Hearing Preservation Surgery for Cochlear Implantation—Hearing and Quality of Life After 2 Years
| Autor: | Chloe Domville-Lewis, Marcus D. Atlas, Peter L. Santa Maria, Catherine M. Sucher, Ronel Chester-Browne |
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| Rok vydání: | 2013 |
| Předmět: |
Adult
Male Hearing aid medicine.medical_specialty Speech perception medicine.medical_treatment Deafness Audiology Hearing Quality of life otorhinolaryngologic diseases medicine Humans Cochlear implantation Aged Retrospective Studies Hearing preservation medicine.diagnostic_test business.industry Hearing Tests Auditory Threshold Retrospective cohort study Audiogram Middle Aged Cochlear Implantation Sensory Systems Surgery Treatment Outcome Otorhinolaryngology Quality of Life Audiometry Pure-Tone Female Neurology (clinical) Audiometry business Follow-Up Studies |
| Zdroj: | Otology & Neurotology. 34:526-531 |
| ISSN: | 1531-7129 |
| DOI: | 10.1097/mao.0b013e318281e0c9 |
| Popis: | Objective To study the benefits of hearing preservation surgery in cochlear implantation after 2 years. Study design A retrospective cohort study. Setting Performed at a single academic institution between 2008 and 2010 Patients Thirteen patients (1 bilateral): 43% male and 57% female subjects. Mean age at surgery was 51 years (range, 32-72 yr). Average duration of deafness was 25 years (range, 5-62 yr). Intervention Hearing preservation cochlear implantation surgery performed with the Med-El FlexEAS electrode. Main outcome measures Pure tone thresholds, speech perception in quiet and noise and quality of life (Abbreviated Profile of Hearing Aid Benefit [APHAB] and Glasgow Hearing Aid Benefit [GHABP Scales] up to and including 2 years after surgery. Results At the first postoperative audiogram, the hearing preservation rate was 100% (complete (42.9%), partial (50%), and minimal (7.1%)). After 24 months, the breakdown was complete (25%), partial (12.5%), minimal (37.5%) and complete loss (12.5%). There was a trend in improvement in all areas of APHAB) with significant improvements in the background noise and reverberation categories as well as the global scores. The GHABP scores showed high levels of use, benefit, and low levels of residual disease. Conclusion Hearing preservation can be achieved in the short term but deteriorates with time over the medium term at a rate greater than that can be expected with the natural progression of the disease. Patients show benefits in speech outcomes and quality of life regardless of whether hearing preservation was achieved in the medium term. |
| Databáze: | OpenAIRE |
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