Cortical auditory plasticity in children with Cochlear implants
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Mozafar Sarafraz 1, Meysam Kiani 1, Arash Bayat 2, Soheila Nikakhlagh 1, Majid Karimi 3, Mina Riahi 4, Nader Saki 5 *
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1 Hearing Research Center, Imam Khomeini Hospital, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran2 Musculoskletal Rehabilitation Research Center, School of Rehabilitation Sciences, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran3 Department of Audiology, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran4 Critical Care Department,University of Manitoba,Winnipeg,Canada5 Hearing Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran* Corresponding Author

Abstract

Objectives:
The purpose of the current study was to investigate plasticity of auditory system following cochlear implants (CI) in prelingually severe to profound hearing-impaired chil¬dren using cortical auditory evoked potentials (CAEPs) and correlate it with auditory perception performance.

Methods:
A total of 28 (15 boys, 13 girls) children with profound hearing loss, who underwent CI at Ahvaz Jundishapur University of Medical Sciences, Iran, were included in this study. Their mean age at the time of implantation was 21.3 months. All children were evaluated before implantation and 3 months after implantation using the CAEPs and categorical auditory performance (CAP). For CAEP measurement, the stimuli on the HEARLab system (/m/, /g/, and /t/) were extracted from running speech and presented at 65 dB SPL.

Results:
The mean CAP and P1 amplitude values were increased from pre-CI condition to 3-month post-CI condition (Paired t-test, p<0.001). We found a positive correlation between P1 amplitude and CAP score changes from pre- to post-implantation stages (Pearson’s r=0.62, p=0.018). There was no significant difference in CAP and P1 amplitude values between boys and girls (p >0.05).

Conclusion:
The present study indicated that early cochlear implantation, will improve cortical auditory plasticity and auditory performance ability in pre-lingual hearing-impaired children.

Keywords

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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Article Type: Original Article

ELECTRON J GEN MED, Volume 15, Issue 6, December 2018, Article No: em92

https://doi.org/10.29333/ejgm/94219

Publication date: 18 Nov 2018

Online publication date: 12 Aug 2018

Article Views: 2077

Article Downloads: 1416

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