METHODS: A systematic search was used to identify studies that contain information about the benefit of brainstem implants in the auditory rehabilitation and language development of children. The review was conducted based on a structured literature search, following the Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) checklist. The search was carried out in the PubMed, Web of Science and Scopus databases, using the combination \"Auditory brainstem implants\" AND \"Pediatric\", without restriction of language, period, and location. The quality assessment of the articles was performed using the Study Quality Assessment Tools.
RESULTS: Regarding hearing, children with brainstem implants showed sound detection, access to most speech sounds, basic auditory perception skills, recognition of ambient sounds, recognition of some frequently used words and phrases, in addition to some closed-set word discrimination capability. Expressive and comprehensive language were identified in children using auditory brainstem implants, increasing significantly in the short and long terms in most cases; however, in some of the children, such skills remained stable.
CONCLUSIONS: The auditory brainstem implant can be considered an effective alternative for children with cochlear malformation and/or auditory nerve deficiency and for those who cannot benefit from cochlear implant surgery.
方法:进行了系统搜索,以确定包含有关脑干植入物在儿童听觉康复和语言发育中的益处的信息的研究。这篇综述是在结构化文献检索的基础上进行的,遵循系统审查和荟萃分析(PRISMA)清单的首选报告项目。搜索是在PubMed中进行的,WebofScience和Scopus数据库,使用“听觉脑干植入物”和“儿科”的组合,没有语言的限制,period,和位置。使用研究质量评估工具对文章进行质量评估。
结果:关于听力,脑干植入物的儿童表现出声音检测,访问大多数语音,基本的听觉感知技能,识别环境声音,识别一些常用的单词和短语,除了一些封闭的单词辨别能力。在使用听觉脑干植入物的儿童中发现了表达性和综合性的语言,在大多数情况下,短期和长期显着增加;然而,在一些孩子身上,这些技能保持稳定。
结论:对于患有耳蜗畸形和/或听神经缺陷的儿童以及那些不能从耳蜗植入手术中受益的儿童,听觉脑干植入物可以被认为是一种有效的替代方法。