Benefits and risks related to cochlear implantation for children with residual hearing: a systematic review.

Autor:	Na E; School of Rehabilitation Sciences, Faculty of Health Sciences, University of Ottawa, Ottawa, Canada.; Children's Hospital of Eastern Ontario Research Institute, Ottawa, Canada., Toupin-April K; School of Rehabilitation Sciences, Faculty of Health Sciences, University of Ottawa, Ottawa, Canada.; Children's Hospital of Eastern Ontario Research Institute, Ottawa, Canada.; Department of Pediatrics, Faculty of Medicine, University of Ottawa, Ottawa, Canada., Olds J; Children's Hospital of Eastern Ontario Research Institute, Ottawa, Canada.; Children's Hospital of Eastern Ontario, Ottawa, Canada.; Department of Otolaryngology - Head and Neck Surgery, Faculty of Medicine, University of Ottawa, Ottawa, Canada., Chen J; Department of Otorhinolaryngology Head and Neck Surgery, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China., Fitzpatrick EM; School of Rehabilitation Sciences, Faculty of Health Sciences, University of Ottawa, Ottawa, Canada.; Children's Hospital of Eastern Ontario Research Institute, Ottawa, Canada.
Jazyk:	angličtina
Zdroj:	International journal of audiology [Int J Audiol] 2024 Feb; Vol. 63 (2), pp. 75-86. Date of Electronic Publication: 2022 Dec 16.
DOI:	10.1080/14992027.2022.2155879
Abstrakt:	Objective: This study aimed to synthesise information concerning the potential benefits and risks related to cochlear implants (CIs) versus hearing aids (HAs) in children with residual hearing. Design: A systematic review of articles published from January 2003 to January 2019 was conducted. Study Sample: Our review included studies that compared the benefits and risks of CIs versus HAs in children (≤18 years old) with residual hearing. A total of 3265 citations were identified; 8 studies met inclusion criteria. Results: Children with CIs showed significantly better speech perception scores post-CI than pre-CI. There was limited evidence related to improvement in everyday auditory performance, and the results showed non-significant improvement in speech intelligibility. One study on social-emotional functioning suggested benefits from CIs. In four studies, 37.2% (16/43) of children showed loss of residual hearing and 14.0% (8/57) had discontinued or limited use of their device. Conclusions: Children with CIs showed improvement in speech perception outcomes compared to those with HAs. However, due to the limited number of studies and information to guide decision-making related to other areas of development, it will be important to conduct further research of both benefits and risks of CIs in this specific population to facilitate decision-making.
Databáze:	MEDLINE
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