Desarrollo del lenguaje hablado em niños con implantes cocleares expuestos a la lengua de señas
una revisión exploratória
DOI:
https://doi.org/10.23925/2176-2724.2025v37i3e71887Palabras clave:
Sordera, Implantación Coclear, Lengua de Signos, NiñoResumen
Introducción: Ante el diagnóstico de sordera, es fundamental que losprofesionalesorienten a lasfamilias sobre todas lasposibilidades de habilitación. Para ello, deben estar familiarizados conlaevidencia científica disponible. Objetivo: Mapear laevidencia científica sobre laadquisición y eldesarrollodellenguaje oral enniñoscon implante coclear (IC) expuestos a laLengua de Signos (LS). Métodos: Se realizó una revisiónenlas bases de datos Embase, LILACS, PubMed, Scopus, Web of Science y ASHA. Además, se consultóla literatura gris en Google Scholar y ProQuest. Se incluyeronestudios que evaluaroneldesarrollodellenguaje oral enniñoscon IC que estuvieranexpuestos a la LS.
Resultados: Se incluyeronsieteestudiosconmuestras que variaron entre 1 y 181 participantes. Discusión: Los resultados encontrados fueron divergentes. Algunosestudiosreportaronbeneficios, mientras que otrosindicaronposiblesdesventajasen aspectos específicos dellenguaje oral enniñoscon IC expuestos a la LS. Esta heterogeneidadpuedeexplicarse por ladiversidad de características presentes enlapoblación sorda, que impactandirectamenteeneldesarrollo de habilidades comunicativas. Laslimitaciones metodológicas de losestudios, como eltamañoreducido de lasmuestras y elpredominio de diseñosobservacionales y estudios de caso, requieren una interpretación cautelosa de los resultados.
Conclusión: La evidencia disponible no permite establecer de maneraconcluyente si laexposición a la LS favorece o perjudicaeldesarrollodellenguaje oral enniñoscon IC. Se destacalanecesidad de estudiosconmayor rigor metodológico y muestras más amplias.
Descargas
Citas
Sharma SD, Cushing SL, Papsin BC, Gordon KA. Hearing and speech benefits of cochlear implantation in children: a review of the literature. Int J Pediatr Otorhinolaryngol. 2020; 133: 109984. Doi: https://doi.org/10.1016/j.ijporl.2020.109984
Dazert S, Thomas JP, Loth A, Zahnert T, Stöver T. Cochlear implantation. DtschArztebl Int. 2020; 117: 690-700. Doi: https://doi.org/10.3238/arztebl.2020.0690
Arora S, Smolen ER, Wang Y, Hartman M, Howerton-Fox A, Rufsvold R. Language environments and spoken language development of children with hearing loss. J Deaf Studies Deaf Educ. 2020; 25(4), 457-68. Doi: https://doi.org/10.1093/deafed/enaa018
ScarabelloEM, Lamônica DAC, Morettin-Zupelari M, Tanamati LF, Campos PD, Alvarenga KF et al. Language evaluation in children with pre-lingual hearing loss and cochlear implant. Braz J Otorhinolaryngol. 2020; 86(1): 91-8. Doi: https://doi.org/10.1016/j.bjorl.2018.10.006
Hardman G, Kyle F, Herman R, Morgan G. Pre-linguistic social communication skills and post implant language outcomes in deaf children with cochlear implants. J CommunDisord. 2022; 100: 106275. doi: https://doi.org/10.1016/j.jcomdis.2022.106275
Fitzpatrick EM, Hamel C, Stevens A, Pratt M, Moher D, Doucet SP et al. Sign Language and spoken language for children with hearing loss: a systematic review. Pediatrics. 2016; 137(1): e20151974. Doi: https://doi.org/10.1542/peds.2015-1974
McGregor S, Goldman RD. Language outcomes after cochlear implant. Can Farm Physician. 2022; 68(10): 737-38. Doi: 10.46747/cfp.6810737
Šantić IS, Bonetti L. Language intervention instead of speech intervention for children with cochlear implants. J AudiolOtol. 2023; 27(2): 55-62. Doi: https://doi.org/10.7874/jao.2022.00584
Knoors H., Marschark M. Language planning for the 21st Century: revisiting bilingual language policy for deaf children. J Deaf Stud Deaf Educ. 2012; 17(3): 291-305. Doi: https://doi.org/10.1093/deafed/ens018
Hall ML, Hall WC, Caselli NK. Deaf children need language, not (just) speech. FirstLanguage. 2019; 39(4): 367-95. Doi: https://doi.org/10.1177/0142723719834102
Tricco AC, Lillie E, Zarin W, O’Brien KK, Colquhoun H, Levac D et al. PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation. Ann Intern Med. 2018; 169(7): 467-73. Doi: https://doi.org/10.7326/m18-085
Geers AE, Nicholas JG, Sedey AL. Language skills of children with early cochlear implantation. Ear Hear. 2003; 24(1 Suppl): 46S-58S. Doi: https://doi.org/10.1097/01.AUD.0000051689.57380.1B
Cassandro E, Nicastri M, Chiarella G, Genovese E, Gallo LV, Catalano M. Development of communication and speech skills after cochlear implant in a sign language child. Acta Otorhinolaryngol Ital. 2003; 23: 88-93. Disponível em: https://pubmed.ncbi.nlm.nih.gov/14526555/ [acesso em 03 jun 2025]
Jiménez MS, Pino MJ, Herruzo J. A comparative study of speech development between deaf children with cochlear implants who have been educated with spoken os sponken + sign language. Int J Pediatr Otorhinolaryngol. 2009; 73(1): 109-14. Doi: https://doi.org/10.1016/j.ijporl.2008.10.007
Hassanzadeh S. Outcomes of cochlear implantation in deaf children of deaf parents: comparative study. J LaryngolOtol. 2012; 126(10): 989-94. Doi: https://doi.org/10.1017/S0022215112001909
Melo TM, Yamaguti EH, Moret ALM, Bevilacqua MC. Auditory and language abilities in children with cochlear implants who live in bilingual homes: a cases report. J Soc Bras Fonoaudiol. 2012; 24(4): 390-94. Doi: https://doi.org/10.1590/s2179-64912012000400017.
Rinaldi P, Caselli, MC. Laguage development in a bimodal bilingual child with cochlear implant: a longitudinal study. Bilingualism: Language and Cognition. 2014; 17(4): 798-809. Doi: https://doi.org/10.1017/S1366728913000849
Geers AE, Mitchell CM, Warner-Czyz A, Wang N, Eisenberg LS. Early Sign Language exposure and cochlear implantation benefits. Pediatrics. 2017; 140(1): e20163489. Doi: https://doi.org/10.1017/S0022215112001909
Sanju HK, Jain T, Kumar P. Is early cochlear implantation leads to better speech and language outcomes? Indian J Otolaryngol Head Neck Surg. 2022; 74(Suppl 3): S3906-10. Doi: https://doi.org/10.1007/s12070-021-02725-3
Melo TM, Yamaguti EH, Moret ALM, Costa AO, Lopes NBF. Development of auditory and language skills in children usin cochlear implants with two signal processing strategies. Braz J Otorhinolaryngol. 2020; 86(6): 720-26. Doi: https://doi.org/10.1016/j.bjorl.2019.05.006
Majorano M, Guidotti L, Guerzoni L, Murri A, Morelli M, Cuda D et al. Spontaneous language production of Italian children with cochlear implantsand their mothers in two interactive contexts. Int J Lang Commun Disord. 2018; 53(1): 70-84. Doi: https://doi.org/10.1111/1460-6984.12327
Lyness CR, Woll B, Campbell R, Cardin V. How does visual language affect crossmodal plasticity and cochlear implant success? Neurosci Biobehav Rev, 2013; 37(10 Pt 2): 2621-30. Doi: https://doi.org/10.1016/j.neubiorev.2013.08.011
Hall ML. The input matters: assessing cumulative language access in deaf and hard of hearing individuals and populations. Front Psychol. 2020; 11:1407. Doi: https://doi.org/10.3389/fpsyg.2020.01407
Moeller MP, Tomblin JB. An introduction to the outcomes of children with hearing loss study. EarHear. 2015; 36(1): 4S-13S. Doi: https://doi.org/10.1097/AUD.0000000000000210.
Li Y, Bain L, Steinberg AG. Parental decision-making in considering cochlear implant technology for a deaf child. Int J Peadiatr Otorhinolaryngol. 2004; 68(8): 1027-38. Doi: https://doi.org/10.1016/j.ijporl.2004.03.010
Mitchiner JC. Deaf parents of cochlear-implanted children: beliefs on bimodal bilingualism. J Deaf Stud Deaf Educ. 2015; 20(1): 51-66. Doi: https://doi.org/ 10.1093/deafed/enu028
Jones MK, Roberts MY. Speech, sign, or both? Factors influencing caregivers’ communication method decision making for deaf/hard of hearing children. J Speech, Lang Hear Res. 2024; 67(1): 187-95. Doi: https://doi.org/10.1044/2023_JSLHR-23-00386
McMenamin KE, Welch D, Purdy SC. Resources and attitudes influence acculturation of deaf children with cochlear implants. J Deaf Stud Deaf Educ. 2023; 28(2): 162-70. Doi: https://doi.org/10.1093/deafed/enac043
Kartheiser G, Cormier K, Bell-Souder D, Dye M, Sharma A. Neurocognitive outcomes in young adults with cochlear implants: the role of early language access and crossmodal plasticity. Hear Res. 2024; 451: 109074. Doi: https://doi.org/10.1016/j.heares.2024.109074
Pichler DC. Challenging the oral-only narrative: enhancing early signed input for deaf children with hearing parents. Hrvat Ver RehabilIstraz. 2022; 58(SpecIssue): 6-26. Doi: https://doi.org/10.31299/hrri.58.si.1
Couto MIV, Carvalho ACM. Fatores que influenciam na participação dos pais de crianças usuárias de implante coclear na (re)habilitação oral: revisão sistemática. CoDAS. 2013; 25(1): 84-91. Disponível em: https://www.scielo.br/j/codas/a/CtnMwKtZ7m897vq7GmnNsjx/?format=pdf&lang=PT [acesso em 03 jun 2025]
Descargas
Publicado
Número
Sección
Licencia
Derechos de autor 2025 Ana Carolina Morais da Costa, Maria Eduarda da Luz Ulbricht, Maria Renata José, Vanessa Luisa Destro Fidêncio
Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.
