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Speech Perception in Children With Auditory Neuropathy/Dyssynchrony Managed With Either Hearing Aids or Cochlear Implants

Rance, Gary; Barker, Elizabeth Janet

doi: 10.1097/mao.0b013e31815e92fd
Original Articles

Objective: To evaluate speech perception skills in children with auditory neuropathy (AN)/auditory dyssynchrony (AD)-type hearing loss managed with either hearing aids or cochlear implants.

Study Design: Prospective data collection in 3 subject groups: AN/AD children fitted with bilateral amplification, AN/AD children fitted with cochlear implant (in 1 or both ears), and a matched control group of implanted children with sensorineural hearing loss.

Main Outcome Measure: Open-set monosyllabic words (consonant-nucleus-consonant).

Results: Of the 10 implanted AN/AD children, 9 demonstrated significant speech discrimination (consonant-nucleus-consonant phoneme score ≥55%). Similar results were obtained for the aided AN/AD group. Findings for both AN/AD subject groups were poorer than those of the implanted sensorineural cohort.

Conclusion: Cochlear implantation can offer useful hearing in subjects with AN/AD-type hearing loss. However, expectations for this group may need to be lower than for patients with peripheral (cochlear) loss.

Department of Otolaryngology, The University of Melbourne, Victoria, Australia

Address correspondence and reprint requests to Gary Rance, Ph.D., School of Audiology, 172 Victoria Parade, East Melbourne 3002, Australia; E-mail:

Supported by the Wagstaff Research Fellowship in Otolaryngology.

© 2008 Otology & Neurotology, Inc.