COCHLEAR IMPLANTS INTERNATIONAL最新文献

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Arabic phoneme-grapheme correspondence by non-native, deaf children with cochlear implants and normal hearing children. 非母语聋儿、耳蜗植入儿童与正常听力儿童的阿拉伯语音素-字素对应关系。
COCHLEAR IMPLANTS INTERNATIONAL Pub Date : 2022-11-01 DOI: 10.1080/14670100.2022.2114583
Farheen Naz Anis, Cila Umat, Kartini Ahmad, Badrulzaman Abdul Hamid
{"title":"Arabic phoneme-grapheme correspondence by non-native, deaf children with cochlear implants and normal hearing children.","authors":"Farheen Naz Anis,&nbsp;Cila Umat,&nbsp;Kartini Ahmad,&nbsp;Badrulzaman Abdul Hamid","doi":"10.1080/14670100.2022.2114583","DOIUrl":"https://doi.org/10.1080/14670100.2022.2114583","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to compare the error patterns of Arabic phoneme-grapheme correspondence by a group of Malay children with cochlear implants (CIs) and normal hearing (NH) and the effects of the visual graphical features of Arabic graphemes (no-dot, single-dot, and multiple-dots) on the phoneme-grapheme correspondence.</p><p><strong>Methods: </strong>Participants were matched for hearing age (Mean, M = 7 ± 1.03 years) and duration of exposure to Arabic sounds (M = 2.7 ± 1.2 years). All 28 Arabic phonemes were presented through a loudspeaker and participants pointed to the graphemes associated with the presented phonemes.</p><p><strong>Results: </strong>A total of 336 and 616 tokens were collected for six children with CI and 11 NH children for each task, i.e., phonemes repetition and phoneme-grapheme correspondence. Both groups found it easier to repeat phonemes than the phoneme-grapheme correspondence. The children with CIs showed more confusion ([ظ, ز, ذ, ض, خ, ب, ه, س, ع, & ث] >10% correct scores) in phoneme-grapheme correspondence than the NH children ([ظ:14%] and [ث: 27%]). There was a significant interaction (<i>p</i> = 0.001) among the three visual graphical features and hearing status (CI and NH).</p><p><strong>Conclusion: </strong>Our results infer that non-native Malay children with CIs and NH use different strategies to process the Arabic graphemes' visual features for phoneme-grapheme correspondence.</p>","PeriodicalId":53553,"journal":{"name":"COCHLEAR IMPLANTS INTERNATIONAL","volume":"23 6","pages":"347-357"},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10402094","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}
引用次数: 0
Considerations in pediatric device candidacy: An emphasis on spoken language. 儿科器械候选的考虑因素:强调口语。
COCHLEAR IMPLANTS INTERNATIONAL Pub Date : 2022-09-01 DOI: 10.1080/14670100.2022.2079189
Natalie A Hayes, Lisa S Davidson, Rosalie M Uchanski
{"title":"Considerations in pediatric device candidacy: An emphasis on spoken language.","authors":"Natalie A Hayes,&nbsp;Lisa S Davidson,&nbsp;Rosalie M Uchanski","doi":"10.1080/14670100.2022.2079189","DOIUrl":"https://doi.org/10.1080/14670100.2022.2079189","url":null,"abstract":"<p><p>As cochlear implant (CI) candidacy expands to consider children with more residual hearing, the use of a CI and a hearing aid (HA) at the non-implanted ear (bimodal devices) is increasing. This case study examines the contributions of acoustic and electric input to speech perception performance for a pediatric bimodal device user (S1) who is a borderline bilateral cochlear implant candidate. S1 completed a battery of perceptual tests in CI-only, HA-only and bimodal conditions. Since CIs and HAs differ in their ability to transmit cues related to segmental and suprasegmental perception, both types of perception were tested. Performance in all three device conditions were generally similar across tests, showing no clear device-condition benefit. Further, S1's spoken language performance was compared to those of a large group of children with prelingual severe-profound hearing loss who used two devices from a young age, at least one of which was a CI. S1's speech perception and language scores were average or above-average compared to these other pediatric CI recipients. Both segmental and suprasegmental speech perception, and spoken language skills should be examined to determine the broad-scale performance level of bimodal recipients, especially when deciding whether to move from bimodal devices to bilateral CIs.</p>","PeriodicalId":53553,"journal":{"name":"COCHLEAR IMPLANTS INTERNATIONAL","volume":"23 5","pages":"300-308"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9339525/pdf/nihms-1811446.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10129776","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
AzBio Sentence test in Hebrew (HeBio): development, preliminary validation, and the effect of noise 希伯来语AzBio句子测试(HeBio):发展、初步验证和噪音的影响
COCHLEAR IMPLANTS INTERNATIONAL Pub Date : 2022-06-07 DOI: 10.1080/14670100.2022.2083285
Riki Taitelbaum-Swead, Tzofit Dahan, Udi Katzenel, M. Dorman, L. Litvak, L. Fostick
{"title":"AzBio Sentence test in Hebrew (HeBio): development, preliminary validation, and the effect of noise","authors":"Riki Taitelbaum-Swead, Tzofit Dahan, Udi Katzenel, M. Dorman, L. Litvak, L. Fostick","doi":"10.1080/14670100.2022.2083285","DOIUrl":"https://doi.org/10.1080/14670100.2022.2083285","url":null,"abstract":"Objective\u0000 The AzBio sentence test is widely used to assess speech perception pre- and post-cochlear implantation. This study created and validated a Hebrew version of AzBio (HeBio) and tested its intelligibility amidst background noise. \u0000 Methods\u0000 In Experiment 1, 1,000 recorded Hebrew sentences were presented via five-channel vocoder to 10 normal hearing (NH) listeners for intelligibility testing. In Experiment 2, HeBio lists were presented to 25 post-lingual cochlear implant (CI) users amidst four-talker babble noise (4TBN) or in quiet, along with one-syllable word test. In Experiment 3, 20 NH listeners were presented with eight HeBio lists in two noise conditions [4TBN, speech shaped noise (SSN)] and four SNRs (+3, 0 dB, −3 dB, −6 dB). \u0000 Results\u0000 HeBio lists (33) produced 82% average understanding, no inter-list intelligibility differences among NH, and equal intelligibility for CI users. One-syllable words predicted 67% of the variance in HeBio among CI users. Higher intelligibility was found for SSN than for 4TBN, and the mean speech receptive threshold (SRT) was more negative for SSN than for 4TBN. \u0000 Conclusions\u0000 HeBio results were similar to AzBio. Results obtained with two noise types were as expected. HeBio is recommended for evaluation of different populations in quiet and noise.","PeriodicalId":53553,"journal":{"name":"COCHLEAR IMPLANTS INTERNATIONAL","volume":"23 1","pages":"270 - 279"},"PeriodicalIF":0.0,"publicationDate":"2022-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45996634","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}
引用次数: 4
Achondroplasia and severe sensorineural hearing loss: The role of active bone conduction implants 软骨发育不全和严重感音神经性听力损失:主动骨传导植入物的作用
COCHLEAR IMPLANTS INTERNATIONAL Pub Date : 2022-05-16 DOI: 10.1080/14670100.2022.2045073
Lauren H. Siegel, R. Araslanova, C. Stepniak, K. Zimmerman, S. Agrawal
{"title":"Achondroplasia and severe sensorineural hearing loss: The role of active bone conduction implants","authors":"Lauren H. Siegel, R. Araslanova, C. Stepniak, K. Zimmerman, S. Agrawal","doi":"10.1080/14670100.2022.2045073","DOIUrl":"https://doi.org/10.1080/14670100.2022.2045073","url":null,"abstract":"The BONEBRIDGE is a partially implantable, transcutaneous bone conduction device that can be used to treat conductive or mixed mild-to-moderate hearing loss in patients who do not attain sufficient improvement from conventional hearing aids. The following case report describes sequential bilateral BONEBRIDGE implantation in a 25-year-old patient with achondroplasia and bilateral mixed-hearing loss with a significant sensorineural component in the setting of chronic suppurative otitis media. Although the patient did not meet the approved BONEBRIDGE criteria, implantation was successful with improvements in audiological outcomes and self-reported quality of life. There were no reported complications at 5-years post-implantation.","PeriodicalId":53553,"journal":{"name":"COCHLEAR IMPLANTS INTERNATIONAL","volume":"23 1","pages":"291 - 299"},"PeriodicalIF":0.0,"publicationDate":"2022-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47036572","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}
引用次数: 0
MELUDIA – Online music training for cochlear implant users MELUDIA -为人工耳蜗使用者提供的在线音乐培训
COCHLEAR IMPLANTS INTERNATIONAL Pub Date : 2022-05-09 DOI: 10.1080/14670100.2022.2069313
Johanna Boyer, Joshua S. Stohl
{"title":"MELUDIA – Online music training for cochlear implant users","authors":"Johanna Boyer, Joshua S. Stohl","doi":"10.1080/14670100.2022.2069313","DOIUrl":"https://doi.org/10.1080/14670100.2022.2069313","url":null,"abstract":"Background Music enjoyment is of importance for many cochlear implant (CI) users, and the interest in music training is high. But many CI users report that it is a challenge to find suitable training resources and that they stall because they don’t know how to practice. Meludia is an online music training program that provides structured and guided music training for musically experienced and inexperienced children and adults. Objective The aim of the study was to evaluate the suitability of the Meludia music training software for CI recipients based on two research questions: (1) are the easiest exercises available easy enough for CI users, and (2) are there any gaps when progressing through levels and stars with increasing difficulty? Methods Thirty-eight adult MED-EL CI users completed fourteen exercises involving 5 different musical dimensions of the online music training program. Results Our results show that the easiest exercises available in Meludia are easy enough for CI users to be able to use this training resource independent of age, indication, duration of CI use or musical background. Conclusion With Meludia we assessed and found a suitable and comprehensive training tool that allows CI recipients to work on individual goals regardless of their present abilities.","PeriodicalId":53553,"journal":{"name":"COCHLEAR IMPLANTS INTERNATIONAL","volume":"23 1","pages":"257 - 269"},"PeriodicalIF":0.0,"publicationDate":"2022-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46852912","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}
引用次数: 2
Speech perception abilities of adult cochlear implant listeners with single-sided deafness vs. bilateral hearing loss 单侧耳聋与双侧听力损失成人人工耳蜗听者的语言感知能力比较
COCHLEAR IMPLANTS INTERNATIONAL Pub Date : 2022-05-04 DOI: 10.1080/14670100.2022.2054098
D. Sladen, D. Zeitler
{"title":"Speech perception abilities of adult cochlear implant listeners with single-sided deafness vs. bilateral hearing loss","authors":"D. Sladen, D. Zeitler","doi":"10.1080/14670100.2022.2054098","DOIUrl":"https://doi.org/10.1080/14670100.2022.2054098","url":null,"abstract":"Objectives The purpose of this study was to compare the speech perception abilities in adult cochlear implant recipients implanted for bilateral sensorineural hearing loss (BSNHL) with those implanted for single-sided deafness (SSD). Design A total of 12 adults with BSNHL and 12 adults with SSD participated. Each participant completed a battery of speech perception measures including monosyllabic words, sentences, and consonant recognition. Results Cochlear implant users with BSNHL performed higher on word and sentence recognition. Consonant recognition scores showed higher performance for CI listeners with BSNHL for voicing and manner, but not for place or articulation. Conclusions Results of this study suggest that adults with SSD may have lower speech perception abilities with their cochlear implant when compared to adults implanted for BSNHL.","PeriodicalId":53553,"journal":{"name":"COCHLEAR IMPLANTS INTERNATIONAL","volume":"23 1","pages":"225 - 231"},"PeriodicalIF":0.0,"publicationDate":"2022-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41718821","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}
引用次数: 1
Lateralization of interaural level differences in children with bilateral cochlear implants. 双侧人工耳蜗植入儿童耳间水平差异的偏侧化。
COCHLEAR IMPLANTS INTERNATIONAL Pub Date : 2022-05-01 Epub Date: 2021-12-06 DOI: 10.1080/14670100.2021.2010000
M Sparreboom, S A Ausili, E A M Mylanus
{"title":"Lateralization of interaural level differences in children with bilateral cochlear implants.","authors":"M Sparreboom,&nbsp;S A Ausili,&nbsp;E A M Mylanus","doi":"10.1080/14670100.2021.2010000","DOIUrl":"https://doi.org/10.1080/14670100.2021.2010000","url":null,"abstract":"<p><strong>Objectives: </strong>To investigate the perception of interaural level differences (ILDs) in children with bilateral cochlear implants (BiCIs) and compare them to normal hearing peers. As intracranial shifts in perception of ILDs might have an effect on localization, this was further investigated.</p><p><strong>Methods: </strong>ILD responses on four different frequency bands (broadband, low-pass, mid-pass and high-pass) were measured in 9 children with BiCIs and 15 children with normal hearing. In the children with BiCIs, 7 of them were implanted sequentially and 2 of them simultaneously. The outcomes were compared with the outcomes from a previous study on advanced localization using the same stimuli as in the current study. The effect of chronological age, inter-implant delay and preoperative residual hearing were also taken into account.</p><p><strong>Results: </strong>No significant differences in ILD responses between children with BiCIs and children with normal hearing were found. For broadband stimuli, children with sequential BiCIs showed a significant shift in their response towards the first implant. A significant correlation was found between inter-implant delay and shift in ILD response for the broadband and high-pass stimuli. The shift in ILD response had no effect on localization.</p><p><strong>Conclusion: </strong>Children with BiCIs are able to perceive ILD responses similar to those of normal hearing children. The inter-implant delay has a negative effect on the lateralization of the response towards the first implant side, indicative of deprivation of high-frequency sounds prior to receiving a second implant. This shift, however, is not associated with a shift in localization response.</p>","PeriodicalId":53553,"journal":{"name":"COCHLEAR IMPLANTS INTERNATIONAL","volume":"23 3","pages":"125-133"},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39699172","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}
引用次数: 3
The potential effect of the updated national criteria on adult cochlear implantation in England and Wales. 更新后的国家标准对英格兰和威尔士成人耳蜗植入的潜在影响。
COCHLEAR IMPLANTS INTERNATIONAL Pub Date : 2022-05-01 Epub Date: 2021-12-09 DOI: 10.1080/14670100.2021.2009212
James D Constable, Stephen J Broomfield, Elisa Romeo, Philip J Clamp
{"title":"The potential effect of the updated national criteria on adult cochlear implantation in England and Wales.","authors":"James D Constable,&nbsp;Stephen J Broomfield,&nbsp;Elisa Romeo,&nbsp;Philip J Clamp","doi":"10.1080/14670100.2021.2009212","DOIUrl":"https://doi.org/10.1080/14670100.2021.2009212","url":null,"abstract":"<p><strong>Objectives: </strong>Following an update of 'old' TA166 guidance (March 2019), the National Institute for Health and Care Excellence (NICE) predicted a 70% increase in cochlear implantation (CI). We investigated the effect of the 'new' TA566 criteria on adult CI at our regional centre.</p><p><strong>Methods: </strong>Adult CI assessments between 1st January 2015 and 31st December 2018 (before new criteria) and between 7th March 2019 and 31st August 2019 (after new criteria) were retrospectively examined. Calculated eligibility and uptake rates predicted change in annual implantation under the new guidance.</p><p><strong>Results: </strong>552 patients were identified in the first study period, with a median of 148 assessments per year. Of 533 with complete assessments, 58% were eligible, of whom 74% were implanted. Retrospective application of the new criteria was possible for 277 patients; eligibility and uptake were 67% and 80%, respectively. In the second study period (n = 60), new criteria eligibility was 62% and uptake was 78%. Increased eligibility under the new criteria predicts an increase of between 13 and 23% in annual adult implantation.</p><p><strong>Conclusions: </strong>We demonstrate increased implant eligibility under the latest NICE guidance. Assuming consistent referral patterns, our predicted increase in adult implantation is considerably less than that predicted elsewhere.</p>","PeriodicalId":53553,"journal":{"name":"COCHLEAR IMPLANTS INTERNATIONAL","volume":"23 3","pages":"119-124"},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39821903","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}
引用次数: 0
Impact of preoperative antibiotic use in preventing complications of cochlear implantation surgery. 术前使用抗生素对预防人工耳蜗植入手术并发症的影响。
COCHLEAR IMPLANTS INTERNATIONAL Pub Date : 2022-05-01 Epub Date: 2021-12-16 DOI: 10.1080/14670100.2021.2013586
A Košec, J Živko, S Marković, V Bedeković, M Ries, J Ajduk
{"title":"Impact of preoperative antibiotic use in preventing complications of cochlear implantation surgery.","authors":"A Košec,&nbsp;J Živko,&nbsp;S Marković,&nbsp;V Bedeković,&nbsp;M Ries,&nbsp;J Ajduk","doi":"10.1080/14670100.2021.2013586","DOIUrl":"https://doi.org/10.1080/14670100.2021.2013586","url":null,"abstract":"<p><strong>Objective: </strong>To examine the impact of preoperative antibiotic prophylaxis on the occurrence of postoperative complications.</p><p><strong>Materials and methods: </strong>Data of 491 patients undergoing cochlear implantation were included in a non-randomized retrospective comparative cohort study. Demographic data, cochlear implant and surgical details, use of preoperative antibiotics and occurrence of postoperative complications were analyzed using a binary logistic regression model.</p><p><strong>Results: </strong>There were 317 patients (64.56%) who did not receive preoperative antibiotic prophylaxis and 174 (35.44%) patients who received preoperative antibiotic prophylaxis with ceftriaxone. The overall rate of complications requiring surgical treatment was 2.85%. Younger patient age was identified as a positive predictive factor for administering preoperative antibiotic prophylaxis (p<0.001, OR 1.05 CI 95% 1.0124-1.0826). No difference in complication rate was observed between the two groups. No correlation between sex, age, manufacturer, surgeon and postoperative complications were noted (p=0.45).</p><p><strong>Conclusion: </strong>There is insufficient evidence to inform decision making regarding preoperative intravenous ceftriaxone use for prevention of infection after cochlear implantation surgery, with data failing to show that administration of preoperative antibiotics leads to a decrease in complication rate. Considering a very low overall complication rate, with few complications related to infection, routine use of preoperative antibiotic prophylaxis should be analyzed further.</p>","PeriodicalId":53553,"journal":{"name":"COCHLEAR IMPLANTS INTERNATIONAL","volume":"23 3","pages":"134-138"},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39732794","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}
引用次数: 2
Patient, parental and multi-disciplinary team rationale for non-implantation following the paediatric cochlear implantation assessment. 儿童人工耳蜗植入评估后,患者、家长和多学科团队不进行人工耳蜗植入的理由。
COCHLEAR IMPLANTS INTERNATIONAL Pub Date : 2022-05-01 Epub Date: 2022-02-15 DOI: 10.1080/14670100.2022.2035916
Andrew Hall, Fiona McClenaghan, Robert Nash, Azhar Shaida
{"title":"Patient, parental and multi-disciplinary team rationale for non-implantation following the paediatric cochlear implantation assessment.","authors":"Andrew Hall,&nbsp;Fiona McClenaghan,&nbsp;Robert Nash,&nbsp;Azhar Shaida","doi":"10.1080/14670100.2022.2035916","DOIUrl":"https://doi.org/10.1080/14670100.2022.2035916","url":null,"abstract":"<p><strong>Objectives: </strong>To assess paediatric patients referred to the cochlear implant team, who despite undergoing the assessment, did not receive cochlear implantation. To identify the underlying reasons for this.</p><p><strong>Methods: </strong>A retrospective case-note review of patients was assessed from June 2014 to June 2019 at two separate London teaching hospitals with paediatric cochlear implantation programmes.</p><p><strong>Results: </strong>A total of 921 paediatric patients were assessed during the study period across both institutions. And, 196 (21%) did not proceed with the surgery. The decision not to undergo surgery was primarily parental/patient-directed in 114 (61%) and cochlear implant team-directed in 74 (39%). In total, eight (4%) patients exited the programme without a documented reason.</p><p><strong>Discussion: </strong>A myriad of factors influenced the decision-making process for clinicians, patients and parents. The most cited parental/patient rationale against implantation was the wish to continue current means of communication 40 (35%), followed by concern regarding the risks of surgery 18 (15.8%) and the wish to allow the patient to make future decisions independently in view of the future technology 7 (6.1%). Cochlear implant team-directed decisions were largely due to being outside of the NICE criteria 27 (36.5%) or the risks of general anaesthesia 19 (25.7%) in addition to communication concerns 11 (14.9%).</p><p><strong>Conclusion: </strong>Decision-making in cochlear implantation should not be underestimated. Extensive discussion and exploration of options with the multi-disciplinary team can aid decision-making, but the timescale and appreciation of the consequences of the decision inevitably lead to pressure. Exploration of reasons for non-implantation emphasises the importance of a multi-professional approach to manage these patients.</p>","PeriodicalId":53553,"journal":{"name":"COCHLEAR IMPLANTS INTERNATIONAL","volume":"23 3","pages":"158-164"},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39633620","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}
引用次数: 1
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