Long-Term Results in Cochlear Implantation in Single-Sided Deafness in Children and Adult Populations.

IF 1.9 3区医学 Q3 CLINICAL NEUROLOGY

Otology & Neurotology Pub Date : 2025-05-01 DOI:10.1097/MAO.0000000000004527

Ángel Ramos Macías, Juan Carlos Falcón González, Silvia Borkoski Barreiro, Nadia Falcón Benítez, Joyce Tang, Annery Peguero, Pino Delia Domínguez Trujillo, Ángel Ramos de Miguel

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引用次数: 0

Abstract

Objectives: The aim of this study is to show the long-term effects of cochlear implant as a treatment in both children and adults with acquired single-sided deafness.

Study design: Observational, descriptive, cross-sectional.

Setting: Tertiary referral center.

Patients: 21 children and 20 adults with SSD.

Interventions: Unilateral CI.

Methods: Speech detection thresholds and disyllabic words test (65 dB SPL) were performed in the modalities azimuth (S0), signal CI side (SCI), and signal on the normal hearing (SNH). The normal ear was masked with both white noise of +10 dB of the hearing threshold and plugging the same ear, whereas the speech testing was performed using the cochlear implant wireless system.

Results: All results were obtained up to 48 months after the activation of the sound processor. All study subjects showed improvements in speech test results in all conditions tested. Word recognition in noise in children improved from 42.76% at 6 months after activation of the sound processor to 76.38% at 48 months in the S0 condition, from 50 to 78.10% in the SCI condition, and from 38.48 to 66.48% in the SNH modality. Regarding adults, word recognition in noise went from 45.40% at 6 months of activation of the sound processor to 73.40% at 48 months in the S0 condition, from 52.60 to 76.20% in the SCI condition, and from 43.60 to 64.80% in the SCI condition (p < 0.001). The average duration of use of the speech processor daily was 11 hours in children and 9.4 hours in adults.

Conclusion: When comparing children's performance with adults', progressive improvement in speech discrimination compared with adults was observed.

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儿童和成人单侧耳聋人工耳蜗植入术的远期疗效。

目的：本研究的目的是显示人工耳蜗作为一种治疗儿童和成人获得性单侧耳聋的长期效果。研究设计：观察性、描述性、横断面。单位：三级转诊中心。患者：儿童21例，成人20例。干预措施：单侧CI。方法：采用语音检测阈值和双音节词测试（65 dB SPL），分别在模态方位角（S0）、信号CI侧（SCI）和正常听力信号侧（SNH）进行测试。正常耳被听力阈值+10 dB的白噪声掩盖，并堵住同一只耳朵，而语音测试则使用人工耳蜗无线系统进行。结果：所有结果均在声音处理器激活48个月后获得。所有研究对象在所有测试条件下的语言测试结果都有所改善。声音处理器激活后6个月，儿童对噪声中的单词识别能力从42.76%提高到48个月时的76.38%，SCI组从50%提高到78.10%，SNH组从38.48%提高到66.48%。对于成年人来说，在声音处理器激活6个月时，噪声中的单词识别率从45.40%上升到48个月时的73.40%，在脊髓损伤条件下从52.60%上升到76.20%，在脊髓损伤条件下从43.60%上升到64.80% （p < 0.001）。儿童每天使用语音处理器的平均时间为11小时，成人为9.4小时。结论：与成人相比，儿童的言语辨别能力有明显的进步。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Otology & Neurotology 医学-耳鼻喉科学

CiteScore

3.80

自引率

14.30%

发文量

509

审稿时长

3-6 weeks

期刊介绍： Otology & Neurotology publishes original articles relating to both clinical and basic science aspects of otology, neurotology, and cranial base surgery. As the foremost journal in its field, it has become the favored place for publishing the best of new science relating to the human ear and its diseases. The broadly international character of its contributing authors, editorial board, and readership provides the Journal its decidedly global perspective.