| Autor: |
Fraysse, B., Karoui, C., Marx, M., Laborde, M. - L., Tartayre, M., Algans, C., Deguine, O., James, C. |
| Předmět: |
|
| Zdroj: |
Journal of Hearing Science; 2018, Vol. 8 Issue 2, p196-196, 1/3p |
| Abstrakt: |
Multiple factors contribute to poor outcomes in adult cochlear implant patients: We established a mathematical model to predict sentence recognition scores at one month postactivation based on patient-related and electrode array position factors (details presented elsewhere in this conference). We also established that one-month scores are predictive of longer term outcomes such as speech reception thresholds in noise at 12 months post-activation. Firstly electrode position can be optimised by improved planning of surgical technique or by programming at activation based on imaging. We are then able to provide to CI candidates an indication of their probable short and long term performance based on duration of deafness and etiology: Congenital hearing loss generally produced poorer outcomes in the short term and labyrinthitis generally produced poorer outcomes in both the short and long term. Patients' sentence scores at 1 month post-activation can be compared to the predictions of the model. Where performance is below predictions electro-physiological testing is indicated which may allow remediation based on reprogramming. Where no physiological problems are found, or they cannot be remedied, an early rehabilitation plan can be established involving intensive training or self-training. Conversely for patients performing well or above expectations the number of follow-up visits can be reduced or replaced with remote consultations. An initial step in our centre is to use the predictive model to identify poor performers. We will discuss the additional research required to optimise physiological testing and to define appropriate auditory or other training to optimize outcomes. The model based approach allows for optimized use of clinicians time across the rapidly increasing number of adult CI patients attending our centre. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
|
