Timing of bilateral sequential cochlear implantation for children: determination of its benefit.

IF 1.9 3区医学 Q2 OTORHINOLARYNGOLOGY European Archives of Oto-Rhino-Laryngology Pub Date : 2024-10-26 DOI:10.1007/s00405-024-09030-z

Chiung-Wen Hsu, Pei-Hsuan Ho, Chia-Huei Chu, Pey-Yu Chen, Hsiao-Man Hsu, Yu-Lin Cheng, Xiang-Xiang Chen, I-Hsiu Chen, Yung-Chen Sun, Hung-Ching Lin

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Abstract

Purpose: To evaluate monosyllable word recognition in noise under different conditions in bilateral sequential cochlear implants (CIs). Second, to assess subjective hearing benefits among bilateral sequential CIs, bimodal hearing, and CI-only groups. Lastly, to analyze the prognostic factors affecting CI outcomes in children with bilateral sequential CIs.

Methods: Sixty-five children with CI were enrolled. Mandarin monosyllable recognition tests in noise and the Speech, Spatial, and Qualities of Hearing Scale (SSQ) were used to assess post-CI outcomes. The SSQ benefits were compared among children with bilateral CIs, bimodal hearing, and CI-only.

Results: Bilateral CIs significantly outperformed the first or second CI alone using in noise. The bilateral CI group had significantly better SSQ scores for speech, qualities, and total scores compared to the CI-only group. Additionally, 41% of the variance in speech perception of the second CI can be attributed to the inter-implantation interval between bilateral CIs.

Conclusion: Bilateral sequential CIs can enhance speech perception in noise and daily life-functioning for children. Earlier implantation of bilateral sequential CIs results in better outcomes, while inter-implantation interval exceeding 9.6 years between bilateral CIs may lead to poor second CI performance in noise. Therefore, early bilateral sequential CIs should be encouraged.

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儿童双侧顺序人工耳蜗植入的时机：确定其益处。

目的：评估双侧序列式人工耳蜗（CI）在不同条件下噪音中的单音节词识别能力。其次，评估双侧序列式人工耳蜗、双模态听力和纯人工耳蜗组的主观听力收益。最后，分析影响双侧顺序 CI 儿童 CI 效果的预后因素：方法：65 名儿童接受了 CI 治疗。方法：共招募了 65 名 CI 患儿，使用噪音中的普通话单音节识别测试和言语、空间和听力质量量表（SSQ）来评估 CI 后的效果。比较了双侧 CI、双模态听力和纯 CI 儿童在 SSQ 方面的收益：结果：在噪音环境下，双侧 CI 的效果明显优于单用第一或第二 CI 的效果。与纯 CI 组相比，双侧 CI 组在言语、品质和总分方面的 SSQ 得分明显更高。此外，第二个 CI 的语音感知差异有 41% 可归因于双侧 CI 之间的植入间隔：结论：双侧序列人工耳蜗可以提高儿童在噪音中的语音感知能力和日常生活功能。结论：双侧序列式人工耳蜗可提高儿童在噪声中的语音感知能力和日常生活功能。较早植入双侧序列式人工耳蜗可获得较好的效果，而双侧人工耳蜗植入间隔超过 9.6 年可能会导致第二个人工耳蜗在噪声中的表现不佳。因此，应鼓励尽早植入双侧顺序人工耳蜗。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European Archives of Oto-Rhino-Laryngology 医学-耳鼻喉科学

CiteScore

5.30

自引率

7.70%

发文量

537

审稿时长

2-4 weeks

期刊介绍： Official Journal of European Union of Medical Specialists – ORL Section and Board Official Journal of Confederation of European Oto-Rhino-Laryngology Head and Neck Surgery "European Archives of Oto-Rhino-Laryngology" publishes original clinical reports and clinically relevant experimental studies, as well as short communications presenting new results of special interest. With peer review by a respected international editorial board and prompt English-language publication, the journal provides rapid dissemination of information by authors from around the world. This particular feature makes it the journal of choice for readers who want to be informed about the continuing state of the art concerning basic sciences and the diagnosis and management of diseases of the head and neck on an international level. European Archives of Oto-Rhino-Laryngology was founded in 1864 as "Archiv für Ohrenheilkunde" by A. von Tröltsch, A. Politzer and H. Schwartze.