Bimodal stimulation in children with inner ear malformation: One side cochlear implant and contralateral auditory brainstem implant.
Auditory Brain Stem Implants
Auditory Perception
/ physiology
Child, Preschool
Cochlear Implants
Cochlear Nerve
/ abnormalities
Ear, Inner
/ abnormalities
Female
Follow-Up Studies
Hearing Loss, Sensorineural
/ physiopathology
Humans
Male
Retrospective Studies
Speech Perception
/ physiology
Treatment Outcome
auditory brainstem implants
cochlear implants
cochlear nerve hypoplasia
inner ear malformation
sensorineural hearing loss
Journal
Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery
ISSN: 1749-4486
Titre abrégé: Clin Otolaryngol
Pays: England
ID NLM: 101247023
Informations de publication
Date de publication:
03 2020
03 2020
Historique:
received:
29
08
2019
revised:
24
10
2019
accepted:
12
12
2019
pubmed:
20
12
2019
medline:
16
6
2021
entrez:
20
12
2019
Statut:
ppublish
Résumé
To determine audiological outcomes of children who use a cochlear implant (CI) in one ear and an auditory brainstem implant (ABI) in the contralateral ear. Retrospective case review. Tertiary referral hospital. Twelve children followed with CI and contralateral auditory brainstem implant (ABI) by Hacettepe University Department of Otorhinolaryngology and Audiology in Turkey. All children were diagnosed with different inner ear malformations with cochlear nerve aplasia/hypoplasia. CI was planned in the ear with better sound detection during behavioural testing with inserted ear phones and with better CN as seen on MRI. Due to the limited auditory and speech progress with the cochlear implant, ABI was performed on the contralateral ear in all subjects. Audiological performance and auditory perception skills of children with cochlear nerve deficiency (CND) who use bimodal electrical stimulation with CI and contralateral ABI. Mean age of the subjects was 84.00 ± 33.94 months. Age at CI surgery and ABI surgery was 25.00 ± 10.98 months and 41.50 ± 16.14 months, respectively. However, hearing thresholds only with CI and only with ABI did not reveal significant difference, and auditory perception scores improved with bimodal stimulation. The MAIS scores were significantly improved from unilateral CI to bimodal stimulation (P = .002). Pattern perception and word recognition scores were significantly higher with the bimodal condition when compared to CI only and ABI only conditions. Children with CND showed better performance with CI and contralateral ABI combined. Depending on the audiological and radiological results, bimodal stimulation should be advised for children with CND.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
231-238Informations de copyright
© 2019 John Wiley & Sons Ltd.
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