000 02860caa a2200253 4500
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022 _a2005-0720
100 _aSwapna Sebastian
245 0 _aNasalance in Cochlear Implantees
260 _c2015
270 _aDepartment of Otorhinolaryngology, Christian Medical College, Vellore, India
270 _aDepartment of Speech Language Pathology, All India Institute of Speech & Hearing, Mysore, India.
270 _mswapna_santhosh@yahoo.co.in
300 _a202-205
490 _vVolume 8 Issue 3
520 _aObjectives:Speech intelligibility is severely affected in children with congenital profound hearing loss. Hypernasality is a problem commonly encountered in their speech. Auditory information received from cochlear implants is expected to be far superior to that from hearing aids. Our study aimed at comparing the percentages of nasality in the speech of the cochlear implantees with hearing aid users and also with children with normal hearing.Methods:Three groups of subjects took part in the study. Groups I and II comprised 12 children each, in the age range of 4-10 years, with prelingual bilateral profound hearing loss, using multichannel cochlear implants and digital hearing aids respectively. Both groups had received at least one year of speech therapy intervention since cochlear implant surgery and hearing aid fitting respectively. The third group consisted of age-matched and sex-matched children with normal hearing. The subjects were asked to say a sentence which consisted of only oral sounds and no nasal sounds ("Buy baby a bib"). The nasalance score as a percentage was calculated.Results:Statistical analysis revealed that the children using hearing aids showed a high percentage of nasalance in their speech. The cochlear implantees showed a lower percentage of nasalance compared to children using hearing aids, but did not match with their normal hearing peers.Conclusion:The quality of speech of the cochlear implantees was superior to that of the hearing aid users, but did not match with the normal controls. The study suggests that acoustic variables still exist after cochlear implantation in children, with hearing impairments at deviant levels, which needs attention. Further research needs to be carried out to explore the effect of the age at implantation as a variable in reducing nasality in the speech and attaining normative values in cochlear implantees, and also between unilateral versus bilateral implantees.
653 _aSpeech Intelligibility; Nasal Air Pressure; Hearing Loss; Cochlear Implantation; Hearing Aid Users
700 _aAnjali Lepcha
700 _aJohn Mathew
700 _aSreedevi, N
773 _aClinical and Experimental Otorhinolaryngology
856 _uhttps://doi.org/10.3342/ceo.2015.8.3.202
942 _cFJAS
_yFJAS
999 _c17693
_d17693