[Do Early Cochlear-Implanted Toddlers Show a Better Speech Development than Later Implanted Children?]
Objective:Long term goal in early cochlea implantation in children without any additional disabilities is an age-appropriate speech development.Material and Methods:Speech development in deaf children with cochlear-implant(s) (n=60) was examined with the german language test battery SETK-2 ("Sprachentwicklungstest für 2-jährige Kinder") 2 years after first mapping of the speech processor.Results:More than 68% of the subjects show in all 4 subtests hearing-age equivalent results in receptive and expressive language. 12 children were additionally evaluated by chronological age. 4 of these children show age-appropriate results. There is no significant difference between the children implanted earlier in life (≤12 months) and later implanted children (≥13 months). But it must be kept in mind, that children who were implanted earlier show the same results at a younger age. The discrepancy between their chronological age and their speech development-age is smaller. Speech development in children who grow up bilingually was delayed in German.Conclusions:The results lead to the conclusion that the time of the cochlea implantation is crucial for further development of the children who were born deaf. Rehabilitation concepts have to put a special focus on children who grow up with more than one language.
Klinik und Poliklinik für Hals-, Nasen-, und Ohrenheilkunde, Kopf- und Halschirurgie, Uniklinik Köln, Cochlear Implant Centrum Köln, Köln.
K
K
Kral
Klinik und Poliklinik für Hals-, Nasen-, und Ohrenheilkunde, Kopf- und Halschirurgie, Uniklinik Köln, Cochlear Implant Centrum Köln, Köln.
R
R
Lang-Roth
Institut für Psychologie, Rheinische Friedrich Wilhelms Universität Bonn, Bonn.
N
N
Hilger
Klinik und Poliklinik für Hals-, Nasen-, und Ohrenheilkunde, Kopf- und Halschirurgie, Uniklinik Köln, Cochlear Implant Centrum Köln, Köln.
B
B
Streicher
D000367:Age Factors; D002675:Child, Preschool; D019929:Cochlear Implantation; D003638:Deafness / Q000175:diagnosis / Q000534:rehabilitation*; D061345:Early Medical Intervention; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007805:Language Development Disorders / Q000175:diagnosis* / Q000534:rehabilitation*; D008297:Male; D012016:Reference Values; D013063:Speech Discrimination Tests; D013068:Speech Production Measurement