COCHLEAR IMPLANTS INTERNATIONAL最新文献

{"title":"Investigating the association between pre-implantation cognitive performance and one-year post-implantation speech perception outcomes in adult cochlear implant recipients using the repeatable battery for the assessment of neuropsychological status for hearing impaired individuals (RBANS-H).","authors":"Loes Beckers, Hugo Nijmeijer, Emmanuel Mylanus, Wendy Huinck","doi":"10.1080/14670100.2025.2601419","DOIUrl":"10.1080/14670100.2025.2601419","url":null,"abstract":"<p><strong>Objectives: </strong>This study investigates whether pre-implantation cognitive function, assessed using the Repeatable Battery for the Assessment of Neuropsychological Status for Hearing Impaired Individuals (RBANS-H) correlates with speech perception oneyear post-implantation, and whether it can serve as a factor explaining unexpected outcome variability in adult Cochlear implant (CI) recipients.</p><p><strong>Methods: </strong>This prospective longitudinal study involved 68 postlingually deaf CI recipients (ClinicalTrials.gov NCT05525221<b>)</b>. RBANS-H assesses five cognitive domains: <i>Immediate Memory (List Learning and Story Memory</i>), <i>Visuospatial/Constructional (Figure Copy, Line Orientation</i>), <i>Language (Picture Naming, Semantic Fluency</i>), <i>Attention (Digit Span, Coding</i>) and <i>Delayed Memory (List Recall, List Recognition, Story Recall, Figure Recall</i>). RBANS-H and vocabulary tests were conducted pre-implantation. Phoneme scores were derived using Dutch consonant-vowel-consonant words-in-quiet, collected oneyear post-implantation in best-aided condition.</p><p><strong>Results: </strong>Moderate positive correlations were observed for <i>Coding</i> (<i>r</i> = 0.43, <i>p</i> = 0.007), <i>List Learning</i> (<i>r</i> = 0.39,  = 0.015), <i>Story Recall</i> (<i>r</i> = 0.43, <i>p</i> = 0.019), and <i>Story Memory</i> (<i>r</i> = 0.34, <i>p</i> = 0.030). No significant relationships were found for other tasks, domains, total scores or the vocabulary tests.</p><p><strong>Discussion: </strong>Correlations of <i>Coding</i>, <i>Immediate Memory</i> and <i>Delayed Memory</i> tasks with speech outcomes highlight the involvement of attention and memory in perceiving speech with CI or acquiring this ability.</p><p><strong>Conclusion: </strong>RBANS-H as a battery may not be sensitive enough to predict outcomes, suggesting the need for a tailored test battery that covers relevant cognitive functions and is sensitive to the specific needs of CI users.</p>","PeriodicalId":53553,"journal":{"name":"COCHLEAR IMPLANTS INTERNATIONAL","volume":" ","pages":"32-43"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145812234","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":"Clinical significance of the mastoid emissary vein in paediatric Osia implantation.","authors":"Kimberly D'Mello, Elinor Warner, Tanja Jelicic","doi":"10.1080/14670100.2025.2607881","DOIUrl":"10.1080/14670100.2025.2607881","url":null,"abstract":"<p><strong>Objectives: </strong>To assess the clinical relevance of the MEV in paediatric Osia implantation and its association between MEV diameter and intraoperative bleeding.</p><p><strong>Methods: </strong>We conducted a retrospective case series of paediatric Osia implantations performed at Starship Children's Hospital between January 2022 and July 2025, comprising 52 surgeries in 39 patients. The primary outcome was incidence of intraoperative bleeding and its relationship with MEV diameter. Secondary outcomes included imaging rates and qualitative results. A parallel literature review was performed to characterise the MEV.</p><p><strong>Results: </strong>Intraoperative bleeding directly attributable to injury of the MEV occurred in 3 of 52 cases (5.77%). Preoperative temporal bone CT was available in 28 cases (53.85%). Mean MEV diameter was significantly larger in bleeding compared to non-bleeding cases (5.17 ± 1.78 mm vs 1.41 ± 1.10 mm; P<i>  = </i> .03), with a large effect size. There were few post-operative complications and excellent audiometric outcomes.The paucity of literature on the MEV's surgical relevance reflects the infrequent need for posterior mastoid region dissection in standard otologic procedures. This series is the first to demonstrate a direct link between MEV diameter and bleeding risk during paediatric Osia implantation. Routine preoperative assessment of the MEV may reduce avoidable surgical complications and enhance operative saftey.</p>","PeriodicalId":53553,"journal":{"name":"COCHLEAR IMPLANTS INTERNATIONAL","volume":" ","pages":"56-62"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145812232","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":"Editorial.","authors":"H E Cullington","doi":"10.1080/14670100.2025.2607226","DOIUrl":"https://doi.org/10.1080/14670100.2025.2607226","url":null,"abstract":"","PeriodicalId":53553,"journal":{"name":"COCHLEAR IMPLANTS INTERNATIONAL","volume":"27 1","pages":"1"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146120709","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 impact of the video head impulse test on side determination in cochlear implantation surgery.","authors":"Ryan P McKenna, Samantha Taylor, Colin G Leonard","doi":"10.1080/14670100.2025.2583679","DOIUrl":"10.1080/14670100.2025.2583679","url":null,"abstract":"<p><strong>Objectives: </strong>To evaluate the impact of the Video Head Impulse Test (vHIT) on side determination in cochlear implantation (CI) surgery.</p><p><strong>Methods: </strong>Retrospective analysis of vHIT results from 75 adult sequential CI recipients at a regional auditory implant centre between January 2023 and April 2024. Patients were grouped by side of implantation (right, n = 40; left, n = 35). vHIT results were assessed through clinical assessment and normative comparison. For categorical analysis, patients were classified as having their 'better' or 'worse' balance ear implanted, or normal or equally abnormal function bilaterally. Clinical assessment was based on clinician interpretation of vHIT graphs, while normative comparison applied established gain thresholds and corrective saccades to define abnormality.</p><p><strong>Results: </strong>Neither clinical nor normative analysis demonstrated a significant association between vHIT findings and the side implanted. This is supported by continuous gain value analysis showing no statistical differences between cohorts.</p><p><strong>Discussion: </strong>Although implanting the ear with poorer vestibular function may minimise postoperative disequilibrium, vestibular testing is not universally performed nor advocated for. Other factors, including patient preference and anatomical constraints, may have considerable influence on side selection.</p><p><strong>Conclusion: </strong>Concerns about implanting the 'better' balance ear are valid, however, vHIT does not outweigh other factors when determining CI sidedness.</p>","PeriodicalId":53553,"journal":{"name":"COCHLEAR IMPLANTS INTERNATIONAL","volume":" ","pages":"421-429"},"PeriodicalIF":1.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145460733","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":"Management of postoperative otitis media and complications in pediatric cochlear implant recipients: a retrospective analysis.","authors":"Burak Kaan İnan, Can Berk Aşaroğlu, Recep Haydar Koç, Mehmet Akif Abakay, İbrahim Sayın, Filiz Gülüstan, Zahide Mine Yazıcı","doi":"10.1080/14670100.2025.2586879","DOIUrl":"10.1080/14670100.2025.2586879","url":null,"abstract":"<p><strong>Introduction: </strong>Otitis media (OM) emerges as a prevalent complication following CI surgery, because OM typically has an elevated incidence in younger ages. We retrospectively analyzed pediatric patients who underwent CI surgery in our clinic, focusing on the management of Acute Otitis Media (AOM), Acute Mastoiditis (AM), and Otitis Media with Effusion (OME) in the postoperative period.</p><p><strong>Methods: </strong>We assessed 94 CI surgeries performed in 59 pediatric patients between January 2020 and November 2023. We examined the duration of conditions, the affected ears, and the treatment approaches used.</p><p><strong>Results: </strong>We identified cases of postoperative otitis media or its complications in 18 of 94 CI surgeries. Of these cases, ten were diagnosed with OME, six with AOM, and two with AM. OME cases were managed with oral antibiotics. Of six patients who developed AOM, four received intravenous antibiotics in the hospital, whereas two were treated with oral antibiotics. Two patients developed AM, one patient received only parenteral antibiotic therapy, and the other patient underwent myringotomy in addition to parenteral antibiotic therapy due to ongoing signs of infection.</p><p><strong>Conclusion: </strong>Postoperative OME, AOM, and AM are common complications of cochlear implant surgery. Aggressive antibiotic therapy is warranted in this specific population to prevent complications.</p>","PeriodicalId":53553,"journal":{"name":"COCHLEAR IMPLANTS INTERNATIONAL","volume":" ","pages":"450-456"},"PeriodicalIF":1.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145551891","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 impact of social vulnerability in navigating cochlear implant care.","authors":"Michelle H Zhang, Lourdes Kaufman, Amritpal Singh, Hasan Abdulbaki, Archana Podury, Rebecca Lewis, Nicole T Jiam","doi":"10.1080/14670100.2025.2598486","DOIUrl":"10.1080/14670100.2025.2598486","url":null,"abstract":"<p><strong>Objectives: </strong>Cochlear implants (CIs) substantially benefit individuals with hearing loss but remain underutilized, likely due to barriers in access. This study examined how social vulnerability affects preoperative hearing loss, evaluation delays, and likelihood of CI surgery among referred adults.</p><p><strong>Methods: </strong>This retrospective study included 120 adults referred for CI evaluation (2018-2023) who missed ≥1 evaluation appointment. Social vulnerability was assessed using the CDC Social Vulnerability Index (SVI). Associations between SVI scores and clinical variables were analyzed using t-tests and regression models.</p><p><strong>Results: </strong>Higher social vulnerability correlated with younger age at referral (β = -17.9, p = 0.005) and at deafness diagnosis (β = -36.1, p = 0.007), greater travel distance (β = 124.3, p < 0.001), and longer intervals between missed appointments (β=31.1, p = 0.02). More vulnerable patients had shorter hearing-aid use, poorer audiometric thresholds, and worse word recognition scores (all p < 0.05). Overall surgical conversion was 52.6%, with non-significant trends toward lower rates in higher SVI quartiles (p = 0.10).</p><p><strong>Conclusion: </strong>Social vulnerability operates upstream of implantation, shaping disease progression and care access. More vulnerable adults are diagnosed earlier in life, present with more severe hearing loss, travel farther, and experience greater delays between appointments. Interventions targeting logistical barriers-including telehealth, travel support, and patient navigation-may reduce disparities and improve CI access.</p>","PeriodicalId":53553,"journal":{"name":"COCHLEAR IMPLANTS INTERNATIONAL","volume":" ","pages":"466-479"},"PeriodicalIF":1.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145745685","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 and validation of KBio sentence lists.","authors":"Hemanth Narayan Shetty, Monika Nagendra","doi":"10.1080/14670100.2025.2593801","DOIUrl":"10.1080/14670100.2025.2593801","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to develop and validate the KBio sentence lists for assessing speech perception in children with cochlear implants (CI).</p><p><strong>Method: </strong>A total of 301 sentences were first rated by five teachers using a 5-point Likert scale, resulting in 172 selected sentences. These were recorded by four speakers and processed through a CI simulation to measure intelligibility in ten children with normal hearing. Based on performance, 115 sentences with ≥50% recognition were organised into five lists of twenty, with fifteen used for practice. List equivalency was evaluated in ten normal-hearing children and ten CI users across five Signal-to-Noise Ratios (SNRs).</p><p><strong>Results: </strong>High content validity was confirmed through the Item Content Validity Index, Universal Agreement, and Kappa coefficients, with intelligibility ranging from 26% to 100%. One-way ANOVA showed no significant differences between lists at each SNR. Repeated-measures ANOVA with Bonferroni comparisons revealed significant effects of SNR in CI users.</p><p><strong>Discussion: </strong>The KBio lists showed strong validity, high inter-rater agreement, and equivalency after CI simulation. Performance improved with increasing SNR. Variations from earlier studies may relate to linguistic factors, participant age, implantation age, and the use of speech-shaped noise.</p><p><strong>Conclusion: </strong>KBio comprises five validated lists influenced by background noise, with lower SNRs reducing recognition accuracy.</p>","PeriodicalId":53553,"journal":{"name":"COCHLEAR IMPLANTS INTERNATIONAL","volume":" ","pages":"457-465"},"PeriodicalIF":1.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145710208","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":"Adults with cochlear implant and vestibular dysfunction: A scoping review.","authors":"Raisa Chowdhury, Alicia Belaiche, Tamara Mijovic, Nicolás Pons, Don Nguyen, Emily Kay-Rivest","doi":"10.1080/14670100.2025.2595878","DOIUrl":"10.1080/14670100.2025.2595878","url":null,"abstract":"<p><strong>Objective: </strong>To determine the rate of vestibular dysfunction after cochlear implantation (CI), identify optimal preoperative testing to detect at-risk patients, examine correlations between objective dysfunction and symptoms, and summarize benefits of postoperative vestibular therapy.</p><p><strong>Methods: </strong>A scoping review following PRISMA-ScR guidelines was conducted. Searches of PubMed/MEDLINE, Web of Science, Scopus, Embase, and CINAHL identified studies from inception to December 2024.</p><p><strong>Results: </strong>Thirty-five studies including 2,096 adults met criteria. Preoperative vestibular dysfunction in the implanted ear was reported in 47% on caloric testing and 34.9% on cVEMP, increasing postoperatively to 65.9% and 43.1%, respectively. Subjective symptoms rose from 25.1% to 29%, with most resolving by late follow-up. Caloric testing was the most frequently used assessment (66.6%), followed by cVEMP (59.2%) and vHIT (55.5%). Combined paradigms offered the most complete evaluation. Correlation between objective dysfunction and dizziness was weak. Vestibular rehabilitation improved dizziness, balance, and DHI scores in 80-100% of treated patients.</p><p><strong>Discussion: </strong>Most CI recipients experience mild and transient vestibular symptoms, though some require targeted management.</p><p><strong>Conclusion: </strong>A substantial proportion of CI recipients develop vestibular dysfunction, supporting the need for comprehensive preoperative assessment.</p>","PeriodicalId":53553,"journal":{"name":"COCHLEAR IMPLANTS INTERNATIONAL","volume":" ","pages":"403-413"},"PeriodicalIF":1.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145745751","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 and speech performance in patients following transcutaneous Osia®2 system implantation.","authors":"Mohamed Garrada, Faisal Zawawi","doi":"10.1080/14670100.2025.2585713","DOIUrl":"10.1080/14670100.2025.2585713","url":null,"abstract":"<p><strong>Objective: </strong>The aim of the study was to prospectively evaluate the clinical audiological outcomes as well as patient satisfaction following implantation with the Osia^®2 System.</p><p><strong>Methods: </strong>This is a prospective clinical study was conducted at high volume academic center of patients who underwent implantation of the Cochlear Osia^®2 System. Audiological outcomes included pre- and post-operative assessments of pure-tone audiometry, speech discrimination scores, and self-reported hearing difficulties questionnaire.</p><p><strong>Results: </strong>The surgical procedure and subsequent healing process proceeded without complications. We observed statistically significant improvements in audibility and speech understanding with the test device, compared to pre-operative conditions. The average gain across frequencies from 0.25 to 6 kHz was 39.17 db. Speech discrimination scores also showed an increase in scores' average from 64 ± 8 pre-operatively to 100 ± 8 post-operatively (<i>p</i> < .001). Additionally, the number of hearing issues assessed by the APHAB scale in various acoustic environments showed a statically significant decrease postoperative. The Global Score improved from 68.2 ± 5.53 pre-operatively to 27.3 ± 4.26 post-operatively.</p><p><strong>Conclusions: </strong>The Osia^®2 System proves to be a safe and effective alternative for hearing rehabilitation in patients with conductive hearing loss (CHL), mixed hearing loss (MHL), or single-sided deafness (SSD).</p>","PeriodicalId":53553,"journal":{"name":"COCHLEAR IMPLANTS INTERNATIONAL","volume":" ","pages":"430-439"},"PeriodicalIF":1.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145460716","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":"Cochlear implantation for inner ear malformations with facial nerve aberrations: A retrospective evaluation of eleven cases.","authors":"Chisei Satoh, Minoru Hara, Yukihiko Kanda, Haruo Yoshida, Haruo Takahashi, Yoshihiko Kumai","doi":"10.1080/14670100.2025.2585613","DOIUrl":"10.1080/14670100.2025.2585613","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to retrospectively review the anatomical characteristics of aberrant facial nerves and the surgical management of patients undergoing cochlear implantation.</p><p><strong>Methods: </strong>Between 1997 and 2022, 658 ears of 485 patients underwent CI surgery at our institute. Among these, we retrospectively reviewed the files of patients with facial nerve aberrations that were confirmed during surgery. Specifically, types of FN aberrations, coexisting inner- or middle-ear malformations were examined using image analysis including three-dimensional computed tomography(3D-CT) images, and types of electrode insertion methods were examined based on operative notes and recorded videoclips for each case.</p><p><strong>Results: </strong>FN aberrations were observed in 11 ears of 6 cases (1.7%). Inner ear malformations and stapes deformities or absence were observed in all cases. Cochlear malformations and cochlear nerve hypoplasia were observed in six and eight ears, respectively. All cases exhibited inferior displacement of the horizontal segment and anterior dislocation of the vertical segment of the FN.</p><p><strong>Conclusion: </strong>All the cases with FN aberrations identified during CI surgery had middle- or inner-ear or cochlear nerve malformations. Preoperative simulation using 3D-CT images was of great help for the successful electrode insertion in our patients, who had an abnormal FN course and inner ear malformations (IEMs).</p>","PeriodicalId":53553,"journal":{"name":"COCHLEAR IMPLANTS INTERNATIONAL","volume":" ","pages":"486-492"},"PeriodicalIF":1.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145508172","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}