J Otolaryngol Ophthalmol Shandong Univ ›› 2017, Vol. 31 ›› Issue (2): 43-48.doi: 10.6040/j.issn.1673-3770.0.2017.018

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Evaluation of hearing levels, speech functions and cognitive abilities of cochlear implantation in deaf children with abnormal white matter.

  

  1. 1. Department of Otolaryngology Head and Neck Surgery, Drum Tower Clinical Medical College of Nanjing Medical University, Nanjing 210008, Jiangsu, China;2. Department of Otolaryngology Head and Neck Surgery, Affiliated Drum Tower Hospital of Nanjing University Medical School, Provincial Key Medical Discipline(Laboratory), Nanjing 210008, Jiangsu, China;3. Research Institution of Otolaryngology, Nanjing 210008, Jiangsu, China
  • Received:2017-01-12 Online:2017-04-16 Published:2017-04-16

Abstract: Objective To analyze the feasibility cochlear implantation(CI)for deaf children with abnormal white matter and to compare their hearing levels, speech function, cognitive abilities before and after surgery. Methods Six deaf children with abnormal white matter among 425 patients who had received CI from November 2012 to April 2015 in our department were selected as the experimental group, and another 6 patients with normal white matter at almost the same time were enrolled as the control group. The outcome of speech functions in the experimental group before and after surgery were compared. Statistical analysis was conducted by repeated measures analysis of variance, Rank sun test, t test and Chi-squared test with the hardware SPSS19.0. Results (1) Statistical significances in meaningful auditory integration scale(MAIS), categories of auditory performance(CAP)and speech intelligibility rating(SIR)were found 山东大学耳鼻喉眼学报31卷2期 -董健菲,等.合并脑白质异常聋儿人工耳蜗植入后听力言语及认知能力评估分析 \=-in the experimental group before and after surgery. (2) No statistical significances in hearing threshold before and after surgery between the two groups were found. (3) No statistical significances in MAIS,CAP and SIR between the two groups were found before and after a 6-month follow-up, but statistical significances were found after a 12-month follow-up. (4) Statistical significances in Wechsler young children scale of intelligence(C-WYCSI)were found between the two groups after a 12-month follow-up. Conclusion Speech function of deaf children with abnormal white matter was significantly improved after CI. The hearing levels of deaf children with abnormal white matter are basically the same compared with deaf children with normal white matter after CI. As are result, CI could be conducted after strict examinations before operation. Nevertheless, speech functions and cognitive abilities between them were still different after a 12-month follow-up. Therefore, adequate communication with parents of deaf children whose white matter are abnormal should be done before surgery.

Key words: Speech function, Hearing Level, Cochlear implantation, Cognitive ability, Abnormal white matter

CLC Number: 

  • R764.43
[1] Jonas NE, Ahmed J, Grainger J, et al. MRI brain abnormalities in cochlear implant candidates:how common and how important are they?[J]. Int J Pediatr Otorhinolaryngol, 2012, 76(7):927-929.
[2] Xu XQ, Wu FY, Hu H, et al. Incidence of brain abnormalities detected on preoperative brain MR imaging and their effect on the outcome of cochlear implantation in children with sensorineural hearing loss[J]. Int J Biomed Imaging, 2015, 2015:275786.
[3] Zeng FG, Rebscher SJ, Fu QJ, et al. Development and evaluation of the Nurotron 26-electrode cochlear implant system[J]. Hear Res, 2015, 322(4):188-199.
[4] Yan F, Li J, Xian J, et al. The cochlear nerve canal and internal auditory canal in children with normal cochlea but cochlear nerve deficiency[J]. Acta Radiol, 2013, 54(3):292-298.
[5] Miyasaka M, Nosaka S, Morimoto N, et al. CT and MR imaging for pediatric cochlear implantation:emphasis on the relationship between the cochlear nerve canal and the cochlear nerve[J]. Pediatr Radiol, 2010, 40(9):1509-1516.
[6] Kutz JW Jr, Lee KH, Isaacson B, et al. Cochlear implantation in children with cochlear nerve absence or deficiency[J]. Otol Neurotol, 2011, 32(6):956-961.
[7] 陆玲,李嘉怡,钱晓云,等. 透明化面神经与鼓索神经对于提高人工耳蜗植入术的安全性研究[J].中国耳鼻咽喉颅底外科杂志,2016,22(3):213-215. LU Ling, LI Jiayi, QIAN Xiaoyun, et al. Study on the safety of active and adequate exposure of the facial nerve and chorda tympani nerve to improve the safety of cochlear implantation[J]. Chin J Otorhinolaryngol Skull Base Surgery, 2016, 22(3):213-215.
[8] Hong P, Jurkowski ZC, Carvalho DS. Preoperative cerebral magnetic resonance imaging and white matter changes in pediatric cochlear implant recipients[J]. Int J Pediatr Otorhinolaryngol, 2010, 74(6):658-660.
[9] Haqinoya K, Ohura T, Kon K, et al. Abnormal white matter lesions with sensorineural hearing loss caused by congenital cytomegalovirus infection: retrospective diagnosis by PCR using Guthrie cards[J]. Brain Dev, 2002, 24(7):710-714.
[10] van der Knaap MS, Vermeulen G, Barkhof F, et al. Pattern of white matter abnormalities at MR imaging: use of polymerase chain reaction testing of Guthrie cards to link pattern with congenital cytomegalovirus infection[J]. Radiology, 2004, 230(2):529-536.
[11] 中华耳鼻咽喉头颈外科杂志编辑委员会,中华医学会耳鼻咽喉头颈外科学分会,中国残疾人康复协会听力语言康复专业委员会.人工耳蜗植入工作指南(2013)[J].中华耳鼻咽喉头颈外科杂志,2014,49(2):1-7.
[12] 隋邦森,吴恩惠,陈雁冰.磁共振诊断学[M].北京:人民卫生出版社,1995:461.
[13] 徐焱,陈波,常慧贤.儿童脑白质病MRI诊断价值[J].中外医疗,2010,29(25):41-42.
[14] 李雯,邱建新,余得志,等.脑白质异常的语前聋患儿人工耳蜗植入术后听觉言语康复效果评估[J].临床耳鼻咽喉头颈外科杂志,2014,28(16):1205-1207. LI Wen, QU Jianxin, CHANG Huixian, et al. A questionnaires study on cochlear implantation in patients with white matter changes[J]. J Clin Otorhinolaryngol Head Neck Surg(China), 2014, 28(16):1205-1207.
[15] 黄梅,黄建民.合并脑白质异常患儿人工耳蜗植入术后听觉及言语能力评估[D].福州:福建医科大学,2014.
[16] 郑秀瑾,李海珍,张谊,等. 2-5岁小儿人工耳蜗植人术后的言语康复[J].中国康复医学杂志,2017,22(1):41-43. ZHENG Xiujin, LI Haizhen, ZHANG Yi, et al. An approach to the speech r ehabilitation of childr en at the age of 2 to 5 years after cochlear implantation[J]. Chin J Rehab Med, 2007, 22(1):41-43.
[17] 刘凤安,陈宏杰,胡洪义,等.人工耳蜗植入术后听觉言语效果的影响因素[J]. 山东大学耳鼻喉眼学报,2008,22(4):333-335. LIU Fengan, CHEN Hongjie, HU Hongyi, et al. Effect of cochlear implantation on hearing and speech rehabilitation[J]. J Otolaryngol Ophthal Shandong Univ, 2008, 22(4):333-335.
[18] 李东梅,许安廷,程想,等. 人工耳蜗植入术后听力及言语康复效果相关因素的初步研究[J].山东大学耳鼻喉眼学报,2010,24(1):16-20. LI Dongmei, XU Anting, CHENG Xiang, et al. Influencing factors on hearing and speech rehabilitation efficacy of deaf children with a cochlear implant[J]. J Otolaryngol Ophthal Shandong Univ, 2010, 24(1):16-20.
[19] 马佳,静进,何珊茹,等.学习障碍儿童认知特征及影响因素分析[J].中国行为医学科学,2005,14(9):835-837. MA Jia, JING Jin, HE Shanru, et al. The analysis of the cognitive character and effective factor of learning disabilities[J]. Chin J Behav Med Sci, 2005, 14(9):835-837.
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[15] MA Hou-sheng1, ZHENG Shi=cai1, DONG Zhen-ling1, WANG Xiang-wen2. Modified cochlear view in cochlear implantation [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2009, 23(5): 8-9.
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