Avaliação do desempenho de crianças portadoras de surdez congénita com mais de 15 anos de uso implante coclear
DOI:
https://doi.org/10.34631/sporl.101Palavras-chave:
Implante coclear, linguagem, crianças, avaliação de resultadosResumo
Objectivos: O trabalho pretendeu verificar se o implante coclear (IC) possibilita ao utilizador a aquisição de comunicação audio-oral e se é seguro e fiável a longo prazo.
Material e Métodos: Amostra composta por 2 grupos. Grupo 1: ≥ 15 anos IC; Grupo 2: entre 10 e 14 anos IC. Os dois grupos efectuaram os testes de avaliação do Serviço descritos nos resultados.
Resultados: o benefício tonal revelou diferença estatisticamente significativa nas frequências de 250 Hz; o benefício vocal apresenta diferença estatisticamente significativa nas intensidades de 30, 60, 70 e 80 dB SPL; não se encontrou diferença estatisticamente significativa nos: monossílabos, números, frases, frases ao telefone, 100 palavras ao telefone e vogais; as consoantes, as 100 palavras, as DPM e a articulação revelaram diferença estatisticamente significativa.
Discussão e Conclusão: Os resultados poderão estar relacionados com: a redução da idade de implantação, o progresso tecnológico, o melhor acompanhamento da terapia da fala e escolar das crianças implantadas. A técnica é segura, fiável e eficaz a longo prazo.
Referências
Geers A, Tobey E, Moog J, Brenner C. Long-term outcomes of cochlear implantation in the preschool years: From elementary grades to high school. International Journal of Audiology, 2008;47:21-30.
Tomblin JB, Barker BA, Spencer LJ, Zhang X, et al. The effect of age at cochlear implant initial stimulation on expressive language growth in infants and toddlers. Journal of Speech, Language, and Hearing Research, 48:853-867
Geers AE. Speech, language, and reading skills after early cochlear implantation. Arch Otolaryngology Head Neck Surgery, 2004;130: 634-8.
Blamey P, Sarant J. Speech Perception and language criteria for paediatric cochlear candidature. Audiol Neurootol, 2002;7:114-121.
Clark G. Safety as well as speech and language. Int J Pediatr Otorhinolaryngol, 2003; 67(suppl 1):S7-S20
Colletti V, Carner M, Miorelli V, Guida M, et. al. Cochlear implantation at under 12 months: Report on 10 patients. Laryngoscope, 2005;115:445-9
Schauwers K, Gillis S, Daemers K, De Beaukelaer C, et al. Cochlear implantation between 5 and 20 months of age: The onset of babbling and the audiologic outcomes. Otology & Neurotology, 2004;25:263-70
Nicholas JG, Geers AE. Will they catch up? The role of age at cochlear implantation in the spoken language development of children with severe to profound hearing loss. Journal of Speech, Language, and Hearing Research, 2007;50:1048-62
Govaerts PJ, De Beukelaer C, Daemers K, Ceulaer De G, et al. Outcome of cochlear implantation at different ages from 0 to 6 years. Otology & Neurotology, 2002;23: 885-90
Dowell RC, Dettman SJ, Blamey PJ, Barker EJ, et al. Speech perception in children using cochlear implants: prediction of long-term outcomes. Cochlear Implants International, 2002;3(1):1-18
Kaplan DM, Puterman M. Pediatric Cochlear Implants in Prelingual Deafness: Medium and Long.term Outcomes. IMAJ, 2010;12:107-9
Traxler CB. Measuring up to performance standards in reading and mathematics: Achievement of selected deaf and hard-of-hearing students in the national norming of the 9th Edition Stanford Achievement Test. J Deaf Stud Deaf Educ, 2000;5:337-48
Spencer L, Tomblim B. Evaluating phonological processing skills in children with prelingual deafness who use cochlear implants. J Deaf Stud Deaf Educ, 2008;14:1-20
Jonhson C, Goswami U. Phonological awareness, vocabulary, and reading in deaf children with cochlear implants. J Speech Lang Hear Res, 2010;53:237-61
Connor CM, Craig HK, Raudenbush SW, Heavner K, et al. The age at which young deaf children receive cochlear implants and their vocabulary and speech production growth: Is there an added value for early implantation? Ear Hear, 2006;27:628-44
Hayes H, Geers AE, Treiman R, Moog JS. Receptive Vocabulary Development in Deaf Children with Cochlear Implants: Achievement in an Intensive Auditory-Oral Educational Setting. Ear Hear, 2009;30:128-35
Geers AE, Hayes H. Reading, Writing, and Phonological Processing Skills of Adolescents With 10 or More Years of Cochlear Implante Experience. Ear Hear, 2010;32:49-59
Geers AE, Sedey AL. Language and Verbal Reasoning Skills in Adolescents With 10 or More Years of Cochlear Implant Experience. Ear Hear, 2010;32:39-48
Maurer J, Marangos N, Ziegler E. Reability of cochlear implants. Otolaryngol, Head Neck Surg, 2005;132(5):746-50
Martins JH, Januário J, Alves M, Ramos D, et. al. Validation list of monosyllables, numbers and sentences for speech audiometry for Adults. Clínica e Investigação Otorrinolaringologia, 2009;3(1): 54-9
