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Article

Developmental Auditory and Speech–Language Performance in Pediatric Cochlear Implantation Recipients with Stable White Matter Lesions

by
Huiru Fan
1,
Dan Li
1,
Wen Xie
1,
Jing Wang
2,3,
Huamao Cheng
1 and
Weijia Kong
1,4,*
1
Department of Otorhinolaryngology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China
2
Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China
3
Hubei Province Key Laboratory of Molecular Imaging, Wuhan 430022, China
4
Institute of Otorhinolaryngology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China
*
Author to whom correspondence should be addressed.
Brain Sci. 2023, 13(11), 1540; https://doi.org/10.3390/brainsci13111540
Submission received: 19 September 2023 / Revised: 28 October 2023 / Accepted: 30 October 2023 / Published: 1 November 2023
(This article belongs to the Section Neurolinguistics)
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Abstract

To analyze the association between stable asymptomatic white matter lesions (WMLs) and the cochlear implantation (CI) effect in congenitally deaf children, 43 CI children with stable asymptomatic WMLs determined via preoperative assessments and 86 peers with normal white matter were included. Outcome measurements included closed-set Mandarin Chinese (tone, disyllable, and sentence) recognition tests; categories of auditory performance (CAPs); and speech intelligibility rating (SIR) scales at 1, 12, and 24 months post-CI. Generalized estimating equation (GEE) models were used to analyze the association between WML and outcomes. In the WML group (control group), median CAP and SIR scores were 5 (5) and 4 (4) with mean rates of tone, disyllable, and sentence recognition of 84.8% (89.0%), 87.9% (89.7%), and 85.8% (88.0%) at 24 months post-CI, respectively. Auditory and speech performance improved significantly with implant use. Compared to their peers in the control group, for the participants with stable asymptomatic WMLs, auditory and speech abilities were not significantly different (p > 0.05). Stable asymptomatic WMLs might not be associated with poor auditory and speech intelligibility post-CI, which indicates that it is feasible to use comprehensive assessments to screen suitable candidates with WMLs who are likely to present with a good prognosis.
Keywords: cochlear implantation; pediatric; white matter lesions; speech recognition; CAP; SIR cochlear implantation; pediatric; white matter lesions; speech recognition; CAP; SIR

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MDPI and ACS Style

Fan, H.; Li, D.; Xie, W.; Wang, J.; Cheng, H.; Kong, W. Developmental Auditory and Speech–Language Performance in Pediatric Cochlear Implantation Recipients with Stable White Matter Lesions. Brain Sci. 2023, 13, 1540. https://doi.org/10.3390/brainsci13111540

AMA Style

Fan H, Li D, Xie W, Wang J, Cheng H, Kong W. Developmental Auditory and Speech–Language Performance in Pediatric Cochlear Implantation Recipients with Stable White Matter Lesions. Brain Sciences. 2023; 13(11):1540. https://doi.org/10.3390/brainsci13111540

Chicago/Turabian Style

Fan, Huiru, Dan Li, Wen Xie, Jing Wang, Huamao Cheng, and Weijia Kong. 2023. "Developmental Auditory and Speech–Language Performance in Pediatric Cochlear Implantation Recipients with Stable White Matter Lesions" Brain Sciences 13, no. 11: 1540. https://doi.org/10.3390/brainsci13111540

APA Style

Fan, H., Li, D., Xie, W., Wang, J., Cheng, H., & Kong, W. (2023). Developmental Auditory and Speech–Language Performance in Pediatric Cochlear Implantation Recipients with Stable White Matter Lesions. Brain Sciences, 13(11), 1540. https://doi.org/10.3390/brainsci13111540

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