دورية أكاديمية
Selection of the optimal first ear for sequential bilateral cochlear implantation in children.
| العنوان: | Selection of the optimal first ear for sequential bilateral cochlear implantation in children. |
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| المؤلفون: | Kim H; Department of Otolaryngology, Ajou University School of Medicine, Suwon, Republic of Korea.; Department of Medical Sciences, Ajou University Graduate School of Medicine, Suwon, Republic of Korea., Ha J; Department of Otolaryngology, Ajou University School of Medicine, Suwon, Republic of Korea.; Department of Medical Sciences, Ajou University Graduate School of Medicine, Suwon, Republic of Korea., Gil ES; Department of Medical Sciences, Ajou University Graduate School of Medicine, Suwon, Republic of Korea., Jang JH; Department of Otolaryngology, Ajou University School of Medicine, Suwon, Republic of Korea., Park HY; Department of Otolaryngology, Ajou University School of Medicine, Suwon, Republic of Korea., Choung YH; Department of Otolaryngology, Ajou University School of Medicine, Suwon, Republic of Korea.; Department of Medical Sciences, Ajou University Graduate School of Medicine, Suwon, Republic of Korea. |
| المصدر: | Ear, nose, & throat journal [Ear Nose Throat J] 2024 Jul; Vol. 103 (7), pp. NP432-NP439. Date of Electronic Publication: 2021 Dec 13. |
| نوع المنشور: | Journal Article; Evaluation Study |
| اللغة: | English |
| بيانات الدورية: | Publisher: SAGE Publications Country of Publication: United States NLM ID: 7701817 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1942-7522 (Electronic) Linking ISSN: 01455613 NLM ISO Abbreviation: Ear Nose Throat J Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Thousand Oaks, CA : SAGE Publications Original Publication: [New York, Insight Pub. Co.] |
| مواضيع طبية MeSH: | Cochlear Implantation*/methods , Hearing Loss, Sensorineural*/surgery, Humans ; Child ; Male ; Female ; Child, Preschool ; Speech Intelligibility ; Treatment Outcome ; Adolescent ; Cochlear Implants ; Hearing Loss, Bilateral/surgery ; Speech Perception ; Ear/surgery ; Ear/abnormalities ; Hearing |
| مستخلص: | Objectives: When there is a difference in hearing on both ears, where to perform the first cochlear implantation (CI) becomes an important issue. The purpose of the study was to evaluate which ear should be chosen for the first implantation in sequential bilateral CI with a long inter-implant period. Methods: The study population consisted of 34 severe-to-profound sensorineural hearing loss pediatrics with the inter-implant period of ≥3 years between the first CI (CI-1) and the second CI (CI-2) before the age of 19 (mean of inter-implant period: 7.1-year). The patients were classified into Group A (CI-1 was performed on the ear with better hearing), Group B (CI-1 on the ear with worse hearing), or Group C (symmetrical hearing in both ears). Speech intelligibility test results were compared between the groups. Results: The monosyllabic word scores of CI-1 were excellent in Groups A (91.7±7.9%) and B (92.5±3.6%) but slightly lower in Group C (85.7±14.9%) before the second implantation ( P = .487). At 3 years after the second implantation, all groups demonstrated excellent scores in the bilateral CI condition (95.9±3.0% in Group A; 99.1±.8% in Group B; 97.5±2.9% in Group C, P = .600). However, when the patients were tested in using CI-2 only in Groups A and B after using bilateral CI for 3 years, the scores were inconsistent in Group A (79.6±23.9%; range: 22.2-94.4%), while those were higher and more constant in Group B (92.9±4.8%; 86.8-100.0%). Conclusions: The first CI is strongly recommended to perform on a worse hearing ear if they had different hearing levels between ears. Even with the first CI on a worse hearing ear, its performance never deteriorates. In addition, if they receive the second CI several years later, it will be likely that the second one functions better. Competing Interests: Conflicts of Interested DisclosuresThe authors declare no conflicts of interest related to the present study. |
| فهرسة مساهمة: | Keywords: bilateral cochlear implantations; bilateral hearing; congenital bilateral sensorineural hearing loss; sequential bilateral cochlear implantations; speech intelligibility |
| تواريخ الأحداث: | Date Created: 20211213 Date Completed: 20240615 Latest Revision: 20240615 |
| رمز التحديث: | 20240615 |
| DOI: | 10.1177/01455613211064012 |
| PMID: | 34898304 |
| قاعدة البيانات: | MEDLINE |
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