Bilateral simultaneous cochlear implants in children: Best timing of surgery and long-term auditory outcomes.

Autor: Franchella S; Section of Otorhinolaryngology, Department of Neuroscience, University of Padova, Padova, Italy., Concheri S; Section of Otorhinolaryngology, Department of Neuroscience, University of Padova, Padova, Italy., Di Pasquale Fiasca VM; Section of Otorhinolaryngology, Department of Neuroscience, University of Padova, Padova, Italy., Brotto D; Section of Otorhinolaryngology, Department of Neuroscience, University of Padova, Padova, Italy., Sorrentino F; Section of Otorhinolaryngology, Department of Neuroscience, University of Padova, Padova, Italy., Ortolani C; Section of Otorhinolaryngology, Department of Neuroscience, University of Padova, Padova, Italy., Agostinelli A; Section of Otorhinolaryngology, Department of Neuroscience, University of Padova, Padova, Italy., Montino S; Section of Otorhinolaryngology, Department of Neuroscience, University of Padova, Padova, Italy., Gregori D; Unit of Biostatistics, Epidemiology, and Public Health, Department of Cardiac, Thoracic, and Vascular Sciences, University of Padova, via Loredan, 18, 35121 Padova, Italy., Lorenzoni G; Unit of Biostatistics, Epidemiology, and Public Health, Department of Cardiac, Thoracic, and Vascular Sciences, University of Padova, via Loredan, 18, 35121 Padova, Italy., Borghini C; Unit of Biostatistics, Epidemiology, and Public Health, Department of Cardiac, Thoracic, and Vascular Sciences, University of Padova, via Loredan, 18, 35121 Padova, Italy., Trevisi P; Section of Otorhinolaryngology, Department of Neuroscience, University of Padova, Padova, Italy., Marioni G; Phoniatrics and Audiology Unit, Department of Neuroscience, University of Padova, Treviso, Italy. Electronic address: gino.marioni@unipd.it., Zanoletti E; Section of Otorhinolaryngology, Department of Neuroscience, University of Padova, Padova, Italy.
Jazyk: angličtina
Zdroj: American journal of otolaryngology [Am J Otolaryngol] 2024 Mar-Apr; Vol. 45 (2), pp. 104124. Date of Electronic Publication: 2023 Nov 24.
DOI: 10.1016/j.amjoto.2023.104124
Abstrakt: Purpose: Evaluate the hearing outcomes of bilateral deaf children implanted simultaneously and define the most appropriate timing for surgery.
Materials and Methods: Audiological CI results were retrieved in both the short-term and long-term period and compared by stratifying the patients into different subcohorts according to their age at surgery. Additional data collected were age at implant activation, etiology and timing of onset of deafness, presence of psychomotor delay.
Results: fifty-six bilaterally implanted children were included. The short-term outcomes differed significantly when comparing groups of different ages at implantation: younger patients achieved better aided pure tone audiometry results. Considering long-term follow-up, a significant correlation was identified between an early age at implantation and the hearing outcome at ages 2 to 5 years. Perceptive levels were better at 4 years of age in the younger group. No significant differences were found between children implanted at before 12 months and between 12 and 16 months of age.
Conclusions: The results of the analyzed follow-up data support the hypothesis that children implanted at before 24 months are expected to have better hearing performances. Nevertheless, these results are referred to a widely heterogeneous group of patients and the duration of auditory deprivation should be considered.
Competing Interests: Declaration of competing interest The authors declare no conflicts of interest.
(Copyright © 2023 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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