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Abstract Children with significant congenital or prelingual deafness shown to have noticeable delays in their mastery of all aspects of the spoken language A lack of sensory activity leading to poorer neuroplasticity is at fault. However, the effect of sensory deprivation can be reversed by the provision of sensory stimulation, such as delivered by cochlear implantation in children with a hearing loss Cochlear implants enable different degree of improvement for deaf patients in the areas of speech and language perception, production and comprehension depending upon the extent of their hearing loss and other variables The aim of this work is (1) to assess language development in cochlear implanted children in Assiut University Hospital during the period from 6/2016 to 6/2018 (2) to assess the impact of some related factors (gender, age of implantation, family education, the pre-implanted language therapy, duration of post-operative language therapy, pre-implanted hearing aid wearing, , place of therapy either in specialized center or in non-specialized center and the total hearing age) on this development In this study 45 patients with CI were assessed by a protocol of communicative evaluation with Arabic language test prior to implantation, then reassessed again after a period of 6 months or more of active language intervention to assess the expressive language, receptive language, and semantics. Our results show that In general all children with cochlear implants showed improvement in speech and language perception and production after implantation and there is a significant differences between pre and post-operative language scores (expressive language, receptive languageand semantics).Regarding the sex differences, the receptive and expressive language measures showed a high score in female but statistically insignificant . The semantics is nearly equal in both sexes. |