Functional Language in Children from a Public Cochlear Implant Program in a Developing Country.

IF 1 Q3 OTORHINOLARYNGOLOGY International Archives of Otorhinolaryngology Pub Date : 2024-05-25 eCollection Date: 2024-07-01 DOI:10.1055/s-0044-1785205
Alice Lang Silva, Anderson Claudio Roberto, Maithe Antonello Ramos, Debora Milene Ferreira Alves, Isadora Martins Silva Stumpf, Laura Prolla Lacroix, Letícia Petersen Schmidt Rosito
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Abstract

Introduction  The World Health Organization (WHO) estimates that ∼ 32 million children worldwide are affected by hearing loss (HL). Cochlear implant is the first-line treatment for severe to profound sensorineural HL. It is considered one of the most successful prostheses developed to date. Objective  To evaluate the oral language development of pediatric patients with prelingual deafness implanted in a reference hospital for the treatment of HL in southern Brazil. Methods  We conducted a retrospective cohort study with a review of medical records of patients undergoing cochlear implant surgery between January 2009 and December 2018. Language development was assessed by reviewing consultations with speech therapy professionals from the cochlear implant group. Results  A total of 152 children were included in the study. The mean age at cochlear implant surgery was of 41 months (standard deviation [SD]: ± 15). The patients were divided into six groups considering the type of language most used in their daily lives. We found that 36% of children use oral language as their primary form of communication. In a subanalysis, we observed that patients with developed or developing oral language had undergone cochlear implant surgery earlier than patients using Brazilian Sign Language (Língua Brasileira de Sinais, LIBRAS, in Portuguese) or those without developed language. Conclusion  The cochlear implant is a state-of-the-art technology that enables the re-establishment of the sense of hearing and the development of oral language. However, language development is a complex process known to present a critical period to properly occur. We still see many patients receiving late diagnosis and treatment, which implies a delay and, often, the impossibility of developing oral communication. Level of Evidence  Level 3 (cohort study).

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发展中国家公共人工耳蜗植入项目儿童的功能性语言。
导言 据世界卫生组织(WHO)估计,全球有 3200 万儿童受到听力损失(HL)的影响。人工耳蜗是治疗重度到极重度感音神经性听力损失的一线疗法。它被认为是迄今为止开发的最成功的假体之一。目的 评估在巴西南部一家治疗 HL 的参考医院接受人工耳蜗植入治疗的儿童舌前聋患者的口语发展情况。方法 我们对 2009 年 1 月至 2018 年 12 月期间接受人工耳蜗植入手术的患者病历进行了回顾性队列研究。通过回顾人工耳蜗植入组语言治疗专业人员的咨询,对语言发展进行评估。结果 共有152名儿童被纳入研究。人工耳蜗植入手术时的平均年龄为41个月(标准差 [SD]:±15)。根据患者在日常生活中最常用的语言类型将其分为六组。我们发现,36% 的儿童以口语为主要交流方式。在一项子分析中,我们观察到,与使用巴西手语(Língua Brasileira de Sinais,葡萄牙语为 LIBRAS)或没有发达语言的患者相比,口语发达或正在发展的患者接受人工耳蜗植入手术的时间更早。结论 人工耳蜗是一种最先进的技术,能够重建听觉和发展口语。然而,众所周知,语言发展是一个复杂的过程,需要一个关键时期才能正常进行。我们仍然看到许多患者接受诊断和治疗的时间较晚,这意味着他们的口语交流发展会被推迟,而且往往是不可能的。证据等级 3 级(队列研究)。
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来源期刊
CiteScore
2.80
自引率
0.00%
发文量
84
审稿时长
12 weeks
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