title: Speech perception in children with auditory neuropathy/dyssynchrony managed with either hearing AIDS or cochlear implants.
abstract: OBJECTIVE
  To evaluate speech perception skills in children with auditory neuropathy (AN)/auditory dyssynchrony (AD)-type hearing loss managed with either hearing aids or cochlear implants.
  
  
  METHODS
  Prospective data collection in 3 subject groups: AN/AD children fitted with bilateral amplification, AN/AD children fitted with cochlear implant (in 1 or both ears), and a matched control group of implanted children with sensorineural hearing loss.
  
  
  METHODS
  Open-set monosyllabic words (consonant-nucleus-consonant).
  
  
  RESULTS
  Of the 10 implanted AN/AD children, 9 demonstrated significant speech discrimination (consonant-nucleus-consonant phoneme score > or =55%). Similar results were obtained for the aided AN/AD group. Findings for both AN/AD subject groups were poorer than those of the implanted sensorineural cohort.
  
  
  CONCLUSIONS
  Cochlear implantation can offer useful hearing in subjects with AN/AD-type hearing loss. However, expectations for this group may need to be lower than for patients with peripheral (cochlear) loss.
authors.affiliation: Department of Otolaryngology, The University of Melbourne, Victoria, Australia. grance@unimelb.edu.au
authors.forename: Gary
authors.initials: G
authors.lastname: Rance
authors.forename: Elizabeth Janet
authors.initials: EJ
authors.lastname: Barker
mesh_terms: D000161:Acoustic Stimulation; D001309:Auditory Threshold / Q000502:physiology; D002648:Child; D003054:Cochlear Implants; D003389:Cranial Nerve Diseases / Q000523:psychology* / Q000628:therapy*; D005260:Female; D006310:Hearing Aids; D006801:Humans; D008297:Male; D013060:Speech / Q000502:physiology; D013062:Speech Articulation Tests; D013067:Speech Perception / Q000502:physiology*; D000160:Vestibulocochlear Nerve Diseases / Q000523:psychology* / Q000628:therapy*