scholarly journals Long-term results of cochlear implantation in children with congenital single-sided deafness

2020 ◽  
Author(s):  
Ann-Kathrin Rauch ◽  
Susan Arndt ◽  
Antje Aschendorff ◽  
Rainer Beck ◽  
Iva Speck ◽  
...  
Keyword(s):  
Cochlear Implantation ◽  
Subjective Assessment ◽  
Long Term Results ◽  
Deaf Children ◽  
Speech Discrimination ◽  
Long Term Follow Up ◽  
Auditory Performance ◽  
Critical Age ◽  
Single Sided Deafness

Abstract Purpose The purpose of this retrospective study was to investigate the outcome and critical age of cochlear implantation in congenital single-sided deafness (SSD). Methods 11 children with congenital SSD were implanted with a cochlear implant (CI). Auditory performance was measured through the results of speech discrimination, subjective assessment by the Categories of auditory performance (CAP) score, the Speech, Spatial and Qualities scale questionnaire (SSQ) and the German version of the IOI-HA [Internationales Inventar zur Evaluation von Hörgeräten (IIEH, version for CI)]. Results Long-term follow-up [median: 3 years and 5 months (3;5 years)] revealed that nine children use their CI (> 8 h/day) and two became nonusers. In children aged below 3;2 years at surgery, there was a substantial long-term increase in speech discrimination and subjective benefit. Children over 4;4 years of age at CI surgery improved partially in audiological/subjective measurements. Among children above 5 years, the SSQ score did not improve despite further slight improvement in speech discrimination long-term. Conclusion Our data suggest a critical age for CI surgery below 3 years in children with congenital SSD for successful hearing rehabilitation. It is mandatory to identify children with SSD as early as bilaterally deaf children.

Postoperative and Follow-up Studies of Spastic Dysphonia Patients Treated by Recurrent Laryngeal Nerve Section

1981 ◽  
Vol 89 (1) ◽  
pp. 96-101 ◽  
Author(s):  
Krzysztof Izdebski ◽  
Herbert H. Dedo ◽  
Thomas Shipp ◽  
Richard M. Flower
Keyword(s):  
Surgical Treatment ◽  
Subjective Assessment ◽  
Laryngeal Nerve ◽  
Long Term Results ◽  
Nerve Section ◽  
Psychophysical Scaling ◽  
Follow Up Studies ◽  
Long Term Follow Up

Long-term results of surgical treatment of spastic dysphonia by RLN section are evaluated by means of perceptual psychophysical scaling and by the patients themselves. It is found that a significant reduction in spastic dysphonia symptoms occurs as a result of surgery, and that these results are maintained after long-term follow-up in the majority of patients. These experimental observations are in agreement with the subjective assessment of postsurgical communication by the patients involved in the study.

Long-term results of cochlear implantation in children

2005 ◽  
Vol 132 (3) ◽  
pp. 456-458 ◽  
Author(s):  
JAN Haensel ◽  
Jan-Christian Engelke ◽  
Wiebke Ottenjann ◽  
Martin Westhofen
Keyword(s):  
Psychosocial Development ◽  
Cochlear Implantation ◽  
Surgical Techniques ◽  
University Hospital ◽  
Long Term Results ◽  
Deaf Children ◽  
Test Results ◽  
Speech Test ◽  
Prelingually Deaf

OBJECTIVES: Since the first implantation of a multichannel cochlear implant over 15 years ago there have been improvements in implant devices, surgical techniques, speech coding strategies and rehabilitation matters. There also have been concerns, whether the first implanted systems are stable and the benefit for the patients is constant over a long time. This study analyzes long-term results of prelingually deaf children who were implanted at Aachen University Hospital. STUDY DESIGN AND SETTING: We examined 16 prelingually deaf children, who underwent cochlear implantation at our department between 1990 and 1993 over a time period of 10 to 13 years. The indication, perioperative complications, technical parameters, speech test results as well as the psychosocial development of the children were analyzed. A questionnaire containing questions about the daily use, expectations and the personal evaluation of the procedure was sent to all patients. RESULTS: The mean age of all patients was 9 years at time of implantation. In two cases we saw postoperative complications which needed an intervention. The speech test results remained stable after reaching a plateau after 5 years. Eighty-eight percent of all patients would undergo the procedure again and 94% would recommend cochlear implantation to others. CONCLUSION: Cochlear implantation in cases of prelingual deafness is feasible without severe complications and leads to an increasing quality of life demonstrated by long-term observation.

Stapedotomy with Stapedius Tendon Preservation: Technique and Long-Term Results

1994 ◽  
Vol 111 (3P1) ◽  
pp. 181-188 ◽  
Author(s):  
Vittorio Colletti ◽  
Francesco G. Fiorino
Keyword(s):  
Round Window ◽  
Pure Tone Audiometry ◽  
Long Term Results ◽  
Speech Discrimination ◽  
Tuning Curves ◽  
Compound Action Potentials ◽  
Auditory Performance ◽  
Middle Ear Transfer Function ◽  
The University

From 1975 to 1992, a total of 1459 primary stapedoplasty operations (i.e., stapedectomy, stapedotomy with tendon section, and stapedotomy with tendon preservation) were performed in 1323 subjects at the Ear, Nose, and Throat Department of the University of Verona. Pure-tone audiometry was carried out in all subjects who were operated on and who underwent 6-month and 10-year follow-ups. To evaluate the influence of stapedius tendon preservation on functional outcome, we randomly selected subgroups of patients using the three different stapedoplasty techniques and tested them by multiple-frequency tympanometry, psychoacoustic tuning curves, and speech discrimination in noise. Finally, to assess the effect of prosthesis diameter on middle ear transfer function, we used the electrocochleographic technique and examined the threshold and latency of cochlear nerve compound action potentials recorded during surgery from the round window. The results of this study show that the best auditory performance in otosclerotic subjects is achieved by performing a stapedotomy of 0.7 mm diameter, using a 0.6 wire-Teflon piston, and preserving the stapedius tendon.

scholarly journals Endovascular Treatment of Anterior Circulation Aneurysms With the p64 Flow Modulation Device: Mid- and Long-Term Results in 617 Aneurysms From a Single Center

2021 ◽  
Author(s):  
Marta Aguilar Pérez ◽  
Elina Henkes ◽  
Victoria Hellstern ◽  
Carmen Serna Candel ◽  
Christina Wendl ◽  
...  
Keyword(s):  
Intracranial Aneurysms ◽  
High Rate ◽  
Long Term Results ◽  
Effective Treatment Option ◽  
Anterior Circulation ◽  
Acute Hemorrhage ◽  
Unruptured Aneurysms ◽  
Long Term Follow Up

Abstract BACKGROUND Flow diverters have become an important tool in the treatment of intracranial aneurysms, especially when dealing with difficult-to-treat or complex aneurysms. The p64 is the only fully resheathable and mechanically detachable flow diverter available for clinical use. OBJECTIVE To evaluate the safety and effectiveness of p64 for the treatment of intracranial saccular unruptured aneurysms arising from the anterior circulation over a long-term follow-up period. METHODS We retrospectively reviewed our prospectively maintained database to identify all patients who underwent treatment for an intracranial saccular (unruptured or beyond the acute hemorrhage phase) aneurysm arising from the anterior circulation with ≥1 p64 between December 2011 and December 2019. Fusiform aneurysms and dissections were excluded. Aneurysms with prior or concomitant saccular treatment (eg, coiling and clipping) were included. Aneurysms with parent vessel implants other than p64 were excluded. Anatomic features, intraprocedural complications, clinical outcome, as well as clinical and angiographic follow-ups were all recorded. RESULTS In total, 530 patients (388 females; median age 55.9 yr) with 617 intracranial aneurysms met the inclusion criteria. The average number of devices used per aneurysm was 1.1 (range 1-3). Mean aneurysm dome size was 4.8 mm (range 1-27 mm). Treatment-related morbimortality was 2.4%. Early, mid-term, and long-term angiographic follow-up showed complete or near-complete aneurysm occlusion in 76.8%, 89.7%, and 94.5%, respectively. CONCLUSION Treatment of intracranial saccular unruptured aneurysms of the anterior circulation using p64 is a safe and effective treatment option with high rate of occlusion at long-term follow-up and low morbimortality.

scholarly journals Bone-anchored hearing system, contralateral routing of signals hearing aid or cochlear implant: what is best in single-sided deafness?

2021 ◽  
Author(s):  
Till F. Jakob ◽  
Iva Speck ◽  
Ann-Kathrin Rauch ◽  
Frederike Hassepass ◽  
Manuel C. Ketterer ◽  
...  
Keyword(s):  
Speech Perception ◽  
Cochlear Implant ◽  
Hearing Aids ◽  
Long Term Results ◽  
Speech Perception In Noise ◽  
Sound Localisation ◽  
Therapy Option ◽  
Single Sided Deafness ◽  
Objective Hearing Tests

Abstract Purpose The aim of the study was to compare long-term results after 1 year in patients with single-sided deafness (SSD) who were fitted with different hearing aids. The participants tested contralateral routing of signals (CROS) hearing aids and bone-anchored hearing systems (BAHS). They were also informed about the possibility of a cochlear implant (CI) and chose one of the three devices. We also investigated which factors influenced the choice of device. Methods Prospective study with 89 SSD participants who were divided into three groups by choosing BAHS, CROS, or CI. All participants received test batteries with both objective hearing tests (speech perception in noise and sound localisation) and subjective questionnaires. Results 16 participants opted for BAHS-, 13 for CROS- and 30 for CI-treatment. The greater the subjective impairment caused by SSD, the more likely patients were to opt for surgical treatment (BAHS or CI). The best results in terms of speech perception in noise (especially when sound reaches the deaf ear and noise the hearing ear), sound localization, and subjective results were achieved with CI. Conclusion The best results regarding the therapy of SSD are achieved with a CI, followed by BAHS. This was evident both in objective tests and in the subjective questionnaires. Nevertheless, an individual decision is required in each case as to which SSD therapy option is best for the patient. Above all, the patient's subjective impairment and expectations should be included in the decision-making process.

A follow-up study of long-term results after cochlear implantation in children and adolescents

1996 ◽  
Vol 253 (3) ◽  
pp. 158-166 ◽  
Author(s):  
J. Kiefer ◽  
V. Gall ◽  
C. Desloovere ◽  
R. Knecht ◽  
A. Mikowski ◽  
...  
Keyword(s):  
Children And Adolescents ◽  
Cochlear Implantation ◽  
Long Term Results ◽  
Follow Up Study

scholarly journals RETROSPECTIVE EVALUATION OF SUCCESS OF IMPLANT SUPPORTED PROSTHESIS: EARLY RESULTS

2020 ◽  
Vol 7 (12) ◽  
pp. 189-198
Author(s):  
Zeynep Başağaoğlu Demirekin ◽  
Yavuz Findik ◽  
S. Süha Turkaslan ◽  
Timuçin Baykul ◽  
Merve Erken
Keyword(s):  
Treatment Options ◽  
Clinical Results ◽  
Long Term Results ◽  
Retrospective Evaluation ◽  
Early Results ◽  
Single Crown ◽  
Long Term Follow Up ◽  
Implant Therapy

Introduction: The interpretation of clinical results of dental implant supported prosthesis treatment is very crucial to be able to make a comparison between different implant systems and treatment options and furthermore to benefit the experiences of the other clinicians. However, the clinical outcomes of these studies should be reported in an objective way and be independent from the system used and also be prepared in accordance with certain criteria and standards that have been accepted scientifically world-wide for being reliable and describing long-term results. Aim: Three-hundred and eighty-two consecutive NTA implants were performed on ninety-nine patients. The implants used in 2016 and the constructed restorations were retrospectively analyzed. In addition, the effect of the experience of clinician was evaluated related with the success of the implant therapy. Materials and Method: This retrospective study was conducted in the Department of Prosthodontics Süleyman Demirel University. Three-hundred and eighty-two consecutive NTA implants were performed on ninety-nine patients. The implants used in 2016 and the constructed restorations were retrospectively analyzed. Results: The implants were followed for at least 2 years. In total, 239 implants were inserted. It was found in 143 mandibles. Prosthetic restorations were determined to be partial prosthetics (219), single crown (81) and overdenture prosthetics (64). During the evaluation period, 6 implants failed before prosthetic treatment, ten decementations, six retentive screw loosening and five porcelain chipping were detected. Discussion and Conclusions: The early results of our study are consistent with the results of other studies. However, long-term follow-up is required for more accurate assessments.

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