Autism's Impact on Cochlear Implantation Surgery Outcomes in Deaf Children

Document Type : Original

Authors

1 Department of Otorhinolaryngology, Faculty of Medicine, Tabriz University of Medical Science, Tabriz, Iran.

2 Research Center for Evidence Based Medicine, Iranian EBM Centre: A Joanna Briggs Institute Affiliated Group, Tabriz University of Medical Sciences, Tabriz, Iran.

3 Department of Pediatrics, Tabriz University of Medical Sciences, Tabriz, Iran.

Abstract

Introduction:
Cochlear implants (CI) provide a hearing sense for severe to profound hearing-impaired patients, both adults and children, and they are a broadly effective and accepted therapeutic method for those patients. Also, Deaf children with comorbidities, including autism spectrum disorders (ASDs), undergo cochlear implantation. ASDs are a group of developing disorders characterized by abnormalities in social interaction and communication with limited repetitive patterns of behavior. This study aimed to assess the effect of Autism on CI surgery outcomes in Deaf Children.
Materials and Methods:
We followed 12 autistic patients with cochlear implantation and 12 non-autistic cochlear-implanted patients for two years. The Categories of Auditory Performance (CAP) and Speech Intelligibility Rating (SIR) scores were used to assess 6, 12, and 24 months after cochlear implantation surgery.
 Results:
During the 24-month follow-up, the CAP means scores increased in both groups, and SIR and CAP progresses were considerably greater in non-ASD children (P<0.001). However, in ASD children, the progress of CAP and SIR variables were significant, with 99% and 95% confidence, respectively, at 24 months after surgery.
Conclusion:
Although the CIs could improve hearing performance in autistic patients, speech development after CIs in autistic children could affected by several factors, including the severity of autism, and this can be effective in providing pre-implant counseling to parents. The application of the alternative communication methods could be taken into account as a potential rehab technique.

Keywords

Main Subjects

References

  1. Marshall CR, Noor A, Vincent JB, Lionel AC, Feuk L, Skaug J, et al. Structural variation of chromosomes in autism spectrum disorder. Am J Hum Genet. 2008;82(2):477-88.
  2. Baio J, Wiggins L, Christensen DL, Maenner MJ, Daniels J, Warren Z, et al. Prevalence of Autism Spectrum Disorder Among Children Aged 8 Years - Autism and Developmental Disabilities Monitoring Network, 11 Sites, United States, 2014. MMWR Surveill Summ. 2018;67(6):1-23.
  3. Chakrabarti S, Fombonne E. Pervasive developmental disorders in preschool children: confirmation of high prevalence. Am J Psychiatry. 2005; 162(6):1133-41.
  4. Samadi SA, Mahmoodizadeh A, McConkey R. A national study of the prevalence of autism among five-year-old children in Iran. Autism. 2012; 16(1): 5-14.
  5. Kozlowski AM, Matson JL, Horovitz M, Worley JA, Neal D. Parents’ first concerns of their child's development in toddlers with autism spectrum disorders. Developmental neurorehabilitation. 2011; 14(2):72-8.
  6. Jure R, Rapin I, Tuchman RF. Hearing‐impaired autistic children. Developmental Medicine & Child Neurology. 1991;33(12):1062-72.
  7. Gillberg C, Steffenburg S. Debate and argument: Reply to AG Gordon: The evidence for pathogenetic role of peripheral hearing deficits in autism is extremely limited. 1993.
  8. Steffenburg S. Neuropsychiatric Assessmenit of Children with Autism: A Population‐Based Study. Developmental Medicine & Child Neurology. 1991; 33(6):495-511.
  9. Daneshi A, Hassanzadeh S. Cochlear implantation in prelingually deaf persons with additional disability. The journal of laryngology & otology. 2007;121(7):635-8.
  10. Institute GR. Regional and national summary report of data from the 2009–10 annual survey of deaf and hard of hearing children and youth. GRI, Gallaudet University Washington, DC; 2011.
  11. Cohen DJ, Volkmar FR. Handbook of autism and pervasive developmental disorders: John Wiley & Sons Inc; 1997.
  12. Lane AE, Young RL, Baker AE, Angley MT. Sensory processing subtypes in autism: Association with adaptive behavior. Journal of autism and developmental disorders. 2010;40(1):112-22.
  13. Roberts TP, Khan SY, Rey M, Monroe JF, Cannon K, Blaskey L, et al. MEG detection of  delayed  auditory  evoked   responses  in  autism

 spectrum disorders: towards an imaging biomarker for autism. Autism Research. 2010;3(1):8-18.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

  1. Matsuzaki J, Kagitani-Shimono K, Goto T, Sanefuji W, Yamamoto T, Sakai S, et al. Differential responses of primary auditory cortex in autistic spectrum disorder with auditory hypersensitivity. Neuroreport. 2012;23(2):113-8.
  2. Smith RJ, Bale Jr JF, White KR. Sensorineural hearing loss in children. The Lancet. 2005; 365(9462): 879-90.
  3. Bahmani M, Mehrtabar S, Jafarizadeh A, Zoghi S, Heravi FS, Abbasi A, et al. The Gut Microbiota and Major Depressive Disorder: Current Understanding and Novel Therapeutic Strategies. Current Pharmaceutical Biotechnology. 2024;25.
  4. Hayman CD, Franck KH, editors. Cochlear implant candidacy in children with autism. Seminars in hearing; 2005: Copyright© 2005 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New.
  5. Lachowska M, Pastuszka A, Łukaszewicz-Moszyńska Z, Mikołajewska L, Niemczyk K. Cochlear implantation in autistic children with profound sensorineural hearing loss. Brazilian journal of otorhinolaryngology. 2018;84(1):15-9.
  6. Donaldson AI, Heavner KS, Zwolan TA. Measuring progress in children with autism spectrum disorder who have cochlear implants. Archives of Otolaryngology–Head & Neck Surgery. 2004;130(5):666-71.
  7. BERKELL DE, Berkell DE, Malgeri SE, Streit MK. Auditory integration training for individuals with autism. Education and training in mental retardation and developmental disabilities. 1996:66-70.
  8. Frith U, Happé F. Autism: Beyond “theory of mind.”. Cognition on cognition. 1995:13-30.
Iranian Journal of Otorhinolaryngology
Volume 36, Issue 3
May and June 2024
Pages 451-457

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