Auditory performance and language skills in children with auditory brainstem implants and cochlear implants

Eur Arch Otorhinolaryngol. 2024 Aug;281(8):4153-4159. doi: 10.1007/s00405-024-08594-0. Epub 2024 Apr 4.

Abstract

Purpose: This study aims to evaluate school-age language skills and auditory performance in different listening situations in children with cochlear implants and auditory brainstem implants.

Method: The study included 60 children between the ages of 5 and 9 years with cochlear implants (CI) and auditory brainstem implants (ABI). The volunteer children were divided into two groups: bimodal CI-ABI and bilateral CI users. Test of Language Development: Primary (TOLD-P:4), which assesses components of language such as phonology, morphology, syntax and semantics, was used to evaluate school-age language skills. Children's Auditory Performance Scale (CHAPS) was used to measure their listening performance in quiet, noisy, multi-stimulus environments and their auditory attention and memory skills in daily life. The correlations between language and auditory performance were analyzed and compared between the two groups.

Results: Children with ABI showed poorer performance in school-age language skills and auditory performance in different listening environments (p < 0.05). Significant correlations were between school-age language skills and auditory performance (p < 0.05).

Conclusion: Improved auditory performance is crucial for the development of school-age language skills. To improve auditory performance in children with ABI in different listening environments, assistive listening devices, acoustic environmental arrangements, informative activities, etc., should be used.

Keywords: Auditory brainstem implants; Auditory performance; Children; Cochlear implants; Language.

MeSH terms

  • Auditory Brain Stem Implants*
  • Auditory Perception / physiology
  • Child
  • Child, Preschool
  • Cochlear Implants*
  • Deafness / physiopathology
  • Deafness / rehabilitation
  • Deafness / surgery
  • Female
  • Humans
  • Language Development*
  • Male
  • Speech Perception / physiology