COCHLEAR IMPLANTS INTERNATIONAL最新文献

{"title":"Parental recommendations for cochlear implants: A qualitative study of parental experiences.","authors":"Tang Zhi Lim, Cila Umat, Pei-Hua Chen, Bee See Goh, Chun Hong Gan, Yu-Ting Lai","doi":"10.1080/14670100.2025.2559503","DOIUrl":"https://doi.org/10.1080/14670100.2025.2559503","url":null,"abstract":"<p><strong>Objective: </strong>Hearing parents who lack knowledge regarding hearing loss and medical intervention typically experience disorientation and stress when their child is diagnosed with hearing loss and needs a cochlear implant (CI). This study aims to document recommendations experienced parents may provide to new parents based on their experiences.</p><p><strong>Methods: </strong>Sixteen parents of children with CI were interviewed, with the children's chronological age ranging between 26 and 91 months, averaging 11.7 months (standard deviation = 8.0) at the age of deafness diagnosis. Open-ended questions were asked to encourage parents to provide recommendations based on their interventional experiences. The interviews were transcribed verbatim and analyzed using thematic analysis.</p><p><strong>Results: </strong>The study identified four main themes that emerged based on parents' suggestions to parents about to step into the child's CI intervention journey. These themes included (a) acceptance and action, (b) proactively searching for information, (c) help-seeking from others, and (d) being financially prepared.</p><p><strong>Conclusion: </strong>The present qualitative study provides additional evidence to new parents on CI decision-making for their children who need CI. It suggests that new parents may seek guidance from parent-to-parent support groups and fully prepare themselves with essential knowledge and a healthy mentality before initiating their child's CI intervention journey.</p>","PeriodicalId":53553,"journal":{"name":"COCHLEAR IMPLANTS INTERNATIONAL","volume":" ","pages":"1-12"},"PeriodicalIF":1.2,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132372","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of photon-counting CT and conventional CT for cochlear implant preoperative planning.","authors":"Raphaële Quatre, Åsa Bonnard, Martin Eklöf, Fatima M Denanto, Torkel B Brismar, Jeremy Wales","doi":"10.1080/14670100.2025.2555115","DOIUrl":"https://doi.org/10.1080/14670100.2025.2555115","url":null,"abstract":"<p><strong>Introduction: </strong>Accurate cochlear measurements are crucial for personalized cochlear implantation, requiring high-quality imaging for precise cochlear duct length (CDL) assessment. Photon-counting computed tomography (PC-CT) is an advanced imaging technique that enhances image quality while reducing radiation exposure. The aim of this study was to compare PC-CT and conventional CT in cochlear measurements using cochlear implant planning software in patients with a unilateral cochlear implant.</p><p><strong>Method: </strong>This prospective study was conducted at a tertiary referral center. All patients had a previous conventional temporal bone CT before cochlear implantation and a PC-CT of the temporal bone for the post implant evaluation. Image analysis for both PC-CT and CT was performed with the OTOPLAN version 3.0 software manually and independently by three different otologist experts in the field.</p><p><strong>Results: </strong>Ten cochleae were evaluated. The mean full CDL was 35.81 ± 1.22 mm in CT and 35.99 ± 1.94 mm in PC-CT (P = 0.77) Inter-observer reliability was poor for CT with an intra-correlation coefficient of 0.16 and moderate for PC-CT with an intra-correlation coefficient of 0.71.</p><p><strong>Conclusion: </strong>This study demonstrated the advantages of PC-CT over conventional CT by improving the reliability and reproducibility of CDL measurements in patients.</p>","PeriodicalId":53553,"journal":{"name":"COCHLEAR IMPLANTS INTERNATIONAL","volume":" ","pages":"1-6"},"PeriodicalIF":1.2,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145071137","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of speech performance and hearing ability after unilateral cochlear implantation with new HiRes Ultra CI in Chinese population.","authors":"Jinwei Cui, Shunnian Zeng, Xiaohui Zhou, Yifei Ni, Patrick Boyle, Xiguang Tian, Jin Zhang","doi":"10.1080/14670100.2025.2542049","DOIUrl":"https://doi.org/10.1080/14670100.2025.2542049","url":null,"abstract":"<p><strong>Purpose: </strong>A real-world study of the Ultra cochlear implant was completed in 2022, aiming to compare preoperative and postoperative performance. The use of two different electrode arrays and their ability to preserve residual hearing were also investigated.</p><p><strong>Methods: a total of: </strong>78 subjects were enrolled in this study. All participants completed the preoperative baseline assessment and postoperative speech and hearing tests. Subjective questionnaires were administered to participants under 6 years old. The development of impedance and M-levels over time was also analysed. For participants older than 6 years of age, pure tone audiometry was performed to evaluate hearing preservation.</p><p><strong>Results: </strong>The postoperative average aided hearing threshold and speech test results showed a statistically significant improvement compared to preoperative results (<i>p</i> < 0.05). No significant difference was observed between the two electrode arrays (<i>p</i> > 0.05). Overall, impedance and M-levels showed typical trends of progression. Most participants obtained good hearing preservation, while no significant difference in hearing deterioration was reported between the two electrodes (<i>p</i> = 0.20).</p><p><strong>Conclusion: </strong>The Ultra implant can significantly improve hearing and speech abilities. No significant difference was observed in speech perception between the two arrays. Results confirmed that the Ultra implant is safe and effective for both paediatric and adult populations.</p>","PeriodicalId":53553,"journal":{"name":"COCHLEAR IMPLANTS INTERNATIONAL","volume":" ","pages":"1-10"},"PeriodicalIF":1.2,"publicationDate":"2025-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144857033","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enhancing support for pupils with cochlear implants in Tanzania's inclusive primary schools: a wake-up call for a strong collaborative approach.","authors":"Sarah Ezekiel Kisanga, Zamoyoni Ozeniel Foya","doi":"10.1080/14670100.2025.2538981","DOIUrl":"https://doi.org/10.1080/14670100.2025.2538981","url":null,"abstract":"<p><strong>Objectives: </strong>This qualitative study aimed to explore the support mechanisms school management applies to improve inclusivity for Pupils with Cochlear Implants (PCIs) in inclusive primary schools.</p><p><strong>Methods: </strong>Data was collected from 25 participants from five inclusive schools, using semi-structured interviews and observation methods.</p><p><strong>Results: </strong>The study revealed that teachers have limited knowledge in identifying the learning needs of pupils with cochlear implants. Their identification of students' needs was primarily informed by personal teaching experience, online resources, and input from parents of pupils with cochlear implants. The support provided to these students was largely inadequate in meeting their specific educational requirements, as it focused primarily on noise reduction measures, the provision of teaching and learning materials, and additional time during instruction and assessments. Furthermore, teachers reported having limited knowledge regarding the maintenance of cochlear implants, highlighting a critical gap in their capacity to effectively support these learners.</p><p><strong>Conclusion: </strong>Thus, the study recommends that the government should consider pupils with special needs in its national budget to improve teaching and learning environments. Also, it is essential to foster collaboration between school management, cochlear implant experts, parents, educational officials, and the community to enhance further inclusivity.</p>","PeriodicalId":53553,"journal":{"name":"COCHLEAR IMPLANTS INTERNATIONAL","volume":" ","pages":"1-16"},"PeriodicalIF":1.2,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144785917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The benefit of bilateral cochlear implants in adults with bilateral sensorineural hearing loss: a systematic review and meta-analysis.","authors":"Manohar Bance, Maria Costales Marcos, Jérémie Guignard, Wendy Huinck, Matthijs Killian, Vikte Lionikaite, Hafsa Quadri, Kim Rand, Ville Sivonen","doi":"10.1080/14670100.2025.2516932","DOIUrl":"10.1080/14670100.2025.2516932","url":null,"abstract":"<p><strong>Objectives: </strong>To perform a systematic literature review (SLR) on hearing and quality-of-life (QoL) benefits of bilateral versus unilateral cochlear implants (CIs) in adults with sensorineural hearing loss (SNHL), and to quantify benefits through a meta-analysis when feasible.</p><p><strong>Methods: </strong>Embase, MEDLINE, and Cochrane were searched from January 2005-June 2022. Eligible studies presented effectiveness of CIs and/or QoL of adult CI users. Articles that presented numerical point estimates for, or numerical difference between, bilateral and unilateral CI, and measures of uncertainty were considered for meta-analysis, with data analyzed using fixed- and random-effects models.</p><p><strong>Results: </strong>Thirty-five articles were included. There was a trend of significant improvement with bilateral CIs in sound localization and binaural redundancy. A meta-analysis confirmed statistically significant benefits in speech perception (in quiet, 12.6 percentage point [95% confidence interval: 7.1, 18.1] improvement; in noise, improvement in speech reception threshold of 1.5 dB signal-to-noise ratio [-1.5 dB; 95% confidence interval: -2.5, -0.4]). There were beneficial trends of bilateral CIs regarding head-shadow effect and binaural release from masking. Significant improvements in hearing-specific QoL were observed; generic QoL was mostly unchanged.</p><p><strong>Discussion: </strong>Bilateral CIs provide audiological benefit over unilateral CI, resulting in hearing-specific QoL improvements. Lack of changes in generic QoL may reflect that instrument domains are insensitive to hearing-related changes when going from unilateral to bilateral CIs. Meta-analyses could not be performed for all hearing and QoL outcomes owing to variability in methodologies across studies.</p><p><strong>Conclusions: </strong>These findings should be used to inform clinical decision-making to ensure the best outcomes for adults with bilateral SNHL.</p>","PeriodicalId":53553,"journal":{"name":"COCHLEAR IMPLANTS INTERNATIONAL","volume":" ","pages":"155-170"},"PeriodicalIF":1.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144499124","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Importance of early access to language: theory of mind in school-aged children with cochlear implants.","authors":"Kristina Burum, Björn Lyxell, Simon Sundström","doi":"10.1080/14670100.2025.2523703","DOIUrl":"10.1080/14670100.2025.2523703","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to investigate the theory of mind (ToM) understanding in early implanted school-aged children in Norway, comparing their performance to that of typically developing (TD) peers, and considering age at implantation and hearing age.</p><p><strong>Methods: </strong>Twelve 8-12-year-old children, who received cochlear implants (CI) before 18 months of age, were recruited. Ten of them were included in early speech-language and listening intervention. The control group comprised 22 TD peers. All children underwent tests evaluating cognitive and affective ToM. Bayesian methods were used to examine group differences in cognitive and affective ToM, and the relationships between ToM variables and implantation and hearing age.</p><p><strong>Results: </strong>The children with CI were more likely to perform comparably to TD peers on both affective and cognitive ToM, than differing from them. The relationship between affective ToM and implantation age was more likely to be present than absent, while a converse correlation pattern was found for cognitive ToM and implantation and hearing age. The relationship between affective ToM and hearing age was inconclusive, suggesting more data is needed.</p><p><strong>Conclusion: </strong>Our findings underscore the importance of early implantation in supporting ToM progress, aligning with the sensitive period account. Missing the sensitive period for optimal ToM development could lead to lasting ToM developmental gaps. Therefore, to minimize potential delays, it might be essential to provide CI and speech-language and listening intervention early in life. These measures facilitate the social interactions with caregivers that are critical for fostering ToM development.</p>","PeriodicalId":53553,"journal":{"name":"COCHLEAR IMPLANTS INTERNATIONAL","volume":" ","pages":"202-212"},"PeriodicalIF":1.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555714","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Auditory perception and speech recognition outcomes in Syrian refugee children with cochlear implants.","authors":"Hüseyin Deniz","doi":"10.1080/14670100.2025.2518846","DOIUrl":"10.1080/14670100.2025.2518846","url":null,"abstract":"<p><strong>Objective: </strong>Limited studies have examined the prevalence of hearing loss among Syrian refugees living in Turkey, where it is anticipated to be higher compared to the general population. 430,148 Syrian refugees live in Gaziantep province, where this study was conducted. This study aimed to examine the auditory perception, word and sentence comprehension, and speech recognition outcomes of Syrian refugee children who underwent cochlear implantation (CI).</p><p><strong>Design: </strong>Among 960 individuals who underwent CI surgery between August 2015 and April 2023, 135 (14.6%) were Syrian refugee children. The Arabic version of the Evaluation of Auditory Responses to Speech (EARS) test battery was used to assess language development and auditory perception levels of the Syrian refugees.</p><p><strong>Studysample: </strong>Data on auditory perception and speech recognition from 30 Syrian refugee children with CI were analyzed.</p><p><strong>Results: </strong>CI was performed in Syrian refugee children at an average age of 39.57 ± 17.56 months. Findings of the study showed that the socioeconomic conditions of the Syrian refugee group were quite limited, with 93.33% of participants not receiving regular special education. It was observed that the age of access to CI was delayed for Syrian refugee children. EARS test scores for Syrian refugee CI users were significantly lower than normative values (<i>p</i> < 0.05).</p><p><strong>Conclusion: </strong>Despite using CIs, many Syrian refugee children demonstrated lower-than-expected performance in auditory and language development, likely owing to socioeconomic disadvantages, lack of access to special education, and delayed implantation. These findings highlight the need for early diagnosis, timely implantation, and effective rehabilitation programs for refugee children.</p>","PeriodicalId":53553,"journal":{"name":"COCHLEAR IMPLANTS INTERNATIONAL","volume":" ","pages":"171-178"},"PeriodicalIF":1.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144546144","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Surgical technique protocol for cochlear implantation in post-meningitic ossified cochlea.","authors":"Sunil Narayan Dutt, Aanchal Aggarwal Mittal, Sumit Kumar Gaur, Apurva Kumar","doi":"10.1080/14670100.2025.2524953","DOIUrl":"10.1080/14670100.2025.2524953","url":null,"abstract":"<p><strong>Introduction: </strong>Labyrinthitis ossificans is a known complication of bacterial meningitis which results in severe to profound hearing loss. Historically, labyrinthitis ossificans was considered a contraindication for cochlear implantation. However, with advances in technology, cochlear implantation is an accepted treatment for hearing loss in labyrinthitis ossificans.</p><p><strong>Materials and methods: </strong>17 cases with varying degrees of ossification in the cochlea were evaluated and treated at our tertiary referral hospital and cochlear implantation center out of a total of 832 profoundly deaf patients evaluated from January 2007 to June 2023. The etiology, radiology, intra-operative findings and treatment protocols followed in these patients are discussed.</p><p><strong>Results: </strong>15 of the 17 patients could successfully be implanted with a cochlear implant, while two were referred to another center for Auditory Brainstem Implantation. The degree/grade of ossification decided the available cochlear lumen for implantation and hence the surgical approach and choice of the electrode.</p><p><strong>Conclusion: </strong>A protocol for the order of choice of electrode and site of insertion in various cases of labyrinthitis ossificans depending on the degree of ossification is proposed. In the order of preference, it would be thus: 1. Cochlear implantation with the active electrode in the scala tympani of the basal turn; 2. Electrode in the scala vestibuli of the basal turn; 3. Anterograde insertion of the implant from the second turn; 4. Retrograde insertion of the implant from the second turn; 5. Insertion of a split array electrode and finally 6. Auditory brainstem implantation.</p>","PeriodicalId":53553,"journal":{"name":"COCHLEAR IMPLANTS INTERNATIONAL","volume":" ","pages":"213-220"},"PeriodicalIF":1.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144561952","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Caring for a child with a cochlear implant: A narrative review of the challenges, needs, and potential digital options for parents of children with cochlear implants.","authors":"Dilshan Delgama, Karyn Galvin, Kathleen Gray, Jaime Leigh","doi":"10.1080/14670100.2025.2520674","DOIUrl":"10.1080/14670100.2025.2520674","url":null,"abstract":"<p><strong>Objectives: </strong>The purpose of this narrative review is to understand the challenges faced by, and needs of, parents of children who are cochlear implant candidates or recipients according to parent reports. Additionally, it seeks to identify potential digital interventions that could provide meaningful support for this population.</p><p><strong>Methods: </strong>A literature search was conducted across three key areas: challenges faced by parents, parental needs, and current digital interventions. Relevant studies were reviewed, and key themes were extracted.</p><p><strong>Results: </strong>A total of 131 studies were included in the review. There were 25 studies exploring pre-implantation challenges, 30 studies exploring post-implantation challenges, 27 studies exploring parental needs and 58 studies exploring existing digital interventions.</p><p><strong>Conclusion: </strong>Parents face significant challenges during both the pre-implantation and post-implantation stages. Pre-implantation challenges include fears about the surgical risks and outcomes, financial costs, choosing a communication modality for their child, stigma, and delays in referrals to services. Post-implantation challenges primarily relate to managing expectations, cochlear implant device maintenance, education, long-term costs and the social implications of the cochlear implant for the child. Parental needs during both stages include information and support from peers. Existing digital interventions for parents of children with health conditions, such as online support groups, mobile health apps, and telemedicine services, show promise for addressing these needs and could be adapted for parents navigating the cochlear implantation process.</p>","PeriodicalId":53553,"journal":{"name":"COCHLEAR IMPLANTS INTERNATIONAL","volume":" ","pages":"179-201"},"PeriodicalIF":1.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144509411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Binaural fusion in single-sided deaf cochlear implant users.","authors":"Lucrèce de Villars, John J Galvin, Qian-Jie Fu, Faustine Legrand, Mathieu Robier, David Bakhos","doi":"10.1080/14670100.2025.2535851","DOIUrl":"10.1080/14670100.2025.2535851","url":null,"abstract":"<p><strong>Objective: </strong>Single-sided deaf (SSD) cochlear implant (CI) patients often have difficulty with spatial perception, which may be partly due to limited fusion of acoustic and electric hearing. In the present study, we investigated binaural fusion in SSD CI patients.</p><p><strong>Methods: </strong>Eight adult SSD CI patients participated in the study. Binaural fusion was measured using speech and non-speech stimuli. Listeners indicated whether they heard 1 or 2 auditory images, the diffuseness of the sound, and lateralization of sounds in a virtual space.</p><p><strong>Results: </strong>Binaural fusion and similarity ratings were highly variable across participants. Across all participants and stimuli, a single auditory image was perceived only 40.23 ± 38.46% of the time. Sensitivity to stimulus types varied greatly across participants, but in no consistent manner. Diffuseness was significantly larger for words and environmental sounds than for sentences and tones. When one image was perceived, stimuli were generally lateralized towards the center. When two images were perceived, the mean lateralization was 57.11 ± 56.67 degrees.</p><p><strong>Conclusions: </strong>Binaural fusion in the present SSD CI users was much less than observed in previous studies with bilateral CI users, possibly due to differences in stimulation patterns between acoustic and electric hearing and interaural frequency mismatch.</p>","PeriodicalId":53553,"journal":{"name":"COCHLEAR IMPLANTS INTERNATIONAL","volume":" ","pages":"221-232"},"PeriodicalIF":1.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144715168","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}