Effect of Amplification on Speech and Language in Children With Aural Atresia Purpose There currently is no guideline regarding amplification or verification for children with aural atresia. This population, with the absence of the ear canal, has obvious congenital hearing loss. Research suggests that delayed treatment for hearing loss can result in speech and language impairments, including poor performance in school. In ... Clinical Focus
Clinical Focus  |   September 01, 2015
Effect of Amplification on Speech and Language in Children With Aural Atresia
 
Author Affiliations & Notes
  • Judy Attaway
    Casa Colina Hospital and Centers for Healthcare, Pomona, CA
  • Christopher L. Stone
    Casa Colina Hospital and Centers for Healthcare, Pomona, CA
  • Cindy Sendor
    Casa Colina Hospital and Centers for Healthcare, Pomona, CA
  • Emily R. Rosario
    Casa Colina Hospital and Centers for Healthcare, Pomona, CA
  • Disclosure: The authors have declared that no competing interests existed at the time of publication.
    Disclosure: The authors have declared that no competing interests existed at the time of publication. ×
  • Correspondence to Emily R. Rosario: erosario@casacolina.org
  • Editor and Associate Editor: Larry Humes
    Editor and Associate Editor: Larry Humes×
Article Information
Hearing Disorders / Special Populations / Genetic & Congenital Disorders / Clinical Focus
Clinical Focus   |   September 01, 2015
Effect of Amplification on Speech and Language in Children With Aural Atresia
American Journal of Audiology, September 2015, Vol. 24, 354-359. doi:10.1044/2015_AJA-15-0021
History: Received March 6, 2015 , Revised June 2, 2015 , Accepted June 20, 2015
 
American Journal of Audiology, September 2015, Vol. 24, 354-359. doi:10.1044/2015_AJA-15-0021
History: Received March 6, 2015; Revised June 2, 2015; Accepted June 20, 2015

Purpose There currently is no guideline regarding amplification or verification for children with aural atresia. This population, with the absence of the ear canal, has obvious congenital hearing loss. Research suggests that delayed treatment for hearing loss can result in speech and language impairments, including poor performance in school. In this study we examined the relationship between amplification and emerging speech and language development in children with aural atresia.

Method Subjects included children, 3 to 6 years of age, with conductive hearing loss due to atresia. Clinical evaluations were used to determine relationships between amplification and speech and language development. Subjects underwent an audiology exam, including pure-tone or warble-tone air and bone conduction using play audiometry techniques, and a speech and language evaluation assessing language and vocabulary skills.

Results Subjects who were fitted before 1 year of age showed better compliance with aid use and exhibited fewer delays in speech and language development. Children with right-sided atresia had significantly greater speech and language delays when compared with age norms from standardized tests.

Conclusion Our findings highlight a relationship between side of atresia, time of first amplification, compliance in aid use, and speech and language abilities.

Acknowledgments
We thank the Casa Colina Centers for Rehabilitation Foundation for supporting this research.
Order a Subscription
Pay Per View
Entire American Journal of Audiology content & archive
24-hour access
This Article
24-hour access