A Role for Acoustic Stimulation in Advanced Otosclerosis: Direct Acoustic Cochlear Implant versus Cochlear Implant
| Autor: | Ellen Boon, Christian Desloovere, Katleen De Voecht, Nicolas Verhaert, Charlotte Borgers |
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| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_specialty Speech perception Physiology medicine.medical_treatment Audiology 03 medical and health sciences Speech and Hearing 0302 clinical medicine Hearing Aids Cochlear implant otorhinolaryngologic diseases medicine Effective treatment Humans In patient 030223 otorhinolaryngology Aged Aged 80 and over Rehabilitation Direct acoustic cochlear implant business.industry Standard treatment Middle Aged medicine.disease Cochlear Implantation Sensory Systems Cochlear Implants Otosclerosis Treatment Outcome Otorhinolaryngology Acoustic Stimulation Speech Perception Female sense organs business 030217 neurology & neurosurgery |
| Zdroj: | Audiologyneuro-otology. 23(2) |
| ISSN: | 1421-9700 |
| Popis: | Recent findings support the efficacy of the direct acoustic cochlear implant (DACI) in patients with advanced otosclerosis whose rehabilitation is very challenging. Standard treatment consists of stapes surgery combined with hearing aids or a cochlear implant (CI). CI surgery, however, is often challenging depending on the grade of otosclerosis. This study aims to compare speech perception scores in quiet and noise of 6 DACI and 12 CI patients with advanced otosclerosis at 3 and 12 months after fitting. Preoperative computed tomographic scans of all patients were scored by experts using an existing otosclerosis grading system (stages 1–3). Speech perception in quiet was significantly better for DACI compared to CI users at 3 months after fitting. At 12 months, no difference was found between DACI and CI patients. Speech perception scores in noise were significantly better in the DACI group. In summary, a DACI system seems to provide an effective treatment option as the acoustic component can be preserved in patients with advanced otosclerosis. |
| Databáze: | OpenAIRE |
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