Effects of Different Aiding Modalities in Children on Auditory and Speech Rehabilitation and Family Quality of Life
SUN Qinzhi
LIU Pei
GE Lei
WANG Lulu
ZHU Zixiu
HU Cuixia
ZHANG Biaoxin
Abstract：Objective To report auditory and speech rehabilitation outcomes and family quality of life in prelin-gual deaf children and their potential correlations with hearing aiding modes.Methods A total of 75 children with pre-lingual deafness who underwent cochlear implantation in the First Affiliated Hospital of Anhui Medical University from March 2020 to July 2020 were recruited,of whom 58 met the inclusion criteria and were followed up for 1 year.Chil-dren were grouped based on aiding modality,i.e.unilateral cochlear implantation(CI)(n=21),binaural bimodal(CI+HA)(n=8)or bilateral cochlear implantation(BCI)(n=29).The Categorical Auditory Performance scale(CAP),Speech Intelligibility Rating(SIR),Parental Spatial Speech and Qualities of Hearing scale(SSQ-P)and Family Children Using Hearing Implants Quality of Life questionnaire(CuHI Qol)were used to measure children's auditory speech ability and family quality of life.Results Pre-operative CAP,SIR and SSQ-P scores showed no significant difference among the three groups(P＞0.05).At 3,6 and 12 months after surgery,these scores were the highest in the BCI group,followed by the CI+HA group and the CI group(P＜0.05).Total SSQ-P scores,speech perception,spatial hearing,intergroup effect,time effect and interaction effect all demonstrated statistically significant differences among the three groups(P＜0.05).SSQ-P scores showed an upward trend over time in all groups.The CuHI Qol time effect showed statistical significance in all three groups at different time points(P＜0.05),but not the inter-group effect or the interaction effect(P＞0.05).As time went on,family quality of life continued to improve in all groups.The family quality of life score was the highest in the BCI group at 6 months,and increased significantly in the CI+HA group at 12 months after surgery.CuHI Qol scores were positively correlated with CAP,SIR and SSQ-P scores(P＜0.05).Conclusion BCI facilitates binaural infor-mation integration,demonstrating a spatial hearing advantage over binaural bi-modal and unilateral CI,and is an excel-lent hearing compensation method.The better the postoperative auditory and speech rehabilitation outcomes,the higher the family quality of life.
Keywords：cochlear implantationbinaural binaural modebilateral cochlear implantationprelingual deaf chil-drenauditory and speechquality of family life
Publication Date：2024-06-28
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：7( 398-404 )