Speech perception, production and intelligibility in French-speaking children with profound hearing loss and early cochlear implantation after congenital cytomegalovirus infection

Abstract Objective To analyze speech in children with profound hearing loss following congenital cytomegalovirus (cCMV) infection with cochlear implantation (CI) before the age of 3 years. Material and methods In a cohort of 15 children with profound hearing loss, speech perception, production and i...

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Bibliographic Details
Published in:European annals of otorhinolaryngology, head and neck diseases head and neck diseases, 2015-12, Vol.132 (6), p.317-320
Main Authors: Laccourreye, L, Ettienne, V, Prang, I, Couloigner, V, Garabedian, E.-N, Loundon, N
Format: Article
Language:English
Subjects:
Child
Child, Preschool
Cochlear implant
Cochlear Implantation
Cytomegalovirus
Cytomegalovirus Infections - complications
Early Medical Intervention
Female
Hearing loss
Hearing Loss - physiopathology
Hearing Loss - surgery
Hearing Loss - virology
Humans
Infant
Language
Male
Otolaryngology
Retrospective Studies
Speech
Speech Intelligibility
Speech Perception
Speech Production Measurement
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Summary:Abstract Objective To analyze speech in children with profound hearing loss following congenital cytomegalovirus (cCMV) infection with cochlear implantation (CI) before the age of 3 years. Material and methods In a cohort of 15 children with profound hearing loss, speech perception, production and intelligibility were assessed before and 3 years after CI; variables impacting results were explored. Results Post-CI, median word recognition was 74% on closed-list and 48% on open-list testing; 80% of children acquired speech production; and 60% were intelligible for all listeners or listeners attentive to lip-reading and/or aware of the child's hearing loss. Univariate analysis identified 3 variables (mean post-CI hearing threshold, bilateral vestibular areflexia, and brain abnormality on MRI) with significant negative impact on the development of speech perception, production and intelligibility. Conclusion CI showed positive impact on hearing and speech in children with post-cCMV profound hearing loss. Our study demonstrated the key role of maximizing post-CI hearing gain. A few children had insufficient progress, especially in case of bilateral vestibular areflexia and/or brain abnormality on MRI. This led us to suggest that balance rehabilitation and speech therapy should be intensified in such cases.
ISSN:1879-7296
1879-730X
DOI:10.1016/j.anorl.2015.08.020