Considerations for a Revised Adult Cochlear Implant Candidacy Evaluation Protocol
| Autor: | Allison Biever, Carly Amurao, Megan Mears |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Hearing aid
Adult medicine.medical_specialty Speech perception Hearing loss medicine.medical_treatment Hearing Loss Sensorineural Audiology 03 medical and health sciences 0302 clinical medicine Cochlear implant otorhinolaryngologic diseases Medicine Humans Prospective Studies 030223 otorhinolaryngology Prospective cohort study business.industry Cochlear Implantation Sensory Systems Test (assessment) Clinical trial Cochlear Implants Otorhinolaryngology Candidacy Speech Perception Neurology (clinical) medicine.symptom business 030217 neurology & neurosurgery |
| Zdroj: | Otologyneurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology. 42(1) |
| ISSN: | 1537-4505 |
| Popis: | Objective To compare the current metrics used in adult cochlear implant candidacy evaluations for consistency and applicability, and to make a recommendation for an updated assessment battery. Study design Prospective, multicenter, within-subject clinical trial. Setting North American cochlear implant programs including private practices, universities, and hospital centers. Patients One hundred adult hearing aid users scoring 40% or less on monosyllabic words in quiet in the aided test ear who presented for cochlear implantation evaluation. Intervention Subjects underwent unilateral cochlear implantation. Main outcome measures Speech perception measured via Consonant-Nucleus-Consonant words in quiet and AzBio sentences in noise. Patient-reported hearing disability measured via the Speech, Spatial, and Qualities of Hearing Scale administered preoperatively and at 6 months postoperatively. Results Significant group mean improvement on all speech perception measures and SSQ subscales postoperatively with possible floor effects observed in objective background noise testing preoperatively and a broad range of variability seen postoperatively. Conclusions Consonant-Nucleus-Consonant words are an effective tool to clinically evaluate hearing ability over time. Adjustment of cochlear implant screening protocols to prioritize monosyllabic words over sentences in noise as the chief determining factor appears justified, and this test can be supplemented by the SSQ for a holistic and applicable assessment of cochlear implant candidacy. |
| Databáze: | OpenAIRE |
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