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Öğe Evaluation of auditory brainstem responses i̇n individuals diagnosed with speech delay(2025) Demir, İsmail; Ulutas, Nihal Sumeyye; Şimşek, Agit; Koç, AyselDisruption of language skills at any stage of life can negatively affect an individual’s psychosocial development, similar to other disability groups. In some cases, even if peripheral hearing is within normal limits, language development may still be delayed. This retrospective study included 104 children aged 12 to 72 months presenting with speech delay. The Turkish Early Language Development Test (TEDIL) was used to diagnose speech delay in children whose receptive and expressive language skills were below chronological age. Auditory Brainstem Response (ABR) testing was performed to record the latencies and amplitudes of waves I, III, and V. Absolute latencies and interpeak latencies (I–III, III–V, I–V) were statistically analyzed. Statistical analysis revealed significant differences in wave latencies of the right and left ears for children aged 15–24 months when compared to normative values (p<0.05). In children aged 25–36 months, both wave and interpeak latencies were significantly different from normative values (p<0.05). Similar significant differences were observed in children older than 36 months (p<0.05). However, no significant difference was found in wave I of the left ear and in the interpeak latencies between waves III–V in either ear (p>0.05). The study demonstrated latency delays in waves I, III, and V in individuals diagnosed with speech delay. These delays in auditory brainstem responses may be indicative of underlying cognitive processing deficits contributing to delayed language development.Öğe Relationship Between Auditory Cortical Responses and Language Development Levels in Pediatric Cochlear Implant Recipients in a Noisy Environment and a Quiet Environment(Koninklijke Belgische Vereniging voor ORL Gelaat en Halschirugie, 2025) Şimşek, Agit; Aslan, Mehmet; Polat, ZahraBackground: Congenital hearing loss (hearing loss present at birth) is one of the most prevalent chronic conditions in children. Children with hearing loss have deficiencies in their speech and language development in the future, depending on the degree of hearing loss. Cochlear implantation is a very common treatment modality for congenital hearing loss. The aim of this study was to investigate the correlation between auditory cortical responses and language development levels of cochlear implant users in noisy and quiet environments. Methods: Thirty patients who underwent cochlear implantation were included in the study. The patients’ responses to auditory cortical stimuli first included the /m/, /t/, /g/ phonemes, their language and speech development levels (Test of Early Language Development-3), first in a quiet environment, and then in a noisy environment, with a suitable speaker system at a distance of 1 m. evaluated and the data were statistically analyzed. Results: It was observed that the wave morphologies of the phonemes m/,/t/, and /g/ deteriorated, their amplitude values decreased, and their latencies were prolonged in the noisy environment (S/N = +10dB) compared to the auditory cortical responses in the quiet environment (P < .01). A significant difference was observed between the receptive-expressive language equivalent values to the patients’ peers in the quiet and noisy environments (P < .01). Conclusion: The language performance of the cochlear implant patients in the noisy environment was considerably lower than their language performance in the quiet environment. Patients with cochlear implants; it is recommended to organize their education and social life together with the family, taking into account their performance in quiet/noisy environments. Copyright@Author(s)Öğe THE IMPACT OF EARTHQUAKES ON CHILDREN’S LANGUAGE AND SPEECH DEVELOPMENT: THE CASE OF THE FEBRUARY 6, 2023 EARTHQUAKE(Inonu University, 2025) Demir, İsmail; Şimşek, AgitThis study aims to evaluate the impact of earthquakes on the language and speech development of children. Traumatic effects of earthquakes on children may negatively influence language acquisition and speech development. The stress and insecurity experienced during such disasters can lead to delays or disorders in children's language learning abilities. Our research was conducted in the cities of Malatya, Adıyaman, Kahramanmaraş, and Hatay, which were affected by the earthquake centered in Kahramanmaraş on February 6, 2023. A total of 145 children receiving speech and language therapy were included in the study. A 25-question survey was administered to gather sociodemographic data and evaluate earthquake-related changes in language and speech abilities. While 60% of participants believed their child’s language development regressed after the earthquake, 32.4% did not observe any regression. Communication with the child increased in 73.2% of families, while 11.7% reported no change. A lack of self-confidence was observed in 53.1% of children, and 26.9% did not exhibit any notable difference. Among children, 58.6% were described as understanding events and asking questions, while 29.7% did not. Use of earthquake-related vocabulary in peer communication increased in 63.4% of children. The ability to express emotions through language was negatively affected in 55.1% of cases, and 73.1% of parents observed the impact of stress on language development. Children with speech and language disorders living in disaster zones were evidently affected by this crisis. Disruptions in both psychological and educational processes resulted in psycholinguistic impairments. This study emphasizes the necessity for support mechanisms and targeted interventions to mitigate these effects. © 2025, Inonu University. All rights reserved.
