Mahmoud M Mahrous, Ahmed A Abdelgoad, Nithreen M Said, Laila M Telmesani, Danah F Alrusayyis
{"title":"Voice acoustic characteristics of children with late-onset cochlear implantation: Correlation to auditory performance.","authors":"Mahmoud M Mahrous, Ahmed A Abdelgoad, Nithreen M Said, Laila M Telmesani, Danah F Alrusayyis","doi":"10.1080/14670100.2023.2295159","DOIUrl":"10.1080/14670100.2023.2295159","url":null,"abstract":"<p><strong>Objectives: </strong>To study the voice acoustic parameters of congenitally deaf children with delayed access to sounds due to late-onset cochlear implantation and to correlate their voice characteristics with their auditory performance.</p><p><strong>Methods: </strong>The study included 84 children: a control group consisting of 50 children with normal hearing and normal speech development; and a study group consisting of 34 paediatric cochlear implant (CI) recipients who had suffered profound hearing loss since birth. According to speech recognition scores and pure-tone thresholds, the study group was further subdivided into two subgroups: 24 children with excellent auditory performance and 10 children with fair auditory performance. The mean age at the time of implantation was 3.6 years for excellent auditory performance group and 3.2 years for fair auditory performance group. Voice acoustic analysis was conducted on all study participants.</p><p><strong>Results: </strong>Analysis of voice acoustic parameters revealed a statistically significant delay in both study groups in comparison to the control group. However, there was no statistically significant difference between the two study groups.</p><p><strong>Discussion: </strong>Interestingly, in both excellent and fair performance study groups, the gap in comparison to normal hearing children was still present. While late-implanted children performed better on segmental perception (e.g. word recognition), suprasegmental perception (e.g. as demonstrated by objective acoustic voice analysis) did not progress to the same extent.</p><p><strong>Conclusion: </strong>On the suprasegmental speech performance level, objective acoustic voice measurements demonstrated a significant delay in the suprasegmental speech performance of children with late-onset CI, even those with excellent auditory performance.</p>","PeriodicalId":53553,"journal":{"name":"COCHLEAR IMPLANTS INTERNATIONAL","volume":" ","pages":"1-10"},"PeriodicalIF":1.4,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139089312","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}
Dayse Távora-Vieira, Roberta Marino, Jafri Kuthubutheen, Christopher Broadbent, Aanand Acharya
{"title":"Decision making in bone conduction and active middle ear implants - hearing outcomes and experiences over a 10-year period.","authors":"Dayse Távora-Vieira, Roberta Marino, Jafri Kuthubutheen, Christopher Broadbent, Aanand Acharya","doi":"10.1080/14670100.2023.2267900","DOIUrl":"10.1080/14670100.2023.2267900","url":null,"abstract":"<p><strong>Objectives: </strong>To review the decision-making paradigm in the recommendations of BCI and aMEI overlapping candidacy for patients with conductive or mixed HL, and to determine if there are differences in hearing and quality of life outcomes between these implantable hearing devices.</p><p><strong>Methods: </strong>Retrospective data from patients receiving BCI or aMEI in the past decade were analysed. Patients were grouped into: 1. BCI candidates, 2. BCI or aMEI candidates, and 3. aMEI candidates. We compared outcomes and examined the impact of BC threshold, age at implantation, and duration of hearing loss on candidacy.</p><p><strong>Results: </strong>89 participants were included: 30 BCI, 37 aMEI, and 22 BCI or aMEI candidates. All groups performed similarly in aided sound field threshold testing. BCI group had lower speech scores in quiet compared to 'BCI or aMEI.' No significant differences were found in APHAB global scores. BC threshold, duration of hearing loss, and age at implantation had no significant effects.</p><p><strong>Discussion: </strong>Outcomes were generally similar across groups, except for higher effective gain in the aMEI group.</p><p><strong>Conclusion: </strong>Our proposed patient pathway and decision-making approach facilitate candidate selection for aMEI and BCI, aiming to optimise outcomes.</p>","PeriodicalId":53553,"journal":{"name":"COCHLEAR IMPLANTS INTERNATIONAL","volume":" ","pages":"16-22"},"PeriodicalIF":1.4,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41240864","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":"Health-related quality of life and associated developmental domains of children provided early with cochlear implants.","authors":"Vanessa Hoffmann, Stefanie Kröger, Thorsten Burger, Manfred Hintermair","doi":"10.1080/14670100.2023.2267950","DOIUrl":"10.1080/14670100.2023.2267950","url":null,"abstract":"<p><strong>Objectives: </strong>Quality of life plays an important place in the psychosocial development of children with Cochlear Implants (CI). We assesd health-related quality of life (HRQoL) in children with CI and in hearing children and determined relationships between HRQoL and other developmental characteristics (social-emotional development, Theory of Mind (ToM), spoken language skills).</p><p><strong>Methods: </strong>A longitudinal study was conducted including children with CI and hearing children. We used instruments that are widely employed and have been validated for research. At time 1 social-emotional development, ToM and spoken language skills were assessed.HRQoL was assessed using the generic KINDL questionnaire, as was social-emotional development, 2.5 years later (time 2).</p><p><strong>Results: </strong>No significant difference was seen in HRQoL between hearing children and children with CI. We show that the age of detection, the age of hearing care, and the start of early intervention are not related to HRQoL of children with CI, but relationships with some domains of social-emotional development are evident.</p><p><strong>Conclusions: </strong>This study highlights the importance of targeted intervention not only to improve spoken language skills at preschool age, but also strengthen social-emotional and social-cognitive competences.</p>","PeriodicalId":53553,"journal":{"name":"COCHLEAR IMPLANTS INTERNATIONAL","volume":" ","pages":"36-45"},"PeriodicalIF":1.4,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71415202","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}
Sandra L Porps, Danielle M Bennett, Jan Gilden, Kimberly Ravelo, Barbara Buck, Paul Reinhart, Robert S Hong
{"title":"Effects of an evidence-based model for cochlear implant aftercare delivery on clinical efficiency and patient outcomes.","authors":"Sandra L Porps, Danielle M Bennett, Jan Gilden, Kimberly Ravelo, Barbara Buck, Paul Reinhart, Robert S Hong","doi":"10.1080/14670100.2023.2188007","DOIUrl":"10.1080/14670100.2023.2188007","url":null,"abstract":"<p><strong>Objectives: </strong>To assess an evidence-based model (EBM) approach to cochlear implant (CI) aftercare that includes a modified, reduced treatment schedule for newly-implanted adult CI recipients consisting of four appointments (initial activation, 1-, 3- and 6- months postactivation) in the first year post-surgery.</p><p><strong>Method: </strong>This prospective multicenter proof-of-concept study was conducted across three clinics in the United States by five experienced CI clinicians. Seventeen newly-implanted adult patients with postlingual hearing loss enrolled in the study. Hearing outcomes were measured using objective speech testing and subjective self-report measures.</p><p><strong>Results: </strong>Most recipients (14/17; 82%) were able to follow the four-appointment EBM schedule. The reduced number of visits translated into an average time savings of 3 hours per patient. Significant improvements in speech perception were observed at both 3- and 6-months postactivation, as measured by CNC words in quiet and AzBio sentences at +10 dB SNR, consistent with published results achieved by traditional practices. Recipients were significantly satisfied with telephone, music, small group conversation, and television listening at 6 months postactivation. Recipient satisfaction with overall service was rated as \"excellent\" by 14/14 (100%) respondents.</p><p><strong>Conclusion: </strong>The four-appointment EBM approach delivered efficient and effective audiological aftercare to CI recipients in the first year following CI implantation.</p>","PeriodicalId":53553,"journal":{"name":"COCHLEAR IMPLANTS INTERNATIONAL","volume":" ","pages":"325-334"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9117098","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":"Complication profile in a cochlear implantation- surgical audit in a large study population of low socio-economic status in a developing country.","authors":"Sunil Mathews, K Karthikeyan, Senthil Vadivu Arumugam, Rahul Kurkure, Vijaya Krishnan Paramasivan, Mohan Kameswaran","doi":"10.1080/14670100.2023.2233212","DOIUrl":"10.1080/14670100.2023.2233212","url":null,"abstract":"<p><strong>Objectives: </strong>To audit surgical complications and their management in cochlear implant (CI) recipients in a tertiary care referral otorhinolaryngology center in South India.</p><p><strong>Materials and methods: </strong>Hospital data on 1,250 CI surgeries performed from June 2013 to December 2020 was reviewed. This is an analytical study with data collected from medical records. The demographic details, complications, management protocols and relevant literature were reviewed. Patients were divided into the following five age groups: 0-3 years, 3-6 years, 6-13 years, 13-18 years and above 18 years. Complications were divided into major and minor and complication occurrence was divided into peri-operative, early post-operative, and late post-operative, and the results were analyzed.</p><p><strong>Results: </strong>The overall major complication rate was 9.04% (including 6.0% due to device failure). If the device failure rate was excluded, the major complication rate was 3.04%. The minor complication rate was 6%.</p><p><strong>Discussion: </strong>CI is the gold standard in the management of patients with severe to profound hearing loss with minimal benefit from conventional hearing aids. Experienced tertiary care CI referral and teaching centers manage complicated implantation cases. Such centers typically audit their surgical complications, providing important reference data for young implant surgeons and newer centers.</p><p><strong>Conclusion: </strong>Although not bereft of complications, the list of complications and its prevalence is sufficiently low to warrant the advocacy of CI worldwide, including developing countries with low socio-economic status.</p>","PeriodicalId":53553,"journal":{"name":"COCHLEAR IMPLANTS INTERNATIONAL","volume":" ","pages":"283-291"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9767541","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":"Simultaneous cochlear implantation during resection of a cerebellopontine angle meningioma: case report.","authors":"Samuel Roberts, Richard Ferch, Robert Eisenberg","doi":"10.1080/14670100.2023.2239513","DOIUrl":"10.1080/14670100.2023.2239513","url":null,"abstract":"<p><p>Cerebellopontine angle (CPA) meningiomas commonly involve the internal auditory canal (IAC). We report a case of a 68-year-old lady with idiopathic profound bilateral deafness with a meningioma which was discovered on workup for cochlear implantation. We performed simultaneous excision of her CPA and IAC meningioma with insertion of a cochlear implant (CI). She regained functional hearing with marked improvement in quality of life. Intraoperative electrophysiological testing can be used to confirm preservation of the cochlear nerve enabling simultaneous implantation which is preferable for clinical and logistical reasons. This creates an option for hearing rehabilitation at the time of IAC/CPA tumour surgery in appropriate patients.</p>","PeriodicalId":53553,"journal":{"name":"COCHLEAR IMPLANTS INTERNATIONAL","volume":" ","pages":"292-294"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71432311","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}
Marian Jones, Chris Warren, Marjan Mashal, Paula Greenham, Josie Wyss
{"title":"Speech understanding in noise for cochlear implant recipients using a spatial noise reduction setting in an off the ear sound processor with directional microphones.","authors":"Marian Jones, Chris Warren, Marjan Mashal, Paula Greenham, Josie Wyss","doi":"10.1080/14670100.2023.2233203","DOIUrl":"10.1080/14670100.2023.2233203","url":null,"abstract":"<p><strong>Purpose: </strong>Cochlear implant (CI) recipients struggle to hear in competing background noise. ForwardFocus is a spatial noise reduction setting from Cochlear Ltd. (Sydney) that can simultaneously attenuate noise from multiple sources behind the listener. This study assessed hearing performance with ForwardFocus in an off-the-ear (OTE) sound processor.</p><p><strong>Method: </strong>Twenty-two experienced adult CI recipients participated. Speech reception data was collected in fixed noise acutely in the clinic. After three to five weeks take home experience, subjective impressions were recorded, and evaluations were conducted for speech reception in quiet and roving noise.</p><p><strong>Results: </strong>Group mean speech reception thresholds (SRT) were below 0 dB in two spatially-separated noise test conditions when using ForwardFocus in the OTE sound processor. SRT were -8.5 dB (SD 2.9) in 4-talker babble roving in a rear hemi-field (S0Nrearhemi) and -3.9 dB (SD 3.3) in 12-talker babble presented laterally and behind (S0N3). Results in S0N3 were significantly better with ForwardFocus On (<i>p</i> = 0.0018). Subjective ratings with the OTE were comparable to, or better than, with their walk-in BTE or OTE sound processor.</p><p><strong>Conclusions: </strong>ForwardFocus provides significant benefits for speech recognition in competing background noise in an OTE sound processor. These results support clinicians in counselling CI recipients on potential sound processor options to consider.</p>","PeriodicalId":53553,"journal":{"name":"COCHLEAR IMPLANTS INTERNATIONAL","volume":" ","pages":"311-324"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9979502","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}
Rohma Abrar, Unai Martinez de Estibariz, Elizabeth Whittle, Sarah Hornby, Martin O'Driscoll, Simon Freeman, Emma Stapleton
{"title":"Blinded comparison of computed tomography, ultrasound and needle methods to measure skin flap thickness for cochlear implantation.","authors":"Rohma Abrar, Unai Martinez de Estibariz, Elizabeth Whittle, Sarah Hornby, Martin O'Driscoll, Simon Freeman, Emma Stapleton","doi":"10.1080/14670100.2023.2239515","DOIUrl":"10.1080/14670100.2023.2239515","url":null,"abstract":"<p><strong>Purpose: </strong>Patient suitability for cochlear implant (CI) devices compatible with magnetic resonance imaging and CI processor configuration is dependent on their retro-auricular skin flap thickness. This is typically measured intra-operatively using a needle and therefore patients are not guaranteed their implant of choice prior to surgery. We aimed to identify an accurate method to measure skin flap thickness pre-operatively to streamline CI selection and simplify the consent process.</p><p><strong>Methods: </strong>Blinded prospective skin flap thickness measurements for patients undergoing CI surgery were recorded using pre-operative computed tomography (CT) and ultrasound (US), and intraoperative needle measurement.</p><p><strong>Results: </strong>Fifty-six adult patients (36 females, 20 males; mean age 59 years) were included. The mean flap thickness was measured highest by CT (6.9 mm, 95% CI 6.5-7.3 mm), followed by US (6.3 mm, 95% CI 5.9-6.7 mm) and lastly needle (5.5 mm, 95% CI 5.1-5.9 mm) (<i>p</i> < 0.0001). A strong positive correlation (<i>p</i> < 0.001) was noted between all three modalities: CT vs needle (<i>r</i> = 0.869), US vs needle (<i>r</i> = 0.865), and CT vs US (<i>r</i> = 0.849).</p><p><strong>Conclusion: </strong>Accurate, non-invasive measurement of skin flap thickness prior to CI surgery can be achieved using CT or US. We recommend the routine use of US in the outpatient clinic to minimise unnecessary radiation exposure.</p>","PeriodicalId":53553,"journal":{"name":"COCHLEAR IMPLANTS INTERNATIONAL","volume":" ","pages":"295-300"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10062015","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}
Talita Fortunato-Tavares, Miya Wilson, John Orazem
{"title":"Comprehension of clitic pronouns by children with cochlear implants: the role of sentence stress.","authors":"Talita Fortunato-Tavares, Miya Wilson, John Orazem","doi":"10.1080/14670100.2023.2267894","DOIUrl":"10.1080/14670100.2023.2267894","url":null,"abstract":"<p><strong>Objectives: </strong>This study investigates the role of sentence stress on the comprehension of sentences with clitic pronouns (unstressed morphemes and a typical feature of Romance languages) by children with cochlear implants (CIs).</p><p><strong>Methods: </strong>Thirteen children (seven girls) with CIs and 15 children (seven girls) with NH between eight and 12 years who are monolingual speakers of Brazilian Portuguese participated on a computerized sentence comprehension task that involved manipulation of stress placement of possible antecedent words to clitic pronouns.</p><p><strong>Results: </strong>Children with CIs were significantly less accurate than children with NH in comprehending sentences with clitics, regardless of sentence stress. For children with NH, stress on the correct antecedent significantly increased sentence comprehension accuracy. For children with CI, there was no significant effect of sentence stress on selecting the correct antecedent for clitic pronouns.</p><p><strong>Discussion: </strong>Comprehension of sentences with clitic pronouns is challenging for children with CIs and this challenge holds cross-linguistically. Furthermore, children with CIs do not use prosodic information to support comprehension of sentences with clitics similarly to NH children.</p><p><strong>Conclusion: </strong>Language-specific syntactic, morphosyntactic, and prosodic contrasts affecting sentence comprehension need to be assessed in children with CIs to plan an effective intervention.</p>","PeriodicalId":53553,"journal":{"name":"COCHLEAR IMPLANTS INTERNATIONAL","volume":" ","pages":"354-364"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50159256","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}