Early Postoperative Benefits in Receptive and Expressive Language Development After Cochlear Implantation Under 9 Months of Age in Comparison to Implantation at Later Ages

Autor: Seung Jae Lee, Heonjeong Oh, Kyu Ha Shin, Sung-Min Park, Yun Kyeong Kim, Do Hyun Jung, Jiyeon Yang, Yejun Chun, Min Young Kim, Jin Hee Han, Ju Ang Kim, Ngoc-Trinh Tran, Bong Jik Kim, Byung Yoon Choi
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Clinical and Experimental Otorhinolaryngology, Vol 17, Iss 1, Pp 46-55 (2024)
Druh dokumentu: article
ISSN: 1976-8710
2005-0720
DOI: 10.21053/ceo.2024.00011
Popis: Objectives. The recent expansion of eligibility for cochlear implantation (CI) by the U.S. Food and Drug Administration (FDA) to include infants as young as 9 months has reignited debates concerning the clinically appropriate cut-off age for pediatric CI. Our study compared the early postoperative trajectories of receptive and expressive language development in children who received CI before 9 months of age with those who received it between 9 and 12 months. This study involved a unique pediatric cohort with documented etiology, where the timing of CI was based on objective criteria and efforts were made to minimize the influence of parental socioeconomic status. Methods. A retrospective review of 98 pediatric implantees recruited at a tertiary referral center was conducted. The timing of CI was based on auditory and language criteria focused on the extent of delay corresponding to the bottom 1st percentile of language development among age-matched controls, with patients categorized into very early (CI at 9 months), in children with profound deafness who have a clear deafness etiology and language development delays (
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