ORIGINAL RESEARCH
Evaluation of Children with Hearing Loss in a Special Education Centre by TEDIL-3 Test in Mardin
Mardin’de Bir Özel Eğitim Merkezinde İşitme Kayıplı Çocukların TEDİL-3 Testi ile Değerlendirilmesi
Received Date : 07 Feb 2022
Accepted Date : 06 May 2022
Available Online : 07 Jul 2022
Neslihan SARIa,b, İbrahim Halil İMRAKc
aDepartment of ENT, Mardin Training and Research Hospital, Mardin, Türkiye
bDepartment of Audiology, Mardin Artuklu University Faculty of Health Sciences, Mardin, Türkiye
cPrivate Audiologist, Mardin, Türkiye
Doi: 10.24179/kbbbbc.2022-88444 - Makale Dili: EN
KBB ve BBC Dergisi. 2022;30(3):131-8
Copyright © 2020 by Turkey Association of Society of Ear Nose Throat and Head Neck Surgery. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)
ABSTRACT
Objective: To assess the conditions based on Early Language
Development Test (TEDIL-3) scores after rehabilitation in children
with hearing loss who continue special education in a single centre
in Mardin, a city in southeast Türkiye. Material and Methods: Demography,
auditory findings, depression status of 53 (53% male, 47%
female, aged 3-7 years) children, given a special education, in July and
October 2021, were evaluated by TEDIL-3 test. Group P consisted of
patients with scores above average and F group consist of children having
scores below average on the TEDIL-3 test. Scores in different characteristics
and between groups were compared with analysis of
correlations and factor analysis. Results: As a result of the study, 30
(57%) children have been found to be in group P, 23 (43%) of them in
group F. Statistical significance and higher scores were seen in children
with families with monolanguage than bilanguage (p<0.05). Diagnosis
age was higher in group F (mean±SD; 18.5±18.1) than group
P (mean±SD; 7.5±11.4). Cochlear implant age was correlated with diagnostic
age (p=0.013, n=35, r=0.64). Although neonatal hearing
screening (NHS) does not have prognostic significance, in the NHS,
41.5% of children were false positives and 7.5% of them had no application
to NHS (p>0.05). Conclusion: Bilingualism and the higher age
of diagnosis in hearing loss are major negative factors that we encounter
in the auditory rehabilitation by TEDIL scores in Mardin. Correct and
compulsory implementation in NHS and raising awaireness on both issues
will contribute to auditory rehabilitaion in children in Mardin.
Keywords: Rehabilitation; hearing loss; demography; cochlear implantation
ÖZET
Amaç: Türkiye’nin güneydoğusunda bir şehir olan Mardin’de,
tek merkezde özel eğitime devam eden işitme kayıplı çocuklarda rehabilitasyon
sonrası Erken Dil Gelişim Testi (TEDİL-3) skorları üzerinden
durum değerlendirmesi yapmaktır. Gereç ve Yöntemler: Temmuz
ve Ekim 2021 tarihleri arasında özel eğitim verilen 53 (%53 erkek, %47
kadın, 3-7 yaş arası) çocuğun demografi, işitsel bulgular, depresyon
durumu TEDİL-3 testi üzerinden etkisi araştırıldı. Grup P, TEDİL-3
testinde ortalamanın üzerinde puan alan hastalardan, F grubu ise ortalamanın
altında puan alan çocuklardan oluşturuldu. Farklı özelliklerde
ve gruplar arası skorlar korelasyon ve faktör analizi ile karşılaştırıldı.
Bulgular: Çalışma sonucunda, 30 (%57) çocuk P grubunda, 23 (%43)
çocuk F grubunda bulundu. Tek dilli ailelerin çocuklarında 2 dilli ailelere
göre istatistiksel anlamlı derecede skorlar daha yüksek görüldü
(p<0,05). Teşhis yaşı; F grubunda (ortalama±SD; 18,5±18,1) istatistiki
olarak P grubundan (ortalama±SD; 7,5±11,4) daha yüksek bulundu
(p>0,05). Koklear implant yaşı, tanı yaşı ile korele idi (p=0,013, n=35,
r=0,64). Yenidoğan işitme taramasının (YIT) prognostik önemi olmasına
rağmen YIT’de çocukların %41,5’i yanlış pozitifti ve %7,5’inin
YIT’ye başvurusu yoktu (p>0,05). Sonuç: İki dillilik ve ileri tanı yaşı,
Mardin’de TEDİL skorları üzerinden işitsel rehabilitasyonda karşımıza
çıkan olumsuz faktörlerdendir. YIT’de doğru ve zorunlu uygulanması
ve her iki konuda bilinçlendirme, çocuklarda işitsel rehabilitasyona
katkı sağlayacaktır.
Anahtar Kelimeler: Rehabilitasyon; işitme kaybı; demografi; koklear implantasyon
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