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https://revistacefac.org.br/article/doi/10.1590/1982-0216/20232555223
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Evaluation and results of children with Autism Spectrum Disorder using cochlear implants: an integrative literature review

Avaliação e resultados de crianças usuárias de implante coclear  com Transtorno do Espectro Autista: revisão integrativa da literatura

Vanessa Luisa Destro Fidêncio; Joice de Moura Silva; Thayrine Morgan de Souza; Letícia Cristina Vicente; Camila da Costa Ribeiro; Débora Lüders

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Abstract

Purpose: to synthesize the evidence of available studies in the literature regarding the benefit of the cochlear implant in children with additional diagnosis of autism spectrum disorder and to verify the protocols used to validate the abilities of auditory perception and oral language of this population.

Methods: an integrative literature review, searching in LILACS, MEDLINE/PubMed and SciELO databases and in the Google Scholar. Studies in Portuguese and English that assessed auditory and/or spoken language skills of children using cochlear implants with autism spectrum disorder were included.

Literature Review: 16 studies were included. In 72.18% of cases, autism spectrum disorder was diagnosed when the child was already using a cochlear implant. Studies have shown limited benefit from cochlear implants for the studied population. Parents need to be oriented regarding their expectations about the use of the device.

Conclusion: the benefit of using a cochlear implant for children with an additional diagnosis of autism spectrum disorder is limited and lower than the results obtained by children who do not have additional diagnoses. There is no standardized protocol for assessing auditory and language skills in this population.

Keywords

Autistic Disorder; Cochlear Implantation; Child; Auditory Perception; Language Development

Resumo

Objetivo: sintetizar as evidências de estudos disponíveis na literatura a respeito do benefício do implante coclear em crianças com diagnóstico adicional de transtorno do espectro autista e verifcar quais os protocolos utilizados para a avaliação das habilidades de percepção auditiva e de linguagem falada dessa população. 

Métodos: trata-se de revisão integrativa da literatura. A busca foi realizada nas bases de dados LILACS, PubMed e SciELO e no Google Acadêmico. Foram incluídos estudos nos idiomas português e inglês, que avaliaram habilidades auditivas e/ou de linguagem falada de crianças usuárias de implante coclear com transtorno do espectro autista. 

Revisão de Literatura: 16 estudos foram incluídos. Em 72,18% dos casos, o diagnóstico do transtorno do espectro autista foi concluído quando a criança já fazia uso do implante coclear. Os estudos demonstram benefício limitado do dispositivo para a população estudada. É necessário que os pais sejam orientados a respeito das expectativas com o uso do dispositivo. 

Conclusão: o benefício obtido pelo uso do implante coclear por crianças com diagnóstico adicional de transtorno do espectro autista é limitado e inferior aos resultados obtidos por crianças que não apresentam diagnósticos adicionais. Não há um protocolo padronizado para a avaliação das habilidades auditivas e de linguagem dessa população.

Palavras-chave

Transtorno Autístico; Implante Coclear; Criança; Percepção Auditiva; Desenvolvimento da Linguagem

Referências

1. Geers AE, Nicholas JG, Sedey AL. Language skills of children with early cochlear implantation. Ear Hear. 2003;24(1 Suppl):46S-58S.

2. Loy B, Warner-Czyz AD, Tong L, Tobey EA, Roland PS. The children speak: an examination of the quality of life of pediatric cochlear implant users. Otolaryngol Head Neck Surg. 2010;142(2):247-53.

3. Hashemi SB, Monshizadeh L. Comparison of auditory perception in cochlear implanted children with and without additional disabilities. Iran J Med Sci. 2016;41(3):186-90.

4. Nasralla HR, Montefusco AM, Hoshino ACH, Samuel PA, Magalhães ATM, Goffi-Gomez MVS et al. Benefit of cochlear implantation in children with multiple-handicaps: parent's perspective. Int Arch Otorhinolaryngol. 2018;22(4):415-27.

5. Szymanski CA, Brice PJ, Lam KH, Hotto SA. Deaf children with autism spectrum disorders. J Autism Dev Disord. 2012;42(10):2027-37.

6. Braun KVN, Christensen D, Doernberg N, Schieve L, Rice C, Wiggins L et al. Trends in the prevalence of autism spectrum disorder, cerebral palsy, hearing loss, intellectual disability, and vision impairment, metropolitan atlanta, 1991-2010. PLoS One. 2015;29(10):e0124120.

7. Donaldson AI, Heavner KS, Zwolan TA. Measuring progress in children with autism spectrum disorder who have cochlear implants. Arch Otolaryngol Head Neck Surg. 2004;130(5):666-71.

8. Rosenhall U, Nordin V, Sandstrom M, Ahlsén G, Gillberg C. Autism and hearing loss. J Autism Dev Disord. 1999;29:349-57.

9. Meinzen-Derr J, Wiley S, Bishop S, Manning-Courtney P, Choo DI, Murray D. Autism spectrum disorders in 24 children who are deaf or hard of hearing. Int J Pediatr Otorhinolaryngol. 2014;78(1):112-8.

10. Lachowska M, Pastuska A, Lukaszewicz-Moszynska Z, Mikolajewska L, Niemczyk K. Cochlear implantation in autistic children with profound sensorineural hearing loss. Braz J Otorhinolaryngol. 2016;84(1):15-9.

11. Cosetti MK, Pinkston JB, Flores JM, Friedmann DR, Jones CB, Roland Jr JT et al. Neurocognitive testing and cochlear implantation: insights into performance in older adults. Clin Interv Aging. 2016;11:603-13.

12. Cejas I, Hoffman MF, Quittner AL. Outcomes and benefits of pediatric cochlear implantation in children with additional disabilities: a review and report of family influences on outcomes. Pediatric Health Med Ther. 2015;6:45-63.

13. American Psychiatric Association. Manual diagnóstico e estatístico de transtornos mentais 5ª edição - DSM 5. Porto Alegre: Artmed, 2014. Disponível em: http://www.institutopebioetica.com.br/documentos/manual-diagnostico-e-estatistico-de-transtornos-mentais-dsm-5.pdf

14. Dettman SJ, Dowell RC, Choo D, Arnott W, Abrahams Y, Davis A et al. Long-term communication outcomes for children receiving cochlear implants younger than 12 months: a multicenter study. Otol Neurotol. 2016;37(2):e82-95.

15. Tavares FS, Azevedo YJ, Fernandes LMM, Takeuti A, Pereira LV, Ledesma ALL et al. Cochlear implant in patients with autistic spectrum disorder - a systematic review. Braz J Otorhinolaryngol. 2021;87(5):601-19.

16. Mathew R, Bryan J, Chaudhry D, Chaudhry A, Kuhn I, Tysome J et al. Cochlear implantation in children with autism spectrum disorder: a systematic review and pooled analysis. Otol Neurotol. 2022;43(1):e1-e13.

17. Souza MT, Silva MD, Carvalho R. Revisão integrativa: o que é e como fazer. Einsten. 2010;8(1):102-6.

18. Jenks CM, Hoff SR, Haney J, Tournis E, Thomas D, Young NM. Cochlear implantation can improve auditory skills, language and social engagement of children with autism spectrum disorder. Otol Neurotol. 2022;43(3):313-9.

19. Mancini P, Mariani L, Nicastri M, Cavicchiolo S, Giallini I, Scimemi P et al. Cochlear implantation in children with autismo spectrum disorder (ASD): outcomes and implant fitting characteristics. Int J Pediatr Otorhinolaryngol. 2021;149:110876.

20. Mesallam TA, Yousef M, Almasaad A. Auditory and language skills development after cochlear implantation in children with multiple disabilities. Eur Arch Otorhinolaryngol. 2019;276(1):49-55.

21. Scarabello EM. Desempenho global e funcional de crianças com Transtorno do Espectro Autista usuárias de implante coclear (Tese). Bauru (SP): Faculdade de Odontologia de Bauru, Universidade de São Paulo; 2019.

22. Motegi M, Inagaki A, Minakata T, Sekiya S, Takahashi M, Sekiya Y et al. Developmental delays assessed using the Enjoji Scale in children with cochlear implants who have intellectual disability with or without autismo spectrum disorder. Auris Nasus Larynx. 2019;46(4):498-506.

23. Valero MR, Sadadcharam M, Henderson L, Freeman SR, Lloyd S, Green KM et al. Compliance with cochlear implantation in children subsequently diagnosed with autism spectrum disorder. Cochlear Implants Int. 2016;17(4):200-6.

24. Mikic B, Jotic A, Miric D, Nikolic M, Jankovic N, Arsovic N. Receptive speech in early implanted children later diagnosed with autism. Eur Ann Otorhinolaryngol Head Neck Dis. 2016;133(Suppl 1):S36-9.

25. Eshraghi AA, Nazarian R, Telischi FF, Martinez D, Hodges A, Velandia S et al. Cochlear implantation in children with autismo spectrum disorder. Otol Neurotol. 2015;36(8):e121-8.

26. Robertson J. Children with cochlear implants and autismo - challenges and outcomes: the experience of the National Cochlear Implant Programme, Ireland. Cochlear Implants Int. 2013;14(S3):S11-14.

27. Özdemir S, Tuncer U, Tarkan Ö, Kiroglu M, Çetik F, Akar F. Factors contributing to limited or non-use in the cochlear implant systems in children: 11 years' experience. Int J Pediatr Otorhinolaryngol. 2013;77(3):407-9.

28. Johnson KC, DesJardin JL, Barker DH, Quittner AL, Winter ME. Assessing joint attention and symbolic play in children with cochlear implants and multiple disabilities: two case studies. Otol Neurotol. 2008;29(2):246-50.

29. Daneshi A, Hassanzadeh S. Cochlear implantation in prelingually deaf persons with additional disability. J Laryngol Otol. 2007;121(7):635-8.

30. Hamzavi J, Baumgartner WD, Egelierler B, Franz P, Schenk B, Gstoettner W. Follow up of cochlear implanted handicapped children. Int J Pediatr Otorhinolaryngol. 2000;56(3):169-74.

31. Glaubitz C, Liebscher T, Hoppe U. Children with cochlear implant and additional disabilities benefit from consistent device use. Int J Pediatr Otorhinolaryngol. 2022;162:111301.

32. Rydzewska E, Hughes-McCormack LA, Gillberg C, Henderson A, MacIntyre C, Rinotul J et al. Prevalence of sensory impairments, physical and intellectual disabilities, and mental health in children and young people with self/proxy-reported autism: observational study of a whole country population. Autism. 2019;23(5):1201-9.

33. Beers AN, McBoyle M, Kakande E, Santos RCD, Kozak FK. Autism and peripheral hearing loss: a systematic review. Int J Pediatr Otorhinolaryngol. 2014;78(1):96-101.
 


Submetido em:
25/05/2023

Aceito em:
11/09/2023

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