COCHLEAR IMPLANTS INTERNATIONAL最新文献

Objectives: We had two sets of objectives. First, to assess the effects of an online music program on the expressive vocabulary of children with cochlear implants (CIs) and on maternal stress. Second, to explore associations between children's vocabulary, maternal stress, and the quality of children's acoustic environment, measured as daily exposure to speech in quiet.

Methods: Sixteen children with CIs (M = 17.63 months, SD = 6.39) and their mothers participated weekly in a 12-week online music program (CI-T), and 16 children with CIs (M = 18.46 months, SD = 6.02) and their mothers served as controls (CI-C). The program started three months after CI activation. Both groups were assessed at three (T1), six (T2), and twelve (T3) months after CI activation. We collected measures of children's vocabulary (using the MacArthur-Bates Cognitive Development Inventories; MB-CDI), maternal stress (using the Parenting Stress Index; PSI), and children's daily exposure to speech in quiet (from the datalogging of children's devices). Friedman non-parametric tests examined within-group differences in children's vocabulary and in mothers' stress across time points. Spearman correlations (both groups combined) explored associations between changes in vocabulary, maternal stress, and the datalogging at T1, T2, and T3.

Results: The CI-T group showed significant vocabulary gains between T1 and T2, and between T2 and T3 [χ²(2) = 20.5, p < .001]. The CI-C group significantly improved only between T2 and T3 [χ²(2) = 19.60, p < .001]. Maternal stress decreased significantly in the CI-T group between T1 and T2 [χ²(2) = 8.22, p = .02], but not in the CI-C group (all ps > .05). In both groups, we found significant associations between increases in children's expressive vocabulary and maternal stress (e.g. between children's vocabulary increases between T1 and T2, and mothers' scores on the 'Parent-Child Dysfunctional Interaction' subscale at T1; r = -.40, p = .03); between increases in children's expressive vocabulary and daily exposure to speech in quiet (e.g. between children's vocabulary increases between T1 and T2 and the datalogging 'Speech' scene at T2; r = .47, p = .03); and between maternal stress and daily exposure to speech in quiet (e.g. between mothers' scores on the 'Parent Distress' subscale at T2 and the datalogging 'Speech' scene at T2; r = -.56, p = .01).

Conclusions: Online music-based interventions could benefit children with CIs and their mothers, alongside longer exposure to speech in quiet.

Objectives: Cochlear implants (CIs) have revolutionized the treatment of severe to profound sensorineural hearing loss, with life-altering outcomes for patients. CI surgery requires the surgeon to delicately place an electrode array in the scala tympani of the cochlea, a procedure that often challenges surgeons due to the absence of visual guidance. In this work, we aim to develop a vision-based tracking strategy to track the movements of the patient and the surgical tools.

Methods: A comprehensive object detection and tracking workflow tailored for temporal bone environments was developed by evaluating the performance of multiple object detection models, which were integrated with a modified BoT-SORT algorithm to enable accurate identification, segmentation, and tracking of surgical tools, electrodes, the surgeon's hands, and the patient's head across frames. The tracking strategy was trained and tested on both in-vivo and ex-vivo datasets.

Results: YOLOv9-based framework achieved the best performance with a mAP50 of 0.788 for detection and 0.762 for segmentation.

Discussion: Our findings highlight the promise of vision-based detection and tracking models in surgical settings, while also underscoring the challenges of translating performance from ex vivo to in vivo environments.

Conclusion: The integrated YOLOv9 and BoT-SORT tracking system maintained stable identity preservation and trajectory consistency, demonstrating strong potential for real-world surgical applications.

Objectives: To evaluate the perceived utility, challenges, and opportunities for improving a regional telehealth model for cochlear implant (CI) care.

Methods: This qualitative study involved a focus group with five CI audiologists at a tertiary care center. Participants discussed their experiences with a regional telehealth program that used seven satellite sites as part of an ongoing non-inferiority trial. The transcript was analyzed using inductive thematic analysis.

Results: Audiologists identified regional telehealth as beneficial for routine follow-ups, troubleshooting, and reducing travel burden. Visits were shorter and more convenient for patients and providers. Challenges included difficulty communicating with patients who had cognitive or auditory limitations, limited capacity for remote troubleshooting and device handling, and lack of audiometric testing. Site variability in equipment and room acoustics also affected care quality. Participants recommended improving audiovisual infrastructure, standardizing site setups, integrating interpreter and captioning services, and expanding reimbursement. While certain populations posed greater challenges, regional telehealth was viewed as beneficial for mitigating geographic access barriers without the technological requisites for home-based telehealth.

Conclusion: Audiologists perceived regional telehealth as a valuable adjunct to traditional CI care for improving access in underserved areas. Addressing infrastructure and workflow limitations may enhance effectiveness and support broader adoption.

Objectives: Broad variability exists in the outcomes of adult cochlear implant (CI) recipients. This study assessed performance of adult CI recipients on Cognivue Thrive, a quick, automated cognitive screening device applied in a private Otolaryngology practice, and assessed its ability to predict CI outcomes.

Methods: Thirty-one adults who received CIs between September 2020 and December 2022 were enrolled and tested using Cognivue Thrive before implantation. Consonant Nucleus Consonant (CNC) words and AzBio sentence recognition scores were collected early (1-3 months) and late (6-12 months) after cochlear implantation. .

Results: The group demonstrated poor-to-moderate mean scores relative to normative scores in the Cognivue domains of Memory, Visuospatial, and Executive Function and good performance in Reaction Time and Processing Speed. Controlling for age, the pre-operative Cognivue Memory domain score correlated positively with early post-CI CNC word score (rho = .6, P = .009) and AzBio sentence score (rho = .71, P = .002) with large effect sizes. The pre-operative Visuospatial domain score also correlated with early post-CI AzBio sentence score (rho = .62, P = .01) with large effect size. Correlations between Cognivue scores and late post-CI speech recognition were mostly weaker and non-significant.

Discussion: A pre-operative 5-minute, automated, visual cognitive screening test yields scores that are predictive of short-term adaptation after cochlear implantation but not longer-term speech recognition. A prospective study with larger sample is needed to validate findings. .

Conclusion: This preliminary study demonstrates proof of concept of applying Cognivue Thrive in a private CI program and its potential to help clinicians and patients to predict CI outcomes.

Objectives: Despite the established benefits of cochlear implantation for adults with significant hearing loss, utilisation remains low. Professional and organisational barriers may impede referral for cochlear implants (CIs). This systematic review aimed to identify and synthesise professional barriers to adult CI referral within audiological rehabilitation.

Methods: A systematic search of English-language literature was performed from January 1^st 1990 to May 16^th 2025 using Medline, CINAHL, PubMed, EMBASE and PsycINFO databases. Eighteen studies met inclusion criteria, and findings were synthesised descriptively. This systematic review was registered with PROSPERO (CRD42024540394).

Results: Four themes were identified as professional barriers to adult cochlear implantation: lack of knowledge and training; concerns and beliefs about CIs and patients; organisational factors; and low prioritisation of hearing loss in healthcare.

Discussion: Limited clinician understanding of CI candidacy criteria and referral pathways was the most frequently reported barrier. Organisational barriers included financial disincentives related to hearing aid sales and inconsistent communication between providers. Non-audiology specialists often perceived hearing loss as a lower-priority condition, contributing to under-referral despite established criteria.

Conclusion: Improving adult CI access requires targeted clinician education, integration of CI education with hearing aids, and reduction of financial disincentives. Future research should explore patient perspectives to identify barriers and inform intervention strategies.

Objective: To present a case series of patients with Chudley - McCullough syndrome (CMS) and provide audiometric outcomes pre - and post - cochlear implantation.

Methods: A retrospective case series was written based on six patients with CMS and hearing loss. Patients were treated in a tertiary-care medical center for their hearing loss with hearing aid fitting and cochlear implantation. Audiometric outcomes pre- and post-cochlear implantation were analyzed.

Results: Three out of six patients were diagnosed with auditory neuropathy spectrum disorder (ANSD), one patient was suspected of ANSD, and in two patients, the presence of ANSD could neither be confirmed nor excluded. All patients were fitted with hearing aids, and all had limited benefit. In most cases, hearing deteriorated rapidly and eventually, all patients received a cochlear implant (CI), unilateral or bilateral. In general, aided thresholds with CIs were satisfactory. However, speech recognition varied widely between patients and was, on average, worse compared to patients with sensorineural hearing loss without CMS.

Conclusions: CMS was often diagnosed relatively late during childhood, and sometimes hearing loss was the first apparent symptom. Hearing loss was found to be progressive, often not detected shortly after birth and often complicated by ANSD. Cochlear implantation emerged as the optimal treatment, demonstrating superiority over hearing aid rehabilitation to improve hearing performance. Auditory and speech-language development outcomes remained poorer than in children with CI and without CMS. Based on these results, we advocate considering cochlear implantation early for children who have CMS and hearing loss.

Objective: To identify major themes of interest posted by users of the foremost Facebook cochlear implant (CI) support group, understand how these users engage in online support communities, and identify educational gaps in CI care.

Methods: We conducted a retrospective thematic content analysis approach rooted in framework analysis. 536 Facebook posts were gathered over a two-week period in July 2024 from the Cochlear Implant Experiences Facebook group. Posts were analyzed for author, tone, content, and engagement metrics. Posts were inductively coded into more specific themes and subthemes by two coders with any disagreements resolved by consensus discussion.

Results: Majority of posts were authored by patients (81.6%), followed by unknown authors (11.8%), family members (6.2%), companies/vendors (0.2%), and providers (0.2%). The average number of reactions and comments was 22 and 20, respectively. Most posts had a neutral tone (49.6%), followed by a negative tone (28.3%), and positive tone (22.1%). Majority of posts were questions (69%), followed by experience-sharing (21%), and information-sharing posts (10%). Eight major themes were identified from the analysis.

Conclusion: Patients utilize this social media community for various reasons but overwhelmingly utilize it to ask questions related to management of the CI device and related equipment. These findings demonstrate trust among patients to gain information from each other and seek support, providing valuable information for providers and companies to fill educational gaps in CI care.

Importance: Cochlear implants provide a treatment option for adults with severe to profound sensorineural hearing loss (SNHL). However, their long-term impact on mental health were understudied.

Objective: This study explored the long-term effect of cochlear implants on the incidence of psychiatric disorders in adults with bilateral severe to profound SNHL, and examined the subgroup differences in these outcomes.

Design, setting, and participants: Data for this cohort study were analyzed on January 12, 2024, from the TriNetX electronic records database. Adults with bilateral severe to profound SNHL who received a cochlear implant were compared with matched peers who did not.

Main outcomes and measures: The primary outcome was the combined incidence of anxiety, depression, and insomnia, within one to three-years after baseline. Each psychiatric disorder was examined separately as a secondary outcome.

Results: This study included 8,964 adults in each group. The cochlear implant group demonstrated a significant lower risk of psychiatric disorders compared to the non-implanted group. Reductions were also observed for depression, insomnia, and anxiety, with effects consistent across the follow-up period and subgroups.

Conclusions: Cochlear implantation was associated with a lower long-term incidence of psychiatric disorders among adults with bilateral severe to profound SNHL.

Objectives: 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.

Methods: This prospective longitudinal study involved 68 postlingually deaf CI recipients (ClinicalTrials.gov NCT05525221). RBANS-H assesses five cognitive domains: Immediate Memory (List Learning and Story Memory), Visuospatial/Constructional (Figure Copy, Line Orientation), Language (Picture Naming, Semantic Fluency), Attention (Digit Span, Coding) and Delayed Memory (List Recall, List Recognition, Story Recall, Figure Recall). 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.

Results: Moderate positive correlations were observed for Coding (r = 0.43, p = 0.007), List Learning (r = 0.39,  = 0.015), Story Recall (r = 0.43, p = 0.019), and Story Memory (r = 0.34, p = 0.030). No significant relationships were found for other tasks, domains, total scores or the vocabulary tests.

Discussion: Correlations of Coding, Immediate Memory and Delayed Memory tasks with speech outcomes highlight the involvement of attention and memory in perceiving speech with CI or acquiring this ability.

Conclusion: 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.