Health-related quality of life in children with unilateral sensorineural hearing loss following cochlear implantation

Autor: Daniel M. Zeitler, Camille Dunn, Seth R. Schwartz, Jennifer L. McCoy, Carmen Jamis, David H. Chi, Donald M. Goldberg, Samantha Anne
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Otolaryngol Head Neck Surg
Popis: OBJECTIVE: Evaluate health-related quality of life (HR-QOL) benefits with cochlear implantation (CI) in children with unilateral sensorineural hearing loss (USNHL) versus bilateral sensorineural hearing loss (BSNHL). STUDY DESIGN: Cross-sectional survey of parents of children who underwent CI for USNHL and BSNHL. SETTING: Tertiary care academic centers METHODS: The ‘Children with cochlear implants: parental perspectives’ survey was administered. Parents rated responses on a 5-point Likert scale. Scores greater than 3.0 were considered favorable. Responses were recorded within 8 domains and groups were compared with respect to domain scores. Analysis of covariance models were used to compare groups while adjusting for age at implantation and duration of implant use. RESULTS: There were 31 patients with USNHL and 27 patients with BSNHL. Average age of implantation in BSNHL patients was 1.9 years and 6.7 years for USNHL. Parents of all children answered favorably in all domains. When adjusted for age at implantation and duration of implant use, parents of BSNHL children responded significantly more favorably only in 2 domains. When comparing patients with older age or prolonged duration of hearing loss in USNHL cohort, there were favorable responses in all domains with no significant differences between groups. CONCLUSION: There are HR-QOL benefits of CI in USNHL children; more pronounced favorable results were noted only in 2 domains when compared to BSNHL children. Benefits were noted with CI in USNHL children at older age at implantation or prolonged duration of hearing loss. Therefore, these factors should not be absolute contraindications for CI in USNHL.
Databáze: OpenAIRE