Auditory Cortical Maturation in a Child with Cochlear Implant: Analysis of Electrophysiological and Behavioral Measures

The purpose of this study was to longitudinally assess the behavioral and electrophysiological hearing changes of a girl inserted in a CI program, who had bilateral profound sensorineural hearing loss and underwent surgery of cochlear implantation with electrode activation at 21 months of age. She w...

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Main Authors: Liliane Aparecida Fagundes Silva, Maria Inês Vieira Couto, Robinson Koji Tsuji, Ricardo Ferreira Bento, Ana Claudia Martinho de Carvalho, Carla Gentile Matas
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Otolaryngology
Online Access:http://dx.doi.org/10.1155/2015/890508
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author Liliane Aparecida Fagundes Silva
Maria Inês Vieira Couto
Robinson Koji Tsuji
Ricardo Ferreira Bento
Ana Claudia Martinho de Carvalho
Carla Gentile Matas
author_facet Liliane Aparecida Fagundes Silva
Maria Inês Vieira Couto
Robinson Koji Tsuji
Ricardo Ferreira Bento
Ana Claudia Martinho de Carvalho
Carla Gentile Matas
author_sort Liliane Aparecida Fagundes Silva
collection DOAJ
description The purpose of this study was to longitudinally assess the behavioral and electrophysiological hearing changes of a girl inserted in a CI program, who had bilateral profound sensorineural hearing loss and underwent surgery of cochlear implantation with electrode activation at 21 months of age. She was evaluated using the P1 component of Long Latency Auditory Evoked Potential (LLAEP); speech perception tests of the Glendonald Auditory Screening Procedure (GASP); Infant Toddler Meaningful Auditory Integration Scale (IT-MAIS); and Meaningful Use of Speech Scales (MUSS). The study was conducted prior to activation and after three, nine, and 18 months of cochlear implant activation. The results of the LLAEP were compared with data from a hearing child matched by gender and chronological age. The results of the LLAEP of the child with cochlear implant showed gradual decrease in latency of the P1 component after auditory stimulation (172 ms–134 ms). In the GASP, IT-MAIS, and MUSS, gradual development of listening skills and oral language was observed. The values of the LLAEP of the hearing child were expected for chronological age (132 ms–128 ms). The use of different clinical instruments allow a better understanding of the auditory habilitation and rehabilitation process via CI.
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spelling doaj-art-720936a5c4f34b8c872408caedfc9e3b2025-02-03T01:09:03ZengWileyCase Reports in Otolaryngology2090-67652090-67732015-01-01201510.1155/2015/890508890508Auditory Cortical Maturation in a Child with Cochlear Implant: Analysis of Electrophysiological and Behavioral MeasuresLiliane Aparecida Fagundes Silva0Maria Inês Vieira Couto1Robinson Koji Tsuji2Ricardo Ferreira Bento3Ana Claudia Martinho de Carvalho4Carla Gentile Matas5Departamento de Fisioterapia, Fonoaudiologia e Terapia Ocupacional, Faculdade de Medicina, Universidade de São Paulo, 05360-160 São Paulo, SP, BrazilDepartamento de Fisioterapia, Fonoaudiologia e Terapia Ocupacional, Faculdade de Medicina, Universidade de São Paulo, 05360-160 São Paulo, SP, BrazilDepartamento de Otorrinolaringologia, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, 05360-160 São Paulo, SP, BrazilDepartamento de Otorrinolaringologia, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, 05360-160 São Paulo, SP, BrazilDepartamento de Fisioterapia, Fonoaudiologia e Terapia Ocupacional, Faculdade de Medicina, Universidade de São Paulo, 05360-160 São Paulo, SP, BrazilDepartamento de Fisioterapia, Fonoaudiologia e Terapia Ocupacional, Faculdade de Medicina, Universidade de São Paulo, 05360-160 São Paulo, SP, BrazilThe purpose of this study was to longitudinally assess the behavioral and electrophysiological hearing changes of a girl inserted in a CI program, who had bilateral profound sensorineural hearing loss and underwent surgery of cochlear implantation with electrode activation at 21 months of age. She was evaluated using the P1 component of Long Latency Auditory Evoked Potential (LLAEP); speech perception tests of the Glendonald Auditory Screening Procedure (GASP); Infant Toddler Meaningful Auditory Integration Scale (IT-MAIS); and Meaningful Use of Speech Scales (MUSS). The study was conducted prior to activation and after three, nine, and 18 months of cochlear implant activation. The results of the LLAEP were compared with data from a hearing child matched by gender and chronological age. The results of the LLAEP of the child with cochlear implant showed gradual decrease in latency of the P1 component after auditory stimulation (172 ms–134 ms). In the GASP, IT-MAIS, and MUSS, gradual development of listening skills and oral language was observed. The values of the LLAEP of the hearing child were expected for chronological age (132 ms–128 ms). The use of different clinical instruments allow a better understanding of the auditory habilitation and rehabilitation process via CI.http://dx.doi.org/10.1155/2015/890508
spellingShingle Liliane Aparecida Fagundes Silva
Maria Inês Vieira Couto
Robinson Koji Tsuji
Ricardo Ferreira Bento
Ana Claudia Martinho de Carvalho
Carla Gentile Matas
Auditory Cortical Maturation in a Child with Cochlear Implant: Analysis of Electrophysiological and Behavioral Measures
Case Reports in Otolaryngology
title Auditory Cortical Maturation in a Child with Cochlear Implant: Analysis of Electrophysiological and Behavioral Measures
title_full Auditory Cortical Maturation in a Child with Cochlear Implant: Analysis of Electrophysiological and Behavioral Measures
title_fullStr Auditory Cortical Maturation in a Child with Cochlear Implant: Analysis of Electrophysiological and Behavioral Measures
title_full_unstemmed Auditory Cortical Maturation in a Child with Cochlear Implant: Analysis of Electrophysiological and Behavioral Measures
title_short Auditory Cortical Maturation in a Child with Cochlear Implant: Analysis of Electrophysiological and Behavioral Measures
title_sort auditory cortical maturation in a child with cochlear implant analysis of electrophysiological and behavioral measures
url http://dx.doi.org/10.1155/2015/890508
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