دورية أكاديمية
Cochlear implantation in children 12 months of age and younger.
| العنوان: | Cochlear implantation in children 12 months of age and younger. |
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| المؤلفون: | Holman MA; Department of Otolaryngology/Head and Neck Surgery, Mayo Clinic School of Medicine, 200 First Street SW, Rochester, MN 55905, USA., Carlson ML, Driscoll CL, Grim KJ, Petersson RS, Sladen DP, Flick RP |
| المصدر: | Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology [Otol Neurotol] 2013 Feb; Vol. 34 (2), pp. 251-8. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 100961504 Publication Model: Print Cited Medium: Internet ISSN: 1537-4505 (Electronic) Linking ISSN: 15317129 NLM ISO Abbreviation: Otol Neurotol Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Hagerstown, MD : Lippincott Williams & Wilkins, c2001- |
| مواضيع طبية MeSH: | Cochlear Implants*/adverse effects, Cochlear Implantation/*methods , Hearing Loss, Sensorineural/*rehabilitation, Anesthesia ; Audiology ; Cochlear Implantation/adverse effects ; Female ; Functional Laterality/physiology ; Hearing/physiology ; Hearing Loss, Sensorineural/congenital ; Hearing Loss, Sensorineural/etiology ; Humans ; Infant ; Language Development ; Male ; Patient Selection ; Speech/physiology ; Treatment Outcome |
| مستخلص: | Objective: To investigate surgical, anesthetic, and device-related complications as well as auditory and speech-language development outcomes associated with cochlear implantation (CI) in children 12 months of age and younger. Study Design: Retrospective chart review. Setting: Tertiary academic referral center. Patients: All children with severe-to-profound sensorineural hearing loss who underwent cochlear implantation at 12 months of age or younger and an audiometric control group implanted between 13 and 24 months of age. Main Outcome Measures: Anesthetic and surgical course; major and minor surgical, anesthetic and device-related complications; postoperative disposition; postoperative auditory receptive and expressive language development. Results: Twenty-six patients (41 ears) met criteria. The median duration of follow-up was 58 months. No major surgical or anesthetic complications occurred. One patient (4%) experienced device failure, which required revision surgery and implant exchange. Two other patients (8%) had individual electrode anomalies that were treated with map exclusion. At the last recorded follow-up, 73% of patients were performing at or above the level of normal-hearing age-matched peers. Patients that were implanted at 12 months of age or younger reached age-appropriate speech and language skills by 24 months of age compared with 40 months for the older pediatric control group. Conclusion: The current study demonstrates that CI provides substantial benefit among infant recipients. Furthermore, when performed by an experienced cochlear implant and pediatric anesthesia team, the surgical and anesthetic risks are similar to that expected with both older pediatric and adult patients. ((C) 2013 Otology & Neurotology, Inc.) |
| تواريخ الأحداث: | Date Created: 20130228 Date Completed: 20130628 Latest Revision: 20191027 |
| رمز التحديث: | 20221213 |
| DOI: | 10.1097/mao.0b013e31827d0922 |
| PMID: | 23444471 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1537-4505 |
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| DOI: | 10.1097/mao.0b013e31827d0922 |