Can Mandarin-speaking prelingual deaf adults benefit from cochlear implant?

With advances in cochlear implant (CI) technology, prelingual deaf adults may experience improved speech perception and quality of life (QoL). It is still a challenge for Mandarin-speaking CI user with tone recognition due to CI technology focused on intonation language. To evaluate the long-term po...

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Bibliographic Details
Published inActa oto-laryngologica Vol. 144; no. 1; p. 44
Main Authors Huang, Po-Kai, Ho, Pei-Hsuan, Chu, Chia-Huei, Chen, Pey-Yu, Lin, Hung-Ching
Format Journal Article
LanguageEnglish
Published England 2024
Subjects
Adult
Cochlear Implantation
Cochlear Implants
Deafness - rehabilitation
Deafness - surgery
Humans
Quality of Life
Speech Perception
Cochlear implant
prelingual deaf adult
social-emotional benefits
auditory performance
long-term deafness
speech intelligibility
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Summary:With advances in cochlear implant (CI) technology, prelingual deaf adults may experience improved speech perception and quality of life (QoL). It is still a challenge for Mandarin-speaking CI user with tone recognition due to CI technology focused on intonation language. To evaluate the long-term post-CI auditory performance and social-emotional benefits in prelingual deaf Mandarin-speaking adults and the difference between them and post-lingual deaf adults. Fifty-five adult implanted ears were included (forty-six postlingual deaf group; nine prelingual deaf group). Post-CI long-term outcomes were using vowels, consonants, disyllabic words, Mandarin monosyllable words, categories of audiology performance, speech intelligibility rating, subjective social-emotional questionnaires. Post-CI auditory performance and speech intelligibility of prelingual deafness adults was significantly inferior to that of those with postlingual deafness. However, both groups presented improved social-emotional benefits, with no significant difference between both groups. Adult CI recipients who deaf before the age of 4 can experience benefits in social-emotional life functioning, regardless of their limited auditory performance and speech intelligibility. Therefore, prelingual Mandarin-speaking deaf adults, especially those using oral communication, can be considered as relative indications for cochlear implantation. To clarify and validate the benefits among Mandarin-speaking prelingual deaf adult recipients.
ISSN:1651-2251
DOI:10.1080/00016489.2024.2315299