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C019 Cochlear implants in children with cerebral palsy
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Abstracts, ESPCI 2011 / International Journal of Pediatric Otorhinolaryngology 75 (2011) 33–57
Material and Methods: The evolution in communication mode for a group of cochlear-implanted children was monitored through a specific scale focussed on three main domains: perception/oral comprehension, oral production and gesture production. Results: The scale will be introduced first, with particular attention paid to the different skills and the interaction between them. The children’s scores will then be presented. Conclusions: In very young cochlear implant users, the oral language can develop rapidly and depends both on pre-verbal communication (oral and/or gestures) built before implantation and on early oral comprehension abilities developed after implantation. Those results support the idea of immediate cochlear implantation after deafness diagnosis with adapted monitoring of communication. C017 Bilateral versus unilateral cochlear implants for children; early language findings of a 5-year study of language, academic, psychosocial and other outcomes J. Sarant1 , K. Galvin1 , J. Holland1 , S. Bant1 , P. Blamey2 , R. Wales3 , P. Busby4 , M. Moran5 . 1 Audiology, Hearing and Speech Sciences, The Department of Otolaryngology, The University of Melbourne, Melbourne, Victoria, Australia; 2 The Bionic Ear Institute, Melbourne, Victoria, Australia; 3 Latrobe University, Melbourne, Victoria, Australia; 4 Cochlear Ltd, Melbourne, Victoria, Australia; 5 Cochlear Implant Clinic, Royal Victorian Eye and Ear Hospital, Melbourne, Victoria, Australia Aim: A 5-year multi-center project comparing the language, social, and academic development of children with bilateral cochlear implants (CIs) with that of children with unilateral CIs is described. Year 1 initial language results for 5-year-olds are reported. Material and Methods: 28 children were assessed using the Peabody Picture Vocabulary Test and the Preschool Language Scales (PLS-4). IQ, parent stress and parental involvement in children’s intervention were assessed. T-tests examined the differences in results between the bilateral and unilateral groups. Results: The bilateral group scored higher on all language measures. However, the differences in scores between the groups were significant only for the more difficult tasks [Expressive Language and Total Language (PLS-4)]. No significant differences were found between the groups for IQ, parent stress or parental involvement. Conclusions: These initial findings must be interpreted with caution, due to the small sample sizes. C018 Two-year post-operative patterns of device use in young children with sequential or simultaneous bilateral cochlear implants: what happens to children who exhibit early difficulty adapting to bilateral implant use? K.C. Hughes, K.L. Galvin. Audiology, Hearing and Speech Sciences, The Department of Otolaryngology, The University of Melbourne, Melbourne, Australia Aim: To document patterns of bilateral device use at 2-years postoperative for a clinical group of young recipients whose early progress in adapting to bilateral implants has been previously reported. Materials and Methods: Previously, a group of 46 children who received bilateral cochlear implants under 3.5 years were classified into categories of adaptation according to amount of bilateral device use at 2 months post switch on. Nine children were identified as not using the two implants full-time at 2 months. Follow-up device use information at two years post switch-on was collected. Results: At two years, three of the nine children used a unilateral implant only and a fourth child used bilateral implants less than full time.
Conclusion: Children who have difficulty achieving early full-time device use may continue to have problems in the longer term. Knowledge of patterns of device use is important for pre-operative counselling and post-operative management. C019 Cochlear implants in children with cerebral palsy M.J. Dias dos Santos1 , A. Lima Mortari Moret1 , D.A. Cusin Lamˆonica1 , O. Alves Costa1 , M.C. Bevilacqua1 . Audiology Research Center of the Hospital Rehabilitation of Craniofacial Anomalies University of S˜ ao Paulo, Bauru, Brazil Aim: Study the benefits of cochlear implant (CI) in children with cerebral palsy (CP). Material and Methods: Six children with CP who received CI participated of this study. The follow-up ranged from 13 to 20 months. The outcomes were assessed using the GASP, ITMAIS, MUSS, DENVER-II Scale and Pediatric Evaluation of Disability Inventory (PEDI). Results: In preoperatively all children were placed in category 0. After 18 months post-CI, one child reached the speech perception category 3, two children in category 2, and one placed in category 1. About the language categories, two children remained in category 1 (the same in preoperatively), three children in category 2 and one in category 3. The PEDI and DENVER-II Scale, shows gradual progress in motor function, but an expressive progress in the social aspect. Conclusions: The CI for this group of children, provided benefits regarding to speech perception and language, especially for social communication. C020 Cochlear implantation in children deafened by congenital cytomegalovirus B. Philips, I. Dhooge. Ghent University, Belgium Aim: A retrospective study was performed on children with cochlear implantation (CI), deafened by congenital cytomegalovirus (cCMV), in Flanders, Belgium. Material and Methods: Twenty infants with cCMV infection underwent audiological assessment including otoscopic examination, tympanometry, auditory brainstem responses and behavioral pure tone audiometry. The test protocol was selected according to the developmental age of the child. Besides audiological assessment, additional disorders and sequelae are documented. Results: Asymptomatic cCMV children can achieve substantial auditory perceptive and productive skills following cochlear implantation. Also symptomatic cCMV children sometimes perform better than initially expected. Conclusions: Early hearing rehabilitation of children with cCMVrelated deafness can successfully increase access to oral language, even in the presence of CNS abnormalities. Secondly, additional hearing evaluations after universal newborn hearing screening will be needed to detect infants with delayed-onset hearing loss. Long-term audiological follow-up assessment, especially within asymptomatic CMV children, should be taken care of. C021 Validation of the LittlEARS questionnaire in Polish cochlear implanted children A. Obrycka1 , J.L. Padilla2 , A. Lorens1 , A. Piotrowska1 , H. Skarzy ˙ nski ´ 1. 1 International Center of Hearing and Speech of the Institute of Physiology and Pathology of Hearing, Warsaw/Kajetany, Poland; 2 Social Psychology and Methodology of the Behavioural Sciences Department, University of Granada, Spain Aim: The aim of was to evaluate the psychometric properties of the Polish version of the LittlEARS questionnaire in cochlear implanted children. Material and Methods: 130 children implanted before age of two were tested with the polish version of the LittlEARS questionnaire.
Abstracts, ESPCI 2011 / International Journal of Pediatric Otorhinolaryngology 75 (2011) 33–57
Material and Methods: The evolution in communication mode for a group of cochlear-implanted children was monitored through a specific scale focussed on three main domains: perception/oral comprehension, oral production and gesture production. Results: The scale will be introduced first, with particular attention paid to the different skills and the interaction between them. The children’s scores will then be presented. Conclusions: In very young cochlear implant users, the oral language can develop rapidly and depends both on pre-verbal communication (oral and/or gestures) built before implantation and on early oral comprehension abilities developed after implantation. Those results support the idea of immediate cochlear implantation after deafness diagnosis with adapted monitoring of communication. C017 Bilateral versus unilateral cochlear implants for children; early language findings of a 5-year study of language, academic, psychosocial and other outcomes J. Sarant1 , K. Galvin1 , J. Holland1 , S. Bant1 , P. Blamey2 , R. Wales3 , P. Busby4 , M. Moran5 . 1 Audiology, Hearing and Speech Sciences, The Department of Otolaryngology, The University of Melbourne, Melbourne, Victoria, Australia; 2 The Bionic Ear Institute, Melbourne, Victoria, Australia; 3 Latrobe University, Melbourne, Victoria, Australia; 4 Cochlear Ltd, Melbourne, Victoria, Australia; 5 Cochlear Implant Clinic, Royal Victorian Eye and Ear Hospital, Melbourne, Victoria, Australia Aim: A 5-year multi-center project comparing the language, social, and academic development of children with bilateral cochlear implants (CIs) with that of children with unilateral CIs is described. Year 1 initial language results for 5-year-olds are reported. Material and Methods: 28 children were assessed using the Peabody Picture Vocabulary Test and the Preschool Language Scales (PLS-4). IQ, parent stress and parental involvement in children’s intervention were assessed. T-tests examined the differences in results between the bilateral and unilateral groups. Results: The bilateral group scored higher on all language measures. However, the differences in scores between the groups were significant only for the more difficult tasks [Expressive Language and Total Language (PLS-4)]. No significant differences were found between the groups for IQ, parent stress or parental involvement. Conclusions: These initial findings must be interpreted with caution, due to the small sample sizes. C018 Two-year post-operative patterns of device use in young children with sequential or simultaneous bilateral cochlear implants: what happens to children who exhibit early difficulty adapting to bilateral implant use? K.C. Hughes, K.L. Galvin. Audiology, Hearing and Speech Sciences, The Department of Otolaryngology, The University of Melbourne, Melbourne, Australia Aim: To document patterns of bilateral device use at 2-years postoperative for a clinical group of young recipients whose early progress in adapting to bilateral implants has been previously reported. Materials and Methods: Previously, a group of 46 children who received bilateral cochlear implants under 3.5 years were classified into categories of adaptation according to amount of bilateral device use at 2 months post switch on. Nine children were identified as not using the two implants full-time at 2 months. Follow-up device use information at two years post switch-on was collected. Results: At two years, three of the nine children used a unilateral implant only and a fourth child used bilateral implants less than full time.
Conclusion: Children who have difficulty achieving early full-time device use may continue to have problems in the longer term. Knowledge of patterns of device use is important for pre-operative counselling and post-operative management. C019 Cochlear implants in children with cerebral palsy M.J. Dias dos Santos1 , A. Lima Mortari Moret1 , D.A. Cusin Lamˆonica1 , O. Alves Costa1 , M.C. Bevilacqua1 . Audiology Research Center of the Hospital Rehabilitation of Craniofacial Anomalies University of S˜ ao Paulo, Bauru, Brazil Aim: Study the benefits of cochlear implant (CI) in children with cerebral palsy (CP). Material and Methods: Six children with CP who received CI participated of this study. The follow-up ranged from 13 to 20 months. The outcomes were assessed using the GASP, ITMAIS, MUSS, DENVER-II Scale and Pediatric Evaluation of Disability Inventory (PEDI). Results: In preoperatively all children were placed in category 0. After 18 months post-CI, one child reached the speech perception category 3, two children in category 2, and one placed in category 1. About the language categories, two children remained in category 1 (the same in preoperatively), three children in category 2 and one in category 3. The PEDI and DENVER-II Scale, shows gradual progress in motor function, but an expressive progress in the social aspect. Conclusions: The CI for this group of children, provided benefits regarding to speech perception and language, especially for social communication. C020 Cochlear implantation in children deafened by congenital cytomegalovirus B. Philips, I. Dhooge. Ghent University, Belgium Aim: A retrospective study was performed on children with cochlear implantation (CI), deafened by congenital cytomegalovirus (cCMV), in Flanders, Belgium. Material and Methods: Twenty infants with cCMV infection underwent audiological assessment including otoscopic examination, tympanometry, auditory brainstem responses and behavioral pure tone audiometry. The test protocol was selected according to the developmental age of the child. Besides audiological assessment, additional disorders and sequelae are documented. Results: Asymptomatic cCMV children can achieve substantial auditory perceptive and productive skills following cochlear implantation. Also symptomatic cCMV children sometimes perform better than initially expected. Conclusions: Early hearing rehabilitation of children with cCMVrelated deafness can successfully increase access to oral language, even in the presence of CNS abnormalities. Secondly, additional hearing evaluations after universal newborn hearing screening will be needed to detect infants with delayed-onset hearing loss. Long-term audiological follow-up assessment, especially within asymptomatic CMV children, should be taken care of. C021 Validation of the LittlEARS questionnaire in Polish cochlear implanted children A. Obrycka1 , J.L. Padilla2 , A. Lorens1 , A. Piotrowska1 , H. Skarzy ˙ nski ´ 1. 1 International Center of Hearing and Speech of the Institute of Physiology and Pathology of Hearing, Warsaw/Kajetany, Poland; 2 Social Psychology and Methodology of the Behavioural Sciences Department, University of Granada, Spain Aim: The aim of was to evaluate the psychometric properties of the Polish version of the LittlEARS questionnaire in cochlear implanted children. Material and Methods: 130 children implanted before age of two were tested with the polish version of the LittlEARS questionnaire.