Long-Term Outcome of Cochlear Implantation in Children With Congenital, Perilingual, and Postlingual Single-Sided Deafness.
Autor: | Arndt S; Department of Otorhinolaryngology-Head and Neck Surgery, Medical Center-University of Freiburg, Faculty of Medicine, University of Freiburg, Germany., Findeis L, Wesarg T, Aschendorff A, Speck I, Ketterer MC, Rauch AK |
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Jazyk: | angličtina |
Zdroj: | Ear and hearing [Ear Hear] 2024 Mar-Apr 01; Vol. 45 (2), pp. 316-328. Date of Electronic Publication: 2023 Sep 20. |
DOI: | 10.1097/AUD.0000000000001426 |
Abstrakt: | Objectives: We investigated the long-term outcomes of children with single-sided deafness (SSD) after cochlear implant (CI) surgery, during and after rehabilitation, and compared the results of children with congenital, perilingual, and postlingual SSD. We evaluated the impact of SSD at age at onset and duration of deafness on their performance. Design: Thirty-six children with SSD treated with CI participated in the study: 20 had congenital, seven perilingual (defined: >0 to 4 years), and nine had postlingual deafness (defined as >4 years of age). Their outcome with CI were measured on both subjective and objective scales: duration of device use, speech intelligibility in noise and in quiet, bilateral hearing and localization ability, quality of life and hearing, presence and loudness of tinnitus, and hearing ability of the better hearing ear. Results: After a mean follow-up time of 4.75 years, 32 of the 36 children used their CI on a regular basis. The remaining four children were nonusers. These children had congenital SSD and were older than three years at the time of CI surgery. Overall, for congenital/perilingual and postlingual SSD, speech intelligibility in noise and the Speech, Spatial and Qualities of Hearing Scale (SSQ) speech subscore were significantly improved, as were their subjective and objective localization ability and hearing-related quality of life. Children with postlingual SSD benefited from the CI with regard to speech intelligibility, SSQ speech/spatial/total score, and localization error, and children with congenital SSD showed better results with a short duration of deafness of less than 3 years compared with those with a longer deafness period. Conclusions: Cochlear implantation is a successful treatment for children with congenital/perilingual or postlingual SSD. Results largely differed with respect to the onset and duration of deafness, and better outcomes were achieved by children with postlingual SSD and with a short duration of deafness. Our data also confirmed that children with congenital SSD should be implanted with a CI within three years of age. Competing Interests: S.A. received financial support for research and traveling expenses from Cochlear Ltd, Australia; Med-El, Innsbruck Austria; Oticon Inc., Somerset, NJ; traveling expenses from Advanced Bionics, Valencia, CA, USA. T.W. received financial support for research and traveling expenses from Advanced Bionics AG, Stäfa, Switzerland; financial support for research and traveling expenses from Cochlear Deutschland GmbH & Co. KG, Hannover, Germany; financial support for research and traveling expenses from MED-EL Deutschland GmbH, Starnberg, Germany. A.A. received traveling expenses and financial support for research from Cochlear Ltd, Australia; financial support for research and traveling expenses from Med-El, Innsbruck, Austria; financial support for research and traveling expenses from Oticon Inc., Somerset, NJ; financial support for research and traveling expenses from Advanced Bionics, Valencia, CA. A.R. received financial support for traveling expenses by Med-El, Starnberg, Germany. I.S. received financial support for traveling expenses from Cochlear Ltd, Australia. The other authors have no conflicts of interest to disclose. (Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.) |
Databáze: | MEDLINE |
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