title: Cochlear implantation between 5 and 20 months of age: the onset of babbling and the audiologic outcome.
abstract: OBJECTIVE
  The objective of this study was to investigate the onset of prelexical babbling and the audiologic outcome of 10 deaf children who received a cochlear implant (CI) before the age of 20 months.
  
  
  METHODS
  A prospective longitudinal observation and analysis.
  
  
  METHODS
  Ten congenitally deaf infants implanted at an age between 6 and 18 months.
  
  
  METHODS
  All children received a Nucleus-24 multichannel cochlear implant.
  
  
  METHODS
  1) The onset of babbling defined as a) the first appearance of multiple articulatory movements and b) a canonical babbling ratio of.2 or higher; 2) the babbling spurt defined as a sudden increase of babbled utterances; 3) the audiologic outcome defined by the CAP score (Categories of Auditory Performance) and the results of the A[S]E (Auditory Speech Sound Evaluation).
  
  
  RESULTS
  All children started babbling after a short interval of 1 to 4 months after activation of the device so that the onset of babbling in the youngest subjects occurred at a chronologic age comparable to that of normally hearing infants. The outcomes of the different babbling measures correlated significantly with the age of implantation: the earlier the implantation, the closer the results approached the outcomes of normally hearing infants. The children implanted in their first year of life showed a normal CAP development as early as 3 months after implantation. All CI children were able to discriminate phoneme pairs of the A[S]E immediately after the fitting of the device.
  
  
  CONCLUSIONS
  The earlier the implantation took place, the smaller the delay was in comparison with normally hearing children with regard to the onset of prelexical babbling and with regard to auditory performance as measured by CAP.
authors.affiliation: CNTS, Department of Linguistics, University of Antwerp, Antwerp-Wilrijk, Belgium.
authors.forename: Karen
authors.initials: K
authors.lastname: Schauwers
authors.forename: Steven
authors.initials: S
authors.lastname: Gillis
authors.forename: Kristin
authors.initials: K
authors.lastname: Daemers
authors.forename: Carina
authors.initials: C
authors.lastname: De Beukelaer
authors.forename: Paul J
authors.initials: PJ
authors.lastname: Govaerts
mesh_terms: D000367:Age Factors; D019929:Cochlear Implantation / Q000379:methods*; D003054:Cochlear Implants; D005260:Female; D006309:Hearing; D034381:Hearing Loss / Q000151:congenital / Q000628:therapy*; D006801:Humans; D007223:Infant; D007804:Language Development; D008137:Longitudinal Studies; D008297:Male; D011446:Prospective Studies; D013067:Speech Perception; D016896:Treatment Outcome