Factors Influencing Pediatric Cochlear Implant Outcomes: Carolina Sibling Study
Autor: | Anne Morgan Selleck, Lisa R Park, Kevin D. Brown |
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Rok vydání: | 2019 |
Předmět: |
Male
Consonant medicine.medical_specialty Speech perception Hearing Loss Sensorineural medicine.medical_treatment Audiology Tertiary Care Centers Correlation 03 medical and health sciences 0302 clinical medicine Cochlear implant North Carolina otorhinolaryngologic diseases Humans Medicine Sibling Child 030223 otorhinolaryngology Cochlear implantation Retrospective Studies business.industry Siblings Cochlear Implantation Sensory Systems Cochlear Implants Treatment Outcome Otorhinolaryngology Female sense organs Neurology (clinical) Implant Sensory hearing loss business 030217 neurology & neurosurgery |
Zdroj: | Otology & Neurotology. 40:1148-1152 |
ISSN: | 1537-4505 1531-7129 |
Popis: | OBJECTIVE To determine the correlation between speech perception performance between pediatric sibling pairs with severe to profound sensory hearing loss receiving cochlear implants, and in cases of discordance in performance, determine which variables negatively impacted performance. STUDY DESIGN Retrospective chart review. SETTING Tertiary academic referral center. SUBJECTS Eighty-nine pediatric subjects, 43 sibling groups, under the age of 18 with severe to profound sensory hearing loss who received a cochlear implant with a sibling who also received a cochlear implant. INTERVENTION Cochlear implantation. MAIN OUTCOME MEASURES Speech perception scores, consonant-nucleus- consonant score. RESULTS A statistically significant correlation was found between speech perception performance of pediatric siblings. Depth of insertion is positively correlated with better speech perception in siblings with discordant results. There was no significant relationship with either electrode type, unilateral/bilateral status, or age of implantation. CONCLUSION Pediatric siblings have a high correlation in speech perception outcomes following cochlear implantation, suggesting family environment plays a strong role. In circumstances in which outcomes between siblings are substantially different, greater depth of implant insertion is correlated with better consonant-nucleus- consonant word scores. |
Databáze: | OpenAIRE |
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