植入儿童的疗效与衡量标准:孟加拉国单中心经验
患有听力障碍的儿童会遇到与言语和语言障碍相关的挑战,严重影响他们的生活质量。世界卫生组织的最新数据显示,全球有 4.66 亿人患有致残性听力损失,其中 3400 万是儿童。人工耳蜗植入术(CI)是治疗重度到极重度感音神经性听力损失的一种新方法。小儿 CI 的主要目的是让听障儿童能够及时感知声音,促进言语和语言发育。本研究采用 "言语、空间和听力质量 "问卷和 "听觉表现分类-II"(CAP-II),对孟加拉国双侧小儿人工耳蜗(CI)使用者的效果进行了调查。这项研究在孟加拉国联合军事医院进行,共有 10 名儿童接受了双侧人工耳蜗植入。结果显示,他们在言语理解、空间听力和听力质量方面都取得了令人称赞的成绩,凸显了人工耳蜗干预的有效性。深入探讨这些研究结果的意义是讨论的主题,强调早期植入的积极影响以及评估工具在不同文化背景下的适应性。
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