Research Article
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Speech Understanding in Noise in Children With Cochlear Implant

Year 2023, Volume: 10 Issue: 2, 441 - 451, 31.08.2023

Eylem Saraç Kaya Gonca Sennaroğlu Erol Belgin

Abstract

Objectives: The aim of the study is to determine the effect of a cochlear implant on the ability to understand speech in a noisy environment.
Materials and Methods: Turkish HINT was applied to the experimental group consisting of 15 children with a unilateral Cochlear Implant (CI) aged between 7;9, and 13;9 (year; month) and the control group consisting of 15 children aged between 8;10 and 13;0 with normal hearing. Speech Reception Thresholds (SRTs) of the groups were obtained in quiet and noise in front conditions. The data obtained from the groups were compared.
Results: The mean Speech Reception Threshold (SRT) in the quiet was found to be 65.4 dB in children with CI and 21.6 dB in normal-hearing children. The mean SRT in noise was found to be +6.0 dB Signal to Noise Ratio (SNR) in children with CI and -1.6 dB SNR in normal-hearing children. A significant difference was found between the mean SRT values of the groups in quiet and noise conditions (p0,01).
Conclusion: Children with CI need a higher SNR than children with normal hearing to understand speech in noise. In addition, the age of children with normal hearing had a significant effect on speech understanding skills in noisy conditions but not in quiet.

Keywords

Cochlear Implant Hearing Loss Speech Understading

References

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  • Anderson, I., Weichbold, V., D’Haese, P. S., Szuchnik, J., Quevedo, M. S., Martin, J., . . . Phillips, L. (2004). Cochlear implantation in children under the age of two—what do the outcomes show us? International journal of pediatric otorhinolaryngology, 68(4), 425-431. https://doi.org/10.1016/j.ijporl.2003.11.013
  • Cekic, S., & Sennaroglu, G. (2008). The Turkish hearing in noise test. International Journal of Audiology, 47(6), 366-368. https://doi.org/10.1080/14992020802056027
  • Ching, T. Y., Zhang, V. W., Flynn, C., Burns, L., Button, L., Hou, S., . . . Van Buynder, P. (2018). Factors influencing speech perception in noise for 5-year-old children using hearing aids or cochlear implants. International Journal of Audiology, 57(sup2), S70-S80. https://doi.org/10.1080/14992027.2017.1346307
  • Choi, J. E., Moon, I. J., Kim, E. Y., Park, H.-S., Kim, B. K., Chung, W.-H., . . . Hong, S. H. (2017). Sound localization and speech perception in noise of pediatric cochlear implant recipients: Bimodal fitting versus bilateral cochlear implants. Ear and hearing, 38(4), 426-440. https://doi.org/10.1097/AUD.0000000000000401
  • Cox, R. M., Alexander, G. C., & Gilmore, C. (1987). Development of the Connected Speech Test (CST). Ear and hearing, 8(5 Suppl), 119S-126S.
  • Dowell, R. C., Dettman, S. J., Blamey, P. J., Barker, E. J., & Clark, G. M. (2002). Speech perception in children using cochlear implants: prediction of long-term outcomes. Cochlear implants international, 3(1), 1-18. https://doi.org/10.1179/cim.2002.3.1.1
  • Eisenberg, L. S., Johnson, K. C., Martinez, A. S., Cokely, C. G., Tobey, E. A., Quittner, A. L., . . . Niparko, J. K. (2006). Speech recognition at 1-year follow-up in the childhood development after cochlear implantation study: methods and preliminary findings. Audiology and Neurotology, 11(4), 259-268. https://doi.org/10.1159/000093302
  • Gheller, F., Lovo, E., Arsie, A., & Bovo, R. (2020). Classroom acoustics: Listening problems in children. Building Acoustics, 27(1), 47-59. https://doi.org/10.1177/1351010X19886035
  • Johnstone, P. M., Mills, K. E., Humphrey, E., Yeager, K. R., Jones, E., McElligott, K., . . . Little, J. P. (2018). Using microphone technology to improve speech perception in noise in children with cochlear implants. Journal of the American Academy of Audiology, 29(09), 814-825. DOI: 10.3766/jaaa.17035
  • Kalikow, D. N., Stevens, K. N., & Elliott, L. L. (1977). Development of a test of speech intelligibility in noise using sentence materials with controlled word predictability. The Journal of the Acoustical Society of America, 61(5), 1337-1351. https://doi.org/10.1121/1.381436
  • KARTAL, E. (2019). Çocuklar için Gürültüde Konuşmayı Anlama Testi'nin Türkçe Yaşa Özgü Normlarının Belirlenmesi.
  • Killion, M. C., Niquette, P. A., Gudmundsen, G. I., Revit, L. J., & Banerjee, S. (2004). Development of a quick speech-in-noise test for measuring signal-to-noise ratio loss in normal-hearing and hearing-impaired listeners. The Journal of the Acoustical Society of America, 116(4), 2395-2405. https://doi.org/10.1121/1.1784440
  • Kollmeier, B., Warzybok, A., Hochmuth, S., Zokoll, M. A., Uslar, V., Brand, T., & Wagener, K. C. (2015). The multilingual matrix test: Principles, applications, and comparison across languages: A review. International journal of audiology, 54(sup2), 3-16. https://doi.org/10.3109/14992027.2015.1020971
  • Nelson, P. B., Jin, S.-H., Carney, A. E., & Nelson, D. A. (2003). Understanding speech in modulated interference: Cochlear implant users and normal-hearing listeners. The Journal of the Acoustical Society of America, 113(2), 961-968. https://doi.org/10.1121/1.1531983
  • Nilsson, M., Soli, S. D., & Sullivan, J. A. (1994). Development of the Hearing in Noise Test for the measurement of speech reception thresholds in quiet and in noise. The Journal of the Acoustical Society of America, 95(2), 1085-1099. https://doi.org/10.1121/1.408469
  • O'Neill, E. R., Kreft, H. A., & Oxenham, A. J. (2019). Cognitive factors contribute to speech perception in cochlear-implant users and age-matched normal-hearing listeners under vocoded conditions. The Journal of the Acoustical Society of America, 146(1), 195-210. https://doi.org/10.1121/1.5116009
  • Plomp, R. (1977). Acoustical aspects of cocktail parties. Acta Acustica united with Acustica, 38(3), 186-191.
  • Qin, M. K., & Oxenham, A. J. (2003). Effects of simulated cochlear-implant processing on speech reception in fluctuating maskers. The Journal of the Acoustical Society of America, 114(1), 446-454. https://doi.org/10.1121/1.1579009
  • Sennaroglu, L. (2009). Cochlear implantation in inner ear malformations–a review article. Cochlear implants international. https://doi.org/10.1002/cii.416
  • Sharma, A., Dorman, M. F., & Spahr, A. J. (2002). A sensitive period for the development of the central auditory system in children with cochlear implants: implications for age of implantation. Ear and hearing, 23(6), 532-539.
  • Spahr, A. J., Dorman, M. F., Litvak, L. M., Van Wie, S., Gifford, R. H., Loizou, P. C., . . . Cook, S. (2012). Development and validation of the AzBio sentence lists. Ear and hearing, 33(1), 112. Doi:10.1097/AUD.0b013e31822c2549
  • Vaillancourt, V., Laroche, C., Giguère, C., & Soli, S. D. (2008). Establishment of age-specific normative data for the Canadian French version of the hearing in noise test for children. Ear and hearing, 29(3), 453-466. doi: 10.1097/01.aud.0000310792.55221.0c
  • Vaillancourt, V., Laroche, C., Mayer, C., Basque, C., Nali, M., Eriks-Brophy, A., . . . Giguère, C. (2005). Adaptation of the hint (hearing in noise test) for adult canadian francophone populations: Adaptación del hint (prueba de audición en ruido) para poblaciones de adultos canadienses francófonos. International Journal of Audiology, 44(6), 358-361.https://doi.org/10.1080/14992020500060875
  • Waltzman, S. B., Cohen, N. L., Green, J., & Roland Jr, J. T. (2002). Long-term effects of cochlear implants in children. Otolaryngology-Head and Neck Surgery, 126(5), 505-511. https://doi.org/10.1067/mhn.2002.124472
  • Zhang, M., Moncrieff, D., Johnston, D., Parfitt, M., & Auld, R. (2021). A preliminary study on speech recognition in noise training for children with hearing loss. International journal of pediatric otorhinolaryngology, 149, 110843. https://doi.org/10.1016/j.ijporl.2021.110843

Year 2023, Volume: 10 Issue: 2, 441 - 451, 31.08.2023

Eylem Saraç Kaya Gonca Sennaroğlu Erol Belgin

Abstract

References

  • Akeroyd, M. A. (2006). The psychoacoustics of binaural hearing: La psicoacústica de la audición binaural. International Journal of Audiology, 45(sup1), 25-33. https://doi.org/10.1080/14992020600782626
  • Anderson, I., Weichbold, V., D’Haese, P. S., Szuchnik, J., Quevedo, M. S., Martin, J., . . . Phillips, L. (2004). Cochlear implantation in children under the age of two—what do the outcomes show us? International journal of pediatric otorhinolaryngology, 68(4), 425-431. https://doi.org/10.1016/j.ijporl.2003.11.013
  • Cekic, S., & Sennaroglu, G. (2008). The Turkish hearing in noise test. International Journal of Audiology, 47(6), 366-368. https://doi.org/10.1080/14992020802056027
  • Ching, T. Y., Zhang, V. W., Flynn, C., Burns, L., Button, L., Hou, S., . . . Van Buynder, P. (2018). Factors influencing speech perception in noise for 5-year-old children using hearing aids or cochlear implants. International Journal of Audiology, 57(sup2), S70-S80. https://doi.org/10.1080/14992027.2017.1346307
  • Choi, J. E., Moon, I. J., Kim, E. Y., Park, H.-S., Kim, B. K., Chung, W.-H., . . . Hong, S. H. (2017). Sound localization and speech perception in noise of pediatric cochlear implant recipients: Bimodal fitting versus bilateral cochlear implants. Ear and hearing, 38(4), 426-440. https://doi.org/10.1097/AUD.0000000000000401
  • Cox, R. M., Alexander, G. C., & Gilmore, C. (1987). Development of the Connected Speech Test (CST). Ear and hearing, 8(5 Suppl), 119S-126S.
  • Dowell, R. C., Dettman, S. J., Blamey, P. J., Barker, E. J., & Clark, G. M. (2002). Speech perception in children using cochlear implants: prediction of long-term outcomes. Cochlear implants international, 3(1), 1-18. https://doi.org/10.1179/cim.2002.3.1.1
  • Eisenberg, L. S., Johnson, K. C., Martinez, A. S., Cokely, C. G., Tobey, E. A., Quittner, A. L., . . . Niparko, J. K. (2006). Speech recognition at 1-year follow-up in the childhood development after cochlear implantation study: methods and preliminary findings. Audiology and Neurotology, 11(4), 259-268. https://doi.org/10.1159/000093302
  • Gheller, F., Lovo, E., Arsie, A., & Bovo, R. (2020). Classroom acoustics: Listening problems in children. Building Acoustics, 27(1), 47-59. https://doi.org/10.1177/1351010X19886035
  • Johnstone, P. M., Mills, K. E., Humphrey, E., Yeager, K. R., Jones, E., McElligott, K., . . . Little, J. P. (2018). Using microphone technology to improve speech perception in noise in children with cochlear implants. Journal of the American Academy of Audiology, 29(09), 814-825. DOI: 10.3766/jaaa.17035
  • Kalikow, D. N., Stevens, K. N., & Elliott, L. L. (1977). Development of a test of speech intelligibility in noise using sentence materials with controlled word predictability. The Journal of the Acoustical Society of America, 61(5), 1337-1351. https://doi.org/10.1121/1.381436
  • KARTAL, E. (2019). Çocuklar için Gürültüde Konuşmayı Anlama Testi'nin Türkçe Yaşa Özgü Normlarının Belirlenmesi.
  • Killion, M. C., Niquette, P. A., Gudmundsen, G. I., Revit, L. J., & Banerjee, S. (2004). Development of a quick speech-in-noise test for measuring signal-to-noise ratio loss in normal-hearing and hearing-impaired listeners. The Journal of the Acoustical Society of America, 116(4), 2395-2405. https://doi.org/10.1121/1.1784440
  • Kollmeier, B., Warzybok, A., Hochmuth, S., Zokoll, M. A., Uslar, V., Brand, T., & Wagener, K. C. (2015). The multilingual matrix test: Principles, applications, and comparison across languages: A review. International journal of audiology, 54(sup2), 3-16. https://doi.org/10.3109/14992027.2015.1020971
  • Nelson, P. B., Jin, S.-H., Carney, A. E., & Nelson, D. A. (2003). Understanding speech in modulated interference: Cochlear implant users and normal-hearing listeners. The Journal of the Acoustical Society of America, 113(2), 961-968. https://doi.org/10.1121/1.1531983
  • Nilsson, M., Soli, S. D., & Sullivan, J. A. (1994). Development of the Hearing in Noise Test for the measurement of speech reception thresholds in quiet and in noise. The Journal of the Acoustical Society of America, 95(2), 1085-1099. https://doi.org/10.1121/1.408469
  • O'Neill, E. R., Kreft, H. A., & Oxenham, A. J. (2019). Cognitive factors contribute to speech perception in cochlear-implant users and age-matched normal-hearing listeners under vocoded conditions. The Journal of the Acoustical Society of America, 146(1), 195-210. https://doi.org/10.1121/1.5116009
  • Plomp, R. (1977). Acoustical aspects of cocktail parties. Acta Acustica united with Acustica, 38(3), 186-191.
  • Qin, M. K., & Oxenham, A. J. (2003). Effects of simulated cochlear-implant processing on speech reception in fluctuating maskers. The Journal of the Acoustical Society of America, 114(1), 446-454. https://doi.org/10.1121/1.1579009
  • Sennaroglu, L. (2009). Cochlear implantation in inner ear malformations–a review article. Cochlear implants international. https://doi.org/10.1002/cii.416
  • Sharma, A., Dorman, M. F., & Spahr, A. J. (2002). A sensitive period for the development of the central auditory system in children with cochlear implants: implications for age of implantation. Ear and hearing, 23(6), 532-539.
  • Spahr, A. J., Dorman, M. F., Litvak, L. M., Van Wie, S., Gifford, R. H., Loizou, P. C., . . . Cook, S. (2012). Development and validation of the AzBio sentence lists. Ear and hearing, 33(1), 112. Doi:10.1097/AUD.0b013e31822c2549
  • Vaillancourt, V., Laroche, C., Giguère, C., & Soli, S. D. (2008). Establishment of age-specific normative data for the Canadian French version of the hearing in noise test for children. Ear and hearing, 29(3), 453-466. doi: 10.1097/01.aud.0000310792.55221.0c
  • Vaillancourt, V., Laroche, C., Mayer, C., Basque, C., Nali, M., Eriks-Brophy, A., . . . Giguère, C. (2005). Adaptation of the hint (hearing in noise test) for adult canadian francophone populations: Adaptación del hint (prueba de audición en ruido) para poblaciones de adultos canadienses francófonos. International Journal of Audiology, 44(6), 358-361.https://doi.org/10.1080/14992020500060875
  • Waltzman, S. B., Cohen, N. L., Green, J., & Roland Jr, J. T. (2002). Long-term effects of cochlear implants in children. Otolaryngology-Head and Neck Surgery, 126(5), 505-511. https://doi.org/10.1067/mhn.2002.124472
  • Zhang, M., Moncrieff, D., Johnston, D., Parfitt, M., & Auld, R. (2021). A preliminary study on speech recognition in noise training for children with hearing loss. International journal of pediatric otorhinolaryngology, 149, 110843. https://doi.org/10.1016/j.ijporl.2021.110843
There are 26 citations in total.

Details

Primary Language English
Subjects Audiology
Journal Section Articles
Authors

Eylem Saraç Kaya 0000-0001-9596-2189

Gonca Sennaroğlu 0000-0002-3337-2391

Erol Belgin 0000-0001-7252-3378

Early Pub Date August 31, 2023
Publication Date August 31, 2023
Submission Date September 2, 2022
Published in Issue Year 2023 Volume: 10 Issue: 2

Cite

APA Saraç Kaya, E., Sennaroğlu, G., & Belgin, E. (2023). Speech Understanding in Noise in Children With Cochlear Implant. Hacettepe University Faculty of Health Sciences Journal, 10(2), 441-451. https://doi.org/10.21020/husbfd.1162124
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