Expanding unilateral cochlear implantation criteria for adults with bilateral acquired severe sensorineural hearing loss

European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
Wendy J HuinckAd F Snik

Abstract

To report on a retrospective cohort study on the effects of expanding inclusion criteria for application of cochlear implants (CIs) on the performance 1-year post-implantation. Based on pre-implantation audiometric thresholds and aided speech recognition scores, the data of 164 CI recipients were divided into a group of patients that fulfilled conservative criteria (mean hearing loss at 0.5, 1 and 2 kHz > 85 dB HL and phoneme scores with hearing aids < 30%), and the remaining group of patients that felt outside this conservative criterion. Speech recognition scores (in quiet) and quality of life (using the NCIQ) of both groups, measured at 1-year post-implantation, were compared. The group that felt outside the conservative criterion showed a higher phoneme score at 1-year post-implantation compared to the conservative group, suggesting that relaxed criteria have a positive influence on the speech recognition results with CI. With respect to quality of life, both groups significantly improved 1-year post-implantation. The conservative group showed a higher benefit on the advanced perception domain of the NCIQ. Based on their worse pre-implantation hearing, this was expected. The data suggest that relaxation of CI indication pos...Continue Reading

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Citations

Nov 28, 2020·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Hugo G B NijmeijerEmmanuel A M Mylanus
Jan 8, 2021·JAMA Otolaryngology-- Head & Neck Surgery·James R DornhofferTheodore R McRackan
Mar 16, 2021·Frontiers in Aging Neuroscience·Chris J JamesDianne J Mecklenburg
Aug 9, 2020·European Annals of Otorhinolaryngology, Head and Neck Diseases·R QuatreS Schmerber
Jan 23, 2021·Ear and Hearing·Floris HeutinkWendy J Huinck
Jul 1, 2021·International Journal of Audiology·Yael HenkinYifat Yaar Soffer
Oct 16, 2020·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Saad ElzayatYasser Ahmed Fouad
Mar 7, 2021·Ear and Hearing·Olaf M NeveJohan H M Frijns

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Methods Mentioned

BETA
cochlear implant

Software Mentioned

SPSS

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