Children with cochlear implants人工耳蜗 in both ears appear to have difficulty controlling the loudness and pitch程度 of their voices, but these measures improve over time, according to a report in the January issue of Archives of Otolaryngology–Head & Neck Surgery, one of the JAMA/Archives journals. "Cochlear implants² provide the perception of sound through the conversion³ of sound stimuli⁴刺激，促进因素 into electrical impulses, which are received by the cochlear nerve and processed by the central auditory听觉的 system," the authors write as background information in the article. "Although cochlear implants do not restore sound perception as experienced by an individual with normal hearing, the implant¹ provides the user with auditory feedback in the domains⁵ of timing⁶, intensity⁷ and frequency of sound. These auditory feedback cues may be critical for the user to monitor his or her speech production and to make purposeful moment-to-moment adjustments in voicing."

Theresa Holler, M.D., and colleagues at The Hospital for Sick Children, University of Toronto, Ontario, Canada, assessed 27 children age 3 to 15 who had cochlear implants in both ears. Participating children were asked to voice the vowel⁸ "a" for three seconds at a comfortable pitch and volume. Three repetitions of this voice testing were averaged, analyzed⁹ digitally and compared with acoustic¹⁰ results of children who had an implant in one ear and also with norms标准，规范 for hearing children.

Consistent with children who had an implant in one ear, those who had implants in both ears demonstrated poorer control over the pitch and loudness of their voice than those with normal hearing. Long-term control of pitch improved as children used their hearing aids, and therefore were exposed to hearing, for more time.

"To our knowledge, this is the first study to objectively evaluate评价，估价 acoustic voice outcomes in children with bilateral有两边的，双边的 cochlear implants and to report the influence of overall time in sound on acoustic parameters参数," the authors write.

"Targeted speech therapies that assist children using cochlear implants in monitoring and modifying the pitch and loudness of their voice would be useful in this setting," they conclude. "Future work is planned to develop and evaluate therapeutic¹² tools that will specifically address these areas in implant recipients¹³, with the objective of minimizing or eliminating these voice abnormalities."