Postoperative optimization of cochlear implantation for single sided deafness and asymmetric hearing loss: a systematic review.

IF 1.4 Q2 OTORHINOLARYNGOLOGY

COCHLEAR IMPLANTS INTERNATIONAL Pub Date : 2023-11-01 Epub Date: 2023-07-25 DOI:10.1080/14670100.2023.2239512

Kristofer G Andren, Kevin Duffin, Matthew T Ryan, Charles A Riley, Anthony M Tolisano

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引用次数: 0

Abstract

Objective: Identify and evaluate the effectiveness of methods for improving postoperative cochlear implant (CI) hearing performance in subjects with single-sided deafness (SSD) and asymmetric hearing loss (AHL).

Data sources: Embase, PubMed, Scopus.

Review methods: Systematic review and narrative synthesis. English language studies of adult CI recipients with SSD and AHL reporting a postoperative intervention and comparative audiometric data pertaining to speech in noise, speech in quiet and sound localization were included.

Results: 32 studies met criteria for full text review and 6 (n = 81) met final inclusion criteria. Interventions were categorized as: formal auditory training, programming techniques, or hardware optimization. Formal auditory training (n = 10) found no objective improvement in hearing outcomes. Experimental CI maps did not improve audiologic outcomes (n = 9). Programed CI signal delays to improve synchronization demonstrated improved sound localization (n = 12). Hardware optimization, including multidirectional (n = 29) and remote (n = 11) microphones, improved sound localization and speech in noise, respectively.

Conclusion: Few studies meeting inclusion criteria and small sample sizes highlight the need for further study. Formal auditory training did not appear to improve hearing outcomes. Programming techniques, such as CI signal delay, and hardware optimization, such as multidirectional and remote microphones, show promise to improve outcomes for SSD and AHL CI users.

查看原文本刊更多论文

单侧耳聋和不对称听力损失的人工耳蜗植入术后优化:系统综述。

目的:确定并评价改善单侧耳聋(SSD)和不对称听力损失(AHL)患者术后人工耳蜗(CI)听力表现的方法的有效性。数据来源:Embase, PubMed, Scopus。复习方法:系统复习和叙事综合。纳入了报告术后干预的SSD和AHL成人CI受者的英语语言研究，以及与噪音、安静和声音定位相关的听力测量数据的比较。结果:32项研究符合全文审查标准，6项(n = 81)符合最终纳入标准。干预措施分为:正规听觉训练、编程技术或硬件优化。正式的听觉训练(n = 10)没有发现听力结果的客观改善。实验CI图没有改善听力学结果(n = 9)。通过编程CI信号延迟来改善同步，可以改善声音定位(n = 12)。硬件优化，包括多向麦克风(n = 29)和远程麦克风(n = 11)，分别提高了声音定位和噪声语音。结论:符合纳入标准的研究较少，样本量小，需要进一步研究。正式的听觉训练似乎并没有改善听力结果。编程技术(如CI信号延迟)和硬件优化(如多向和远程麦克风)有望改善SSD和AHL CI用户的使用效果。

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

COCHLEAR IMPLANTS INTERNATIONAL Medicine-Otorhinolaryngology

CiteScore

3.10

自引率

0.00%

发文量

期刊介绍： Cochlear Implants International was founded as an interdisciplinary, peer-reviewed journal in response to the growing number of publications in the field of cochlear implants. It was designed to meet a need to include scientific contributions from all the disciplines that are represented in cochlear implant teams: audiology, medicine and surgery, speech therapy and speech pathology, psychology, hearing therapy, radiology, pathology, engineering and acoustics, teaching, and communication. The aim was to found a truly interdisciplinary journal, representing the full breadth of the field of cochlear implantation.