000			02117nam a22002177a 4500
003			OSt
005			20151007143742.0
008			151007b xxu||||| |||| 00| 0 eng d
040			_cNational Acoustic Laboratories
100			_aGabr, Takwa A.
245			_aSpeech processing in children with cochlear implant
520	3		_aCochlear implants (CIs) can be used effectively in the profoundly impaired children individuals. Objectives: This work was designed to assess speech processing at brainstem and cortical level in children fitted with CIs to investigate the possible influence of brainstem processing of speech on the cortical processing in those children. Method: Twenty children fitted with CIs underwent aided sound-field audiologic evaluation, speech evoked cortical auditory evoked potentials (S-CAEPs) and according to the results, children were classified into two groups: group I with good cortical response and group II with poor cortical response. This was followed by speech evoked ABR (S-ABR) recoding. Results: P1 component of CAEPs was recorded in all children while other component showed variable results. S-ABR was recorded in all children even those with poor S-CAEPs response who showed delayed D, E, F and O latencies. However, S-ABR amplitudes did not show any significant difference between both groups. Conclusions: Children fitted with CI showed immediate cortical activation following device program- ming and this activity depends on the age of implantation as well as the child’s age. S-ABR provides a new clinical tool that showed an important role of brainstem in complex sound processing that contribute to cortical processing.
650			_aCochlear implants _9201
650			_aSpeech processing
650			_aCortical auditory evoked potentials (CAEPs)
650			_aSpeech-evoked ABR (SABR)
700			_aMohammad R. Hassaan
773	0		_gxxx (2015) xxx–xxx _tInternational Journal of Pediatric Otorhinolaryngology
856			_uhttp://dspace.nal.gov.au/xmlui/bitstream/handle/123456789/242/Gabr.pdf?sequence=1&isAllowed=y
942			_2udc _cJOURNALS
999			_c2484 _d2484