COCHLEAR IMPLANTS INTERNATIONAL最新文献

{"title":"Taste disturbance following cochlear implantation: a systematic review and meta-analysis.","authors":"Maisie Fitzgerald, Alex Fleet, Michele Tomasoni, Veronica Phillips, Neil Donnelly, Patrick Axon, James Tysome, Matthew Smith, Manohar Bance, Paolo Boscolo-Rizzo, Daniele Borsetto","doi":"10.1080/14670100.2024.2398834","DOIUrl":"10.1080/14670100.2024.2398834","url":null,"abstract":"<p><strong>Objectives: </strong>This systematic review and meta-analysis aimed to estimate the rate of taste disturbance following cochlear implantation.</p><p><strong>Methods: </strong>The review was designed according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Included studies psychophysically measured taste. DerSimonian and Laird random-effects models were used. An overall mean from studies reporting a single mean of taste strip performance was calculated using inverse variance method for pooling.</p><p><strong>Results: </strong>Of 380 studies identified, 9 were included across which 55 cases of postoperative taste disturbance were reported in 498 patients. Taste was tested at variable timepoints, from <1 week to ≥6 months postoperatively. The overall rate of postoperative taste disturbance was 13.5% (95% CI, 7.6-20.7%) with high heterogeneity between studies (I²= 62%).</p><p><strong>Discussion: </strong>13.5% might indicate a higher prevalence of taste disturbance following cochlear implantation compared to the general population. However, the confidence we can assign to our calculated rate is limited by significant heterogeneity and potential publication bias. Studies reporting mean taste strip scores generally found reduced taste function on the side of the tongue ipsilateral to implantation, but this reduction wasn't statistically significant.</p><p><strong>Conclusion: </strong>Further research, employing more robust and standardised methodologies, is necessary to accurately ascertain the rate and nature of taste disturbance following cochlear implantation.</p>","PeriodicalId":53553,"journal":{"name":"COCHLEAR IMPLANTS INTERNATIONAL","volume":" ","pages":"403-415"},"PeriodicalIF":1.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142134418","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":"Development of a cochlear implant program in Malawi: progress and challenges.","authors":"W Mulwafu, C Chabuluka, I Anderson, D R Strachan, C H Raine","doi":"10.1080/14670100.2024.2316463","DOIUrl":"https://doi.org/10.1080/14670100.2024.2316463","url":null,"abstract":"","PeriodicalId":53553,"journal":{"name":"COCHLEAR IMPLANTS INTERNATIONAL","volume":"25 5","pages":"339-343"},"PeriodicalIF":1.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142866451","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":"Current status of pediatric auditory brainstem implantation in inner ear malformations; consensus statement of the Third International Pediatric ABI Meeting.","authors":"Levent Sennaroglu, Thomas Lenarz, J Thomas Roland, Daniel J Lee, Liliana Colletti, Robert Behr, Dan Jiang, Shakeel R Saeed, Jan Casselman, Manuel Manrique, Vicente Diamante, Simon R M Freeman, Simon K W Lloyd, Andrzej Zarowski, Erwin Offeciers, Mohan Kameswaran, Daniel Andrés de la Torre Diamante, Burçak Bilginer, Nick Thomas, Ricardo Bento, Gonca Sennaroglu, Esra Yucel, Munir Demir Bajin, Chelsea Cole, Amy Martinez, Janice Loggins, Laurie S Eisenberg, Eric P Wilkinson, Cheryl A Bakey, Christine L Carter, Barbara S Herrmann, Susan Waltzman, William Shapiro, Mario Svirsky, Norma Pallares, Gabriela Diamante, Florencia Heller, Maria Palacios, Lic Leticia Diamante, Waitsz Chang, Michael Tong, Hao Wu, Merve Ozbal Batuk, Mehmet Yarali, Betul Cicek Cinar, Hilal Burcu Ozkan, Filiz Aslan, Karin Hallin, Helge Rask-Andersen, Alicia Huarte, Carlos Prieto-Matos, Vedat Topsakal, Anouk Hofkens-Van den Brandt, Vincent Van Rompaey, An Boudewyns, Paul van de Heyning, Lutz Gaertner, Yisgav Shapira, Yael Henkin, Saba Battelino, Eva Orzan, Enrico Muzzi, Raffaella Marchi, Rolien Free, Johan H M Frijns, Courtney Voelker, Margaret Winter, Debra Schrader, Dianne Hammes Ganguly, Dana Egra-Dagan, Khassan Diab, Nikolai Dayxes, Ashen Nanan, Robinson Koji, Ayça Karaosmanoğlu, Elif Günay Bulut, Berit Verbist, Mahan Azadpour, Marco Mandala, Maria Valeria Goffi, Marek Polak, Kathy Y S Lee, Katherine Wilson, David R Friedmann, Ranjith Rajeswaran, Rafael Monsanto, Sebahattin Cureoglu, Sandra Driver, Roman Bošnjak, Gorkem Dundar, Ergin Eroglu","doi":"10.1080/14670100.2024.2413273","DOIUrl":"10.1080/14670100.2024.2413273","url":null,"abstract":"<p><strong>Objectives: </strong>This study aims to synthesize current knowledge and outcomes related to pediatric auditory brainstem implantation (ABI) in children with severe inner ear malformations (IEMs). It highlights the clinical management practices, challenges, and potential future directions for consensus development in this field.</p><p><strong>Methods: </strong>A systematic review of findings presented at the Third International Pediatric ABI Symposium organized by the Hacettepe Cochlear Implant team between 3 and 5 September 2020 was conducted, incorporating data from 41 departments across 19 countries. Relevant clinical outcomes, imaging techniques, surgical approaches, and rehabilitation strategies were analyzed to identify key trends and variability in practices.</p><p><strong>Results: </strong>The review indicates that children receiving ABIs exhibit diverse auditory outcomes influenced by individual anatomical variations and developmental factors. Early implantation, particularly before the age of three, positively correlates with better auditory and language development. Multicenter experiences underscore the necessity of tailored decision-making, which considers both surgical candidacy and comprehensive rehabilitation resources.</p><p><strong>Discussion:: </strong>The variability in outcomes emphasizes the need for improved consensus and guidelines regarding eligibility, surgical techniques, and multidisciplinary rehabilitation approaches. Notable complications and the necessity for thorough imaging assessments were also identified as critical components affecting clinical decisions.</p><p><strong>Conclusion: </strong>A formal consensus statement is warranted to standardize best practices in ABI management. This will not only enhance patient outcomes but also guide future research efforts to address the remaining challenges in the treatment of children with severe IEMs. Enhanced collaboration among team members will be pivotal in achieving these objectives.</p>","PeriodicalId":53553,"journal":{"name":"COCHLEAR IMPLANTS INTERNATIONAL","volume":" ","pages":"316-333"},"PeriodicalIF":1.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142741211","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":"Validity and reliability of the Turkish version of the hearing implant sound quality index questionnaire (HISQUI₁₉).","authors":"Betul Cicek Cinar, Muslume Kubra Koc, Cennet O Z Baran, Merve Ozses, Edda Amann","doi":"10.1080/14670100.2024.2401239","DOIUrl":"10.1080/14670100.2024.2401239","url":null,"abstract":"<p><strong>Objectives: </strong>The aim was to construct validity and reliability of the Hearing Implant Sound Quality Index Questionnaire (HISQUI19) in Turkish.</p><p><strong>Methods: </strong>This study was a methodologic study to validate HISQUI19 in Turkish. The study included 62 cochlear implant users. Guttman's split half-coefficient and Cronbach's alpha tests were used for construct validity and internal consistency. Pearson correlation test was used to assess the relationship of the HISQUI19 total score to the SSQ49 scales for CI users and to show test - retest reliability.</p><p><strong>Results: </strong>The Cronbach's α value was 0.94 overall score with high internal consistency (Guttman's split-half-coefficient: 0.912). Test-retest reliability results showed high repeatability and consistency of the measure across time (<i>r</i> = 0.708; <i>P</i> = 0.002). Support for conducting factor analysis was provided by the KMO test, with a value of 0.876, which is 'great'.</p><p><strong>Discussion: </strong>Subjective evaluation of cochlear implant users' daily life experiences is a useful tool to reveal the auditory benefits of cochlear implant usage.</p><p><strong>Conclusion: </strong>Turkish version of the HISQUI19 is a reliable and valid assessment tool for adults with CIs. This questionnaire provides clinicians with a valuable, reliable, and valid tool for determining the subjective benefit of CI for patients.</p>","PeriodicalId":53553,"journal":{"name":"COCHLEAR IMPLANTS INTERNATIONAL","volume":" ","pages":"298-307"},"PeriodicalIF":1.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142332232","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":"Early cochlear implantation: exploring electrophysiological thresholds and their role in pre-behavioural recommendations.","authors":"Alexandra P Walchhuetter, Richard C Dowell, Gary Rance, Jaime Leigh","doi":"10.1080/14670100.2024.2416338","DOIUrl":"10.1080/14670100.2024.2416338","url":null,"abstract":"<p><strong>Background and aims: </strong>Studies investigating the relationship between initial electrophysiological thresholds and subsequent behavioural hearing thresholds have demonstrated uncertainty as to whether initial results can provide an accurate estimation of an infant's functional hearing. This estimation must be accurate if a cochlear implant (CI) is to be considered before behavioural audiometry.This study aims to explore the variance between initial electrophysiological thresholds and subsequent behavioural hearing thresholds in infants to determine under which conditions electrophysiological results can be used to support a CI recommendation before behavioural audiology.</p><p><strong>Methods: </strong>This is a prospective cohort study of 63 infants with suspected severe to profound hearing loss, referred to the Cochlear Implant Clinic, Melbourne, before 12 months of age. The assessment protocol includes auditory brainstem response, auditory steady state response, tympanometry, and behavioural audiometry.</p><p><strong>Conclusion: </strong>For most infants undergoing CI candidacy evaluation, initial electrophysiological thresholds are an accurate reflection of their subsequent behavioural thresholds. An alternative CI candidacy pathway is recommended for infants who show profound sensorineural hearing loss on initial electrophysiological testing, in the absence of middle ear effusion, prematurity, or auditory neuropathy features, to provide CI recommendations before behavioural thresholds are obtained. This would lead to reduced delay to implantation and improved oral language outcomes.</p>","PeriodicalId":53553,"journal":{"name":"COCHLEAR IMPLANTS INTERNATIONAL","volume":" ","pages":"275-284"},"PeriodicalIF":1.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142480596","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":"Delayed-onset facial paralysis following cochlear implantation: a case study and comprehensive analysis.","authors":"Filiz Gülüstan, Zahide Mine Yazıcı, Recep Haydar Koç, Burak Kaan İnan, Can Berk Aşaroğlu, İbrahim Sayın","doi":"10.1080/14670100.2024.2370685","DOIUrl":"10.1080/14670100.2024.2370685","url":null,"abstract":"<p><strong>Objectives: </strong>Cochlear implantation (CI) is a surgical intervention used to rehabilitate hearing in individuals, both pediatric and adult, with severe hearing loss. It is generally a safe procedure with rare postoperative complications. Facial nerve paralysis following cochlear implant surgery poses challenges in diagnosis and treatment.</p><p><strong>Methods: </strong>This case report details a 48-year-old male who experienced delayed facial paralysis after cochlear implantation, an uncommon occurrence with limited documentation.</p><p><strong>Results: </strong>The facial nerve palsy of the patient resolved by the third week with combined therapy.</p><p><strong>Discussion: </strong>The etiology of this complication is not fully understood, with latent virus reactivation, particularly HSV and VZV, hypothesized as a probable cause.</p><p><strong>Conclusion: </strong>Successful management involves a combination of corticosteroids, antiviral therapy, and antibiotics, leading to a favorable outcome.</p>","PeriodicalId":53553,"journal":{"name":"COCHLEAR IMPLANTS INTERNATIONAL","volume":" ","pages":"334-337"},"PeriodicalIF":1.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141545536","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":"Transmuscular pocket: a modified technique to overcome thick musculocutaneous flap in cochlear implant surgery.","authors":"Amjad Nuseir, Ahmad Alomari, Firas Alzoubi","doi":"10.1080/14670100.2024.2401242","DOIUrl":"10.1080/14670100.2024.2401242","url":null,"abstract":"<p><strong>Objective: </strong>To describe and evaluate a modified cochlear implant surgical procedure for patients with a thick musculocutaneous flap.</p><p><strong>Materials and methods: </strong>A prospective study for cochlear implant surgery in selected patients with a musculocutaneous flap thicker than 7 mm.</p><p><strong>Results: </strong>Fourteen patients with a thick scalp flap underwent cochlear implantation between July 2019 and December 2020. The patient age ranged between 17 and 53 years. The flap thickness was between 7 mm and 14 mm. The mean follow uptime post operatively was 16.5 months. The cochlear implant receiver coil was successfully implanted using the transmuscular technique without complications and with normal audiological function.</p><p><strong>Conclusion: </strong>The transmuscular pocket modified technique is a safe and effective method to overcome a thick musculocutaneous flap in cochlear implant surgery.</p>","PeriodicalId":53553,"journal":{"name":"COCHLEAR IMPLANTS INTERNATIONAL","volume":" ","pages":"255-259"},"PeriodicalIF":1.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142300762","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":"International survey of bimodal hearing and bilateral cochlear implant service provision for adults.","authors":"Manal Alfakhri, Nicole Campbell, Ben Lineton, Daniel Rowan, Patrick Boyle","doi":"10.1080/14670100.2024.2413267","DOIUrl":"10.1080/14670100.2024.2413267","url":null,"abstract":"<p><strong>Objectives: </strong>As cochlear implant (CI) criteria widen, more candidates with usable residual hearing are being considered for a CI. Unlike children, adults mostly receive only one implant. The aim of this survey was to determine bimodal-hearing and bilateral CI service provision for adults around the world. This survey offers the backdrop against which future clinical practice and service delivery can be considered.</p><p><strong>Methods: </strong>CI professionals from across the world were invited to participate in an international multicentre survey. The online questionnaire was circulated to CI professionals in 75 countries. There were 64 respondents, representing 25 countries across five world regions.</p><p><strong>Results: </strong>In this sample, adult CI users most had unilateral CI (74.5%) and only 25.5% were bilateral CI users. Some 54% of unilateral CI users used a hearing aid (HA) in the non-implanted ear. Funding for a second implant or HA was not well supported for adult unilateral CI users, and there was no clear practice guidance for fitting and maintaining the contralateral HA in most regions.</p><p><strong>Conclusions: </strong>CI professionals recognised the value of fitting contralateral HAs at CI services, with audiology departments and private HA dispensers playing an ongoing role in general maintenance and support.</p>","PeriodicalId":53553,"journal":{"name":"COCHLEAR IMPLANTS INTERNATIONAL","volume":" ","pages":"260-274"},"PeriodicalIF":1.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142562532","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":"Utilization of SmartNav technology in cochlear implantation: optimizing efficiency in assessment of electrode placement.","authors":"Jaimee Cooper, Katrina R Stidham, Samantha Morgan, Mindy Schmelzer, Regina Albinus","doi":"10.1080/14670100.2024.2370679","DOIUrl":"10.1080/14670100.2024.2370679","url":null,"abstract":"<p><strong>Objectives: </strong>Proper electrode placement is essential for favorable hearing outcomes following cochlear implantation. Though often used, traditional intraoperative X-ray imaging is time consuming, exposes patients and staff to radiation, and poses interpretational challenges. The Nucleus® SmartNav System, utilizes electrode voltage telemetry (EVT) to analyze the positioning of the electrode array intraoperatively. This study investigates the efficacy of SmartNav in optimizing the efficiency and accuracy of assessing electrode placement.</p><p><strong>Methods: </strong>This prospective clinical study analyzed placement of 50 consecutive Cochlear Corporation cochlear implants conducted at a single institution between March of 2022 and June of 2023. Placement check of electrode array using SmartNav and X-ray was completed and individually assessed. A comparative analysis of SmartNav and X-ray completion times for electrode placement assessment was conducted.</p><p><strong>Results: </strong>Subjects included nine ears with abnormal anatomy and three reimplants. SmartNav placement check required a total time of 2.12 min compared to X-ray imaging at 14.23 min (<i>p</i> = 1.6E-16, CI 95%). Both SmartNav and X-ray had excellent sensitivity of 100% in identifying appropriate electrode position (<i>p</i> = 1.0). Tip fold-over was identified using both modalities in 3 cases with noted easier interpretation using SmartNav.</p><p><strong>Conclusion: </strong>The Nucleus® SmartNav System significantly outperformed traditional X-ray imaging, offering a faster and more straightforward approach to assessing electrode positioning during cochlear implant surgery, thereby enhancing surgical efficiency and patient safety.</p>","PeriodicalId":53553,"journal":{"name":"COCHLEAR IMPLANTS INTERNATIONAL","volume":" ","pages":"308-315"},"PeriodicalIF":1.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141494246","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":"Factors that influence performance in pediatric cochlear implant recipients with cochlear nerve deficiency.","authors":"Nicholas J Thompson, Lisa R Park, Brendan P O'Connell, Carlton J Zdanski, Kevin D Brown, Melissa R Anderson","doi":"10.1080/14670100.2024.2316457","DOIUrl":"10.1080/14670100.2024.2316457","url":null,"abstract":"<p><strong>Objectives: </strong>Children with cochlear nerve deficiency (CND) have wide variability in outcomes with cochlear implant (CI) use. The current study aims to report a large cohort of pediatric CI recipients with CND and to evaluate for factors that may predict improved performance.</p><p><strong>Methods: </strong>The current study is a retrospective review of pediatric CI recipients with CND at a tertiary academic hospital. Variables including cochlear nerve status (hypoplasia vs aplasia), age at implantation, cochleovestibular malformation, bony cochlear nerve aperture, internal auditory canal aperture, and cognitive delay were evaluated for predictors of postoperative performance. A stepwise multinomial regression analysis was performed.</p><p><strong>Results: </strong>Forty-seven CI recipients (54 ears) were included in the analysis. A majority (59%) showed auditory capabilities with their CI. Twenty percent of recipients achieved some level of open-set speech perception with their CI. The regression analysis identified cochlear nerve status and cognitive delay as predictors of performance. CI recipients with cochlear nerve hypoplasia had significantly improved performance compared to those with aplasia (<i>p</i> = 0.003). Recipients with cognitive delay had more limited benefit than those without cognitive delay (<i>p</i> = 0.033).</p><p><strong>Conclusions: </strong>Children with CND can benefit from CI use, with outcomes spanning from non-use to development of spoken language. Predictive factors for improved performance include a lack of cognitive delay and cochlear hypoplasia rather than aplasia. These can be important considerations for parent counseling and decision making.</p>","PeriodicalId":53553,"journal":{"name":"COCHLEAR IMPLANTS INTERNATIONAL","volume":" ","pages":"191-196"},"PeriodicalIF":1.4,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139731019","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}