Lloret G, Vincent C, Risoud M
… +5 more, Beck C, Lemesre PE, Renard C, André J, Toulemonde P
Cochlear Implants Int
· 2024 Nov · PMID 39723992
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OBJECTIVE: The cochlear implant is a commonly used implantable device for the auditory rehabilitation of severe bilateral sensorineural hearing loss. The effectiveness of the implant, depends on many factors, including i...OBJECTIVE: The cochlear implant is a commonly used implantable device for the auditory rehabilitation of severe bilateral sensorineural hearing loss. The effectiveness of the implant, depends on many factors, including intensive auditory training, which is crucial. Intelligibility in a noisy environment is a current issue and poses a major difficulty for implanted patients. The aim of this study is to evaluate the improvement in auditory performance in noise among cochlear implant patients who underwent personalized auditory-cognitive training for speech understanding tasks in noise. DESIGN: This was a prospective study involving cochlear implanted patients divided into two groups. One group underwent auditory training in a noisy environment at home for 2 months (G1) while the other group served as a control (G0). A test of intelligibility performance in noise was conducted at inclusion and two months later. RESULTS: 52 patients were included in the study. The trained group, G1, showed a significant improvement with an increase of 4.8 dB in signal-to-noise ratio (SNR) between the two tests (P < 0.01). There was no significant improvement in the control group (G0) (P = 0.756). CONCLUSIONS: This study demonstrated a significantly positive impact of personalized auditory training in a noisy environment for cochlear implant patients.
Cochlear Implants Int
· 2024 Nov · PMID 39716816
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INTRODUCTION: Wolfram syndrome, a rare autosomal recessive disorder, is characterised by diabetes insipidus, juvenile diabetes mellitus, optic nerve atrophy and deafness (DIDMOAD). CASE REPORT: We present a case of a 21-...INTRODUCTION: Wolfram syndrome, a rare autosomal recessive disorder, is characterised by diabetes insipidus, juvenile diabetes mellitus, optic nerve atrophy and deafness (DIDMOAD). CASE REPORT: We present a case of a 21-year-old male diagnosed with Wolfram syndrome who underwent cochlear implantation due to progressive hearing loss. The patient first complained of bilateral hearing loss at the age of 8 years. As the hearing loss progressed hearing aids provided minimal benefit. A multidisciplinary team evaluated his extensive medical history, which included juvenile-onset diabetes mellitus, seizures, vision abnormalities and hypergonadotrophic hypogonadism. Pure tone audiometry was done which showed sloping bilateral severe to profound hearing loss, more at higher frequencies. Hrct and Mri temporal bone showed normal cochlear architecture and cochlear nerve. The patient received a Nucleus Profile™ CI 632 cochlear implant. Postoperative evaluation revealed significant improvement, with a speech discrimination score of 90% at the most comfortable level three months post-implantation. CONCLUSION: Wolfram syndrome is a rare genetic disorder with multisystem involvement and debilitating symptoms. High-frequency sensorineural hearing loss is a common association and hearing rehabilitation using hearing aids and cochlear implants must be considered to improve the quality of life.
Sennaroglu L, Lenarz T, Roland JT
… +88 more, Lee DJ, Colletti L, Behr R, Jiang D, Saeed SR, Casselman J, Manrique M, Diamante V, Freeman SRM, Lloyd SKW, Zarowski A, Offeciers E, Kameswaran M, de la Torre Diamante DA, Bilginer B, Thomas N, Bento R, Sennaroglu G, Yucel E, Bajin MD, Cole C, Martinez A, Loggins J, Eisenberg LS, Wilkinson EP, Bakey CA, Carter CL, Herrmann BS, Waltzman S, Shapiro W, Svirsky M, Pallares N, Diamante G, Heller F, Palacios M, Diamante LL, Chang W, Tong M, Wu H, Batuk MO, Yarali M, Cinar BC, Ozkan HB, Aslan F, Hallin K, Rask-Andersen H, Huarte A, Prieto-Matos C, Topsakal V, Hofkens-Van den Brandt A, Rompaey VV, Boudewyns A, van de Heyning P, Gaertner L, Shapira Y, Henkin Y, Battelino S, Orzan E, Muzzi E, Marchi R, Free R, Frijns JHM, Voelker C, Winter M, Schrader D, Ganguly DH, Egra-Dagan D, Diab K, Dayxes N, Nanan A, Koji R, Karaosmanoğlu A, Bulut EG, Verbist B, Azadpour M, Mandala M, Goffi MV, Polak M, Lee KYS, Wilson K, Friedmann DR, Rajeswaran R, Monsanto R, Cureoglu S, Driver S, Bošnjak R, Dundar G, Eroglu E
OBJECTIVES: This study aims to synthesize current knowledge and outcomes related to pediatric auditory brainstem implantation (ABI) in children with severe inner ear malformations (IEMs). It highlights the clinical manag...OBJECTIVES: This study aims to synthesize current knowledge and outcomes related to pediatric auditory brainstem implantation (ABI) in children with severe inner ear malformations (IEMs). It highlights the clinical management practices, challenges, and potential future directions for consensus development in this field. METHODS: A systematic review of findings presented at the Third International Pediatric ABI Symposium organized by the Hacettepe Cochlear Implant team between 3 and 5 September 2020 was conducted, incorporating data from 41 departments across 19 countries. Relevant clinical outcomes, imaging techniques, surgical approaches, and rehabilitation strategies were analyzed to identify key trends and variability in practices. RESULTS: The review indicates that children receiving ABIs exhibit diverse auditory outcomes influenced by individual anatomical variations and developmental factors. Early implantation, particularly before the age of three, positively correlates with better auditory and language development. Multicenter experiences underscore the necessity of tailored decision-making, which considers both surgical candidacy and comprehensive rehabilitation resources. DISCUSSION: The variability in outcomes emphasizes the need for improved consensus and guidelines regarding eligibility, surgical techniques, and multidisciplinary rehabilitation approaches. Notable complications and the necessity for thorough imaging assessments were also identified as critical components affecting clinical decisions. CONCLUSION: A formal consensus statement is warranted to standardize best practices in ABI management. This will not only enhance patient outcomes but also guide future research efforts to address the remaining challenges in the treatment of children with severe IEMs. Enhanced collaboration among team members will be pivotal in achieving these objectives.
OBJECTIVES: Compare two remote programming methods as a clinical service for user satisfaction, ease of use, preparation time and accessibility. METHOD: Method 1 (Portable Laptop): A 'Programming Kit' including laptop wa...OBJECTIVES: Compare two remote programming methods as a clinical service for user satisfaction, ease of use, preparation time and accessibility. METHOD: Method 1 (Portable Laptop): A 'Programming Kit' including laptop was shipped to cochlear implant users' homes ( = 20). The audiologist at the implant center used remote desktop control of this laptop to adjust subjects' speech processors. Method 2 (Remote Hosted Site): Eight distant clinics were recruited as host sites to house cochlear implant programming hardware and software so that CI users ( = 19) could attend their facility. The audiologist at the implant center used remote desktop control of the host sites' computers to adjust the subjects' CI speech processors. All parties were asked to fill out a questionnaire following their remote session. RESULTS: Remote hosted site method was rated higher for ease of use by the Remote Experts (12/15, 80%), compared to portable laptop method (11/19, 57.9%) and is more accessible to CI users of all levels of computer abilities while requiring less preparation time per session. CONCLUSION: Remote hosted site method is an easier, more efficient method of remote programming as a clinical service delivery method compared to the Portable Laptop.
Cochlear Implants Int
· 2024 Nov · PMID 39570907
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OBJECTIVE: This study aims to identify the acquisition features of functional near-infrared spectroscopy (fNIRS) in cochlear implant users. METHODS: A systematic literature review was conducted following the Preferred Re...OBJECTIVE: This study aims to identify the acquisition features of functional near-infrared spectroscopy (fNIRS) in cochlear implant users. METHODS: A systematic literature review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. PubMed, EMBASE, LILACS, Web of Science, Scopus, PsycINFO, IEEE Xplore, Google Scholar, and ProQuest Dissertations & Theses Global were searched using the PECOS acronym. Inclusion criteria encompassed studies involving fNIRS with speech stimuli in cochlear implant users of any age, with information on acquisition parameters and features. Risk of bias assessment was performed using the Joanna Briggs Institute tool. RESULTS: Nineteen studies were included, with thirteen exhibiting a low risk of bias. Noteworthy uniformity was observed in certain fNIRS acquisition features among cochlear implant users, including the waking state (awake), auditory stimuli of words or phrases presented in a free field, visual stimuli displayed during data collection as a secondary task, recording of responses in the bilateral temporal lobe, and a three-centimeter distance between optodes. Variations in acquisition were attributed to differing study purposes. CONCLUSION: This review identifies common acquisition characteristics for fNIRS in cochlear implant users. Multicenter research efforts are advocated to further advance the utility of fNIRS in this population.
OBJECTIVES: As cochlear implant (CI) criteria widen, more candidates with usable residual hearing are being considered for a CI. Unlike children, adults mostly receive only one implant. The aim of this survey was to dete...OBJECTIVES: As cochlear implant (CI) criteria widen, more candidates with usable residual hearing are being considered for a CI. Unlike children, adults mostly receive only one implant. The aim of this survey was to determine bimodal-hearing and bilateral CI service provision for adults around the world. This survey offers the backdrop against which future clinical practice and service delivery can be considered. METHODS: CI professionals from across the world were invited to participate in an international multicentre survey. The online questionnaire was circulated to CI professionals in 75 countries. There were 64 respondents, representing 25 countries across five world regions. RESULTS: In this sample, adult CI users most had unilateral CI (74.5%) and only 25.5% were bilateral CI users. Some 54% of unilateral CI users used a hearing aid (HA) in the non-implanted ear. Funding for a second implant or HA was not well supported for adult unilateral CI users, and there was no clear practice guidance for fitting and maintaining the contralateral HA in most regions. CONCLUSIONS: CI professionals recognised the value of fitting contralateral HAs at CI services, with audiology departments and private HA dispensers playing an ongoing role in general maintenance and support.
BACKGROUND AND AIMS: Studies investigating the relationship between initial electrophysiological thresholds and subsequent behavioural hearing thresholds have demonstrated uncertainty as to whether initial results can pr...BACKGROUND AND AIMS: Studies investigating the relationship between initial electrophysiological thresholds and subsequent behavioural hearing thresholds have demonstrated uncertainty as to whether initial results can provide an accurate estimation of an infant's functional hearing. This estimation must be accurate if a cochlear implant (CI) is to be considered before behavioural audiometry.This study aims to explore the variance between initial electrophysiological thresholds and subsequent behavioural hearing thresholds in infants to determine under which conditions electrophysiological results can be used to support a CI recommendation before behavioural audiology. METHODS: This is a prospective cohort study of 63 infants with suspected severe to profound hearing loss, referred to the Cochlear Implant Clinic, Melbourne, before 12 months of age. The assessment protocol includes auditory brainstem response, auditory steady state response, tympanometry, and behavioural audiometry. CONCLUSION: For most infants undergoing CI candidacy evaluation, initial electrophysiological thresholds are an accurate reflection of their subsequent behavioural thresholds. An alternative CI candidacy pathway is recommended for infants who show profound sensorineural hearing loss on initial electrophysiological testing, in the absence of middle ear effusion, prematurity, or auditory neuropathy features, to provide CI recommendations before behavioural thresholds are obtained. This would lead to reduced delay to implantation and improved oral language outcomes.
Cochlear Implants Int
· 2024 Nov · PMID 39422374
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INTRODUCTION: We report an unusual case of cochlear implant complication and eventual explantation secondary to an allergic reaction to silicone. CASE REPORT: A 62-year-old man who underwent cochlear implantation for asy...INTRODUCTION: We report an unusual case of cochlear implant complication and eventual explantation secondary to an allergic reaction to silicone. CASE REPORT: A 62-year-old man who underwent cochlear implantation for asymmetric hearing loss developed an allergic response to the implant within a few weeks of the surgery. This led to subsequent explantation. Patch testing using the various parts of the implant revealed a hypersensitive response to the silicone component of the receiver stimulator. There have only been 6 reported cases of cochlear implant explantation secondary to allergic reactions to cochlear implants. The inflammatory reaction has been to the silicone component of the cochlear implant found in the silicone used in Cochlear America's implants. CONCLUSION: Although rare, it's important to be aware of delayed hypersensitivity reactions to the silicone component of a cochlear implant. Attention should be made to associate symptoms such as pruritis, urticaria and loss of hair as symptoms and signs of possible allergic reaction to the implanted component. Steroids may help to alleviate symptoms; however, symptoms have been shown to recur after cessation of steroids. Treatment requires the removal of the device.
Ching TYC, Zhang V, Nel E
… +3 more, Hou S, Incerti P, Plasmans A
Cochlear Implants Int
· 2024 Nov · PMID 39415539
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OBJECTIVES: To investigate the effects of automatic scene classification (SCAN) on speech perception in noise and real-world functional performance in children using cochlear implants (CIs). METHODS: We used a within-sub...OBJECTIVES: To investigate the effects of automatic scene classification (SCAN) on speech perception in noise and real-world functional performance in children using cochlear implants (CIs). METHODS: We used a within-subjects repeated measures design in two studies. The first study assessed speech perception in noise with or without SCAN enabled in 25 school-aged children. The second study evaluated functional auditory performance in real life. Parents of 18 children provided ratings using the Parents' Evaluation of Aural/oral Performance of Children (PEACH) questionnaire; and children provided ratings using the Self Evaluation of Listening Function (SELF) questionnaire. Analyses of variance with repeated measures were used to examine the effect of SCAN. RESULTS: On average, speech perception in noise was significantly better with SCAN enabled (mean SRT: -4.1 dB; SD: 4.0), compared to SCAN disabled (mean SRT: 0.5 dB; SD: 3.5). Children's functional performance in real life was similar between the two device settings. CONCLUSION: Automatic auditory scene classification provides significant benefits for speech perception in noise (4.6 dB improvement). On average, there were no perceived detrimental or beneficial effects in real life. These findings support the use of SCAN in CIs for young children.
Diosi B, Bere Z, Csomor A
… +9 more, Tapai T, Toth Z, Kovacs E, Posta B, Csanady M, Nogradi A, Kincses ZT, Rovo L, Perenyi A
Cochlear Implants Int
· 2024 Nov · PMID 39400104
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OBJECTIVES: Hearing implants often limit the assessment of magnetic resonance examinations due to susceptibility artefacts. Our aim was to evaluate the impact of artefacts attributed to the Osia®2 implant system in terms...OBJECTIVES: Hearing implants often limit the assessment of magnetic resonance examinations due to susceptibility artefacts. Our aim was to evaluate the impact of artefacts attributed to the Osia®2 implant system in terms of utility in visualizing selected cranial structures. METHODS: A BI300 implant and an OSI200 actuator were implanted into a human cadaver head in the audiologically most favourable position according to the manufacturer's guidelines. Scanning was accomplished using the institutional protocol with a General Electric 1.5 Tesla scanner with retained and removed implant magnet, extended with T1 and T2 weighted sequences with metal-artefact reduction (MAVRIC SL). Image quality was evaluated by three radiologists. RESULTS: The Osia®2 produced significant artefacts in most of the series of standard imaging sequences predominantly on the ipsilateral side of the head. The majority of the artefacts were caused by the implant magnet. Even without removing the magnet, MAVRIC SL improved image quality to such an extent that it became comparable with that after magnet removal. CONCLUSIONS: The standard sequences suffer considerable quality loss due to the artefacts, attributed predominantly to the magnetic component. Metal-artefact reduction sequences are effective in obtaining sufficient-to-good quality images without surgical magnet removal.
OBJECTIVES: The primary objective was to examine duration of daily cochlear implant (CI) usage at 12 and 24 months post-operatively in single sided deafness (SSD). The secondary objective was to examine factors that coul...OBJECTIVES: The primary objective was to examine duration of daily cochlear implant (CI) usage at 12 and 24 months post-operatively in single sided deafness (SSD). The secondary objective was to examine factors that could affect CI usage. METHODS: Retrospective cohort of patients with SSD who received CI from January 2015 to March 2020. CI usage was evaluated at 12 and 24 months. Hearing loss duration, tinnitus scores and signal-to-noise ratio (SNR) were correlated with CI usage at 12 months. RESULTS: Usage data was available for 54 patients at 12 months and 38 patients at 24 months. The mean usage was 8.2 h/day (SD 4.2) at 12 months, 7.0 h/day (SD 5.1) at 24 months. 5 out of 54 (9.3%) and 7 out of 38 patients (18.4%) were non-users at 12 and 24 months post-operatively. An improved mean SNR score from pre-operative 4.4 dB (SD 2.8) to - 0.70 dB (SD 4.2) at 12 months post-operative was positively correlated with CI usage at 12 and 24 months. Hearing loss duration and tinnitus scores were not associated with CI usage. CONCLUSIONS: 18.4% of our patients were non-users at 24 months. Mean usage at 24 months was 7.0 h/day. Improved hearing in noise at 12 months was correlated with better usage.
OBJECTIVES: The aim was to construct validity and reliability of the Hearing Implant Sound Quality Index Questionnaire (HISQUI19) in Turkish. METHODS: This study was a methodologic study to validate HISQUI19 in Turkish....OBJECTIVES: The aim was to construct validity and reliability of the Hearing Implant Sound Quality Index Questionnaire (HISQUI19) in Turkish. METHODS: This study was a methodologic study to validate HISQUI19 in Turkish. The study included 62 cochlear implant users. Guttman's split half-coefficient and Cronbach's alpha tests were used for construct validity and internal consistency. Pearson correlation test was used to assess the relationship of the HISQUI19 total score to the SSQ49 scales for CI users and to show test - retest reliability. RESULTS: The Cronbach's α value was 0.94 overall score with high internal consistency (Guttman's split-half-coefficient: 0.912). Test-retest reliability results showed high repeatability and consistency of the measure across time ( = 0.708; = 0.002). Support for conducting factor analysis was provided by the KMO test, with a value of 0.876, which is 'great'. DISCUSSION: Subjective evaluation of cochlear implant users' daily life experiences is a useful tool to reveal the auditory benefits of cochlear implant usage. CONCLUSION: Turkish version of the HISQUI19 is a reliable and valid assessment tool for adults with CIs. This questionnaire provides clinicians with a valuable, reliable, and valid tool for determining the subjective benefit of CI for patients.
OBJECTIVE: To describe and evaluate a modified cochlear implant surgical procedure for patients with a thick musculocutaneous flap. MATERIALS AND METHODS: A prospective study for cochlear implant surgery in selected pati...OBJECTIVE: To describe and evaluate a modified cochlear implant surgical procedure for patients with a thick musculocutaneous flap. MATERIALS AND METHODS: A prospective study for cochlear implant surgery in selected patients with a musculocutaneous flap thicker than 7 mm. RESULTS: Fourteen patients with a thick scalp flap underwent cochlear implantation between July 2019 and December 2020. The patient age ranged between 17 and 53 years. The flap thickness was between 7 mm and 14 mm. The mean follow uptime post operatively was 16.5 months. The cochlear implant receiver coil was successfully implanted using the transmuscular technique without complications and with normal audiological function. CONCLUSION: The transmuscular pocket modified technique is a safe and effective method to overcome a thick musculocutaneous flap in cochlear implant surgery.
OBJECTIVES: This systematic review and meta-analysis aimed to estimate the rate of taste disturbance following cochlear implantation. METHODS: The review was designed according to Preferred Reporting Items for Systematic...OBJECTIVES: This systematic review and meta-analysis aimed to estimate the rate of taste disturbance following cochlear implantation. METHODS: The review was designed according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Included studies psychophysically measured taste. DerSimonian and Laird random-effects models were used. An overall mean from studies reporting a single mean of taste strip performance was calculated using inverse variance method for pooling. RESULTS: Of 380 studies identified, 9 were included across which 55 cases of postoperative taste disturbance were reported in 498 patients. Taste was tested at variable timepoints, from <1 week to ≥6 months postoperatively. The overall rate of postoperative taste disturbance was 13.5% (95% CI, 7.6-20.7%) with high heterogeneity between studies (I= 62%). DISCUSSION: 13.5% might indicate a higher prevalence of taste disturbance following cochlear implantation compared to the general population. However, the confidence we can assign to our calculated rate is limited by significant heterogeneity and potential publication bias. Studies reporting mean taste strip scores generally found reduced taste function on the side of the tongue ipsilateral to implantation, but this reduction wasn't statistically significant. CONCLUSION: Further research, employing more robust and standardised methodologies, is necessary to accurately ascertain the rate and nature of taste disturbance following cochlear implantation.
OBJECTIVES: The purpose of this study was to investigate the reading outcomes of a Canadian cohort of school-aged deaf learners with cochlear implants (CIs). The goal was to investigate whether achievement approached tha...OBJECTIVES: The purpose of this study was to investigate the reading outcomes of a Canadian cohort of school-aged deaf learners with cochlear implants (CIs). The goal was to investigate whether achievement approached that of hearing age peers and identify demographic factors influencing performance. METHODS: Participants represent a subset of 13 students with CIs from a larger sample of 70 deaf students in grades four through 12 educated in inclusive settings within a large school board in central Canada. Data sources included demographic information, teachers' ratings on the Categories of Auditory Performance (CAP), and scores from the [WJ III-DRB].Results/Discussion: Participants performed within the low average range in all areas except for Phonological Awareness, which was in the low range; however, there was wide variability in scores across participants. None of the demographic variables (e.g. home language, additional disabilities) had a statistically significant association with performance, although older students had higher mean scores on the Phonological Awareness cluster. CONCLUSION: These findings add to the body of research on literacy achievement and cochlear implantation, providing evidence that this technology has a significant positive effect on outcomes for a population that has heretofore underperformed in this area.
Fenov DM, Salcher R, Kludt E
… +5 more, Lesinski-Schiedat A, Harre J, Lenarz T, Giesemann A, Warnecke A
Cochlear Implants Int
· 2024 May · PMID 39159131
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OBJECTIVE: The implantation of biohybrid electrodes was introduced a few years ago in our clinic. These electrodes coated with autologous mononuclear cells releasing anti-inflammatory and neuroprotective factors are thou...OBJECTIVE: The implantation of biohybrid electrodes was introduced a few years ago in our clinic. These electrodes coated with autologous mononuclear cells releasing anti-inflammatory and neuroprotective factors are thought to reduce insertion trauma and maintain the vitality of surviving spiral ganglion neurons. The clinical feasibility of this approach has already been demonstrated. In the present retrospective study, the four-year results of the two sides (classical electrode and biohybrid electrode) in the bilaterally implanted patients were compared in order to investigate possible adverse long-term effects. METHODS: All patients received a complete audiological diagnosis which also included a speech audiogram and impedance measurement. The measurements were carried out 1 month, 3 months, 6 months, 1 year, 2 years, 3 years and 4 years after implantation. The hearing results were assessed by pure tone audiometry. RESULTS: All patients showed satisfactory speech understanding and similar impedances on both sides although they had a long-term deafness before implantation of the side provided with a biohybrid electrode array. The results of speech understanding and impedance measurements were stable for years. Cone beam computed tomography was performed in 4 patients three years after implantation and could rule out cochlear ossification. Other complications were also not registered in any of the patients. CONCLUSION: Due to satisfactory outcomes and lack of complications, the biohybrid electrode is considered to be a safe option in cochlear implantation. The simplicity of application of autologous cells as a source of anti-inflammatory and neuroprotective factors via a biohybrid electrode array is a key step for cell-based, regenerative therapies for deafness.
OBJECTIVES: To identify factors affecting functional hearing performance and quality of life (QoL) outcomes in paediatric cochlear implantation (CI) recipients at two University centres in mainland China. METHODS: Two un...OBJECTIVES: To identify factors affecting functional hearing performance and quality of life (QoL) outcomes in paediatric cochlear implantation (CI) recipients at two University centres in mainland China. METHODS: Two university centres in mainland China, part of the prospective longitudinal Paediatric Implanted Recipient Observational Study (P-IROS), contributed participant data. Participants were aged under 10 years at time of CI. Functional hearing performance and QoL measures were collected prior to device activation, and at 6-monthly intervals for 2 years post-implantation. Functional hearing endpoints including Categories of Auditory Performance-II (CAP-II) and QoL were evaluated and analysed using ordinal mixed-effects regression models. RESULTS: Data were from 288 children with a mean age at implant of 2.74 years. Overall follow-up at 1 year was 59% and 51% at 2 years. Younger age at implantation (p<0.001) and hearing aid use preimplantation (p=0.026) were associated with significant benefit. Bilateral device users (both CI and bimodal) achieved significantly better functional hearing performance on the CAP-II than unilateral CI users (p<0.001). Slower functional hearing improvements were observed in those with lower parental expectations compared to higher expectations (p<0.001). QoL improved over time but followed a different initial trajectory between centres. CONCLUSION: All participants demonstrated significant improvements in auditory performance and QoL over time. Younger age at CI, and bilateral/bimodal device fitting contributed to earlier improvements. Other potential factors that could help inform families, professionals, and health authorities about choice of hearing device and educational supports required included aetiology of hearing loss and level of maternal education.
Prentiss S, Snapp H, Sykes KJ
… +3 more, Smeal M, Restrepo A, Staecker H
Cochlear Implants Int
· 2024 May · PMID 39031768
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IMPORTANCE: Decision regret post-surgery has has been linked to health outcomes for a number of elective procedures but is understudied in cochlear implantation satisfaction. Theunpredictability in outcomes may lead to u...IMPORTANCE: Decision regret post-surgery has has been linked to health outcomes for a number of elective procedures but is understudied in cochlear implantation satisfaction. Theunpredictability in outcomes may lead to unmet expectations by the recipient. This study is the first study to investigate the decision regret concept in cochlear implant recipients. OBJECTIVE: Tto investigate post-operative decision regret in (CI) recipients. DESIGN: This was a prospective cohort study using the validated Ottawa Decision Regret Scale, and whether the CI met the patient's expectations. Variables potentially associated with decision regret including patient demographics, post-operative speech perception scores, duration of deafness, duration of CI use and age were analyzed using the logistic regression model. SETTING: This was a multi-center study. Participants were recruited and enrolled from the University of Miami and the University of Kansas in an outpatient setting. PARTICIPANTS: Adult, English-speaking CI recipients with at least 6 months of listening experience with their implant. RESULTS: Out of 173 58% reported no regret, 27% reported mild, and 15% reported moderate-to-strong regret. Expectations were met in 77% while not meeting expectations in 14%. The remaining 8% were neutral. Decisional regret was significantly associated ( = 0.02) with poor post-operative speech perception. No other variables were associated with regret. CONCLUSIONS: Post-operative decision regret was reported by 42% of CI recipients. Poor speech perception abilities were associated with increased risk of regret. Further research is required to identify regret risks and provide resources to mitigate regret in CI recipients.
Cochlear Implants Int
· 2024 Mar · PMID 39028756
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OBJECTIVES: Communication breakdowns and their repair by deaf and hard-of-hearing (DHH) and hearing adolescents were examined in conversation with an unfamiliar communication partner. METHOD: This study compared the numb...OBJECTIVES: Communication breakdowns and their repair by deaf and hard-of-hearing (DHH) and hearing adolescents were examined in conversation with an unfamiliar communication partner. METHOD: This study compared the number and type of clarification requests and responses to those requests of 16 DHH and 16 normal-hearing adolescents aged 11-16 years, in a 10-minute conversation with an unfamiliar adult. It also analyzed the relationship between speech intelligibility, communication breakdowns, and clarification requests by an unfamiliar adult. the Children's Communication Checklist (CCC) was completed by parents. RESULTS: DHH adolescents demonstrated significantly higher usage of nonverbal clarification requests and verbal and nonverbal responses to clarification requests compared to normal-hearing adolescents in conversations with an unfamiliar adult. Furthermore, the subscale scores of the CCC and the speech intelligibility of DHH adolescents were significantly lower than those of normal-hearing adolescents. There were correlations between speech intelligibility and the speech subscale score of the CCC, as well as correlations between the pragmatic composite score of the CCC, the number of communication breakdowns, and the number of clarification requests by an unfamiliar adult. DISCUSSION: The adolescents with DHH experienced more communication breakdowns in conversation with an unfamiliar adult and the number of clarification requests made by adults was higher.