scholarly journals Cochlear Implantation in Advanced Otosclerosis: Pitfalls and Successes

2022 ◽  
Author(s):  
Alexander D. Claussen ◽  
Bruce J. Gantz
Keyword(s):  
Quality Of Life ◽  
Decision Making ◽  
Cochlear Implantation ◽  
Subjective Quality Of Life ◽  
Profound Hearing Loss ◽  
Auditory Rehabilitation ◽  
Quality Of Life Measures ◽  
Operative Complications ◽  
Facial Nerve Stimulation

Abstract Purpose of Review This review will highlight recent outcome-based evidence guiding decision making for cochlear implantation in advanced otosclerosis, related complications, and technical surgical considerations in otosclerosis and the obstructed cochlea. Recent Findings Cochlear implantation in advanced otosclerosis results in consistent, excellent auditory outcomes with improvement in both objective speech recognition scores and subjective quality of life measures. Facial nerve stimulation may occur at higher rates in otosclerosis cochlear implant recipients. Cochlear implantation in the setting of luminal obstruction in osteosclerotic patients may be managed with altered surgical technique to achieve successful auditory improvements. Pre-operative imaging with high resolution CT or MRI may help anticipate intraoperative challenges and post-operative complications in cochlear implantation. Summary Cochlear implantation is an established, successful treatment for profound hearing loss in advanced otosclerosis. Surgeon knowledge of outcomes, complications, and potential surgical challenges is important to appropriately counsel patients regarding auditory rehabilitation options in advanced otosclerosis.

Evaluation of quality of life in patients after cochlear implantation surgery in 2014-2017

2019 ◽  
Vol 73 (2) ◽  
pp. 11-17 ◽  
Author(s):  
Hanna Czerniejewska-Wolska ◽  
Magdalena Kałos ◽  
Maria Gawłowska ◽  
Alicja Sekula ◽  
Patrycja Mickiewicz ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Cochlear Implantation ◽  
Spatial Hearing ◽  
Subjective Assessment ◽  
Self Assessment ◽  
Profound Hearing Loss ◽  
Speech Processor ◽  
Long Term Study ◽  
One Year

Introduction: Profound hearing loss significantly affects the quality of life of deaf people as well as their families. Observation of the benefit from the use of cochlear implants in deaf patients allows to assess the success of treatment with this method and its impact on the quality of life of these patients. The aim of this study was to determine the quality of life in patient after the cochlear implantation in the material of Department of Phoniatrics and Audiology of the Medical University in Poznań. Material and methods: The study involved implanted patients who voluntarily joined to the project entitled "Observational study of the implanted patient (Cochlear-IROS)". It has a prospective character, it is an international and long-term study, covering the observation of patients up to three years after implantation. Standardized HUI and SSQ questionnaires were used. 70 patients were included in the analysis, the mean age at the time of the cochlear implantation was 47.6 years. In the research group there were 33 men and 37 women. In the whole group, the patients' age at implantation was at least 18 years, max. 80 years. Results: The results of the SSQ questionnaire, which deals with the self-assessment of hearing ability in everyday situations, indicate that in the subjective assessment of patients one year after surgery the speech hearing improved by 77%, spatial hearing by 84%, and the quality of hearing by 49%. The general quality of life before the first connection of the sound processor according to the HUI questionnaire, the patients rated at 0.49 (0-1 scale, where 0 - corresponds to the death condition and 1 - full health). After one year from the implantation, this rating increased to 0.56. Conclusions: The implantation of the cochlear implant significantly increases the patient's quality of life, its physical and emotional functioning. Statistically significant better self-assessment of patients mainly concerned hearing speech and spatial hearing - especially after 1 year of connecting the speech processor.

Elderly patients benefit from cochlear implantation regarding auditory rehabilitation, quality of life, tinnitus, and stress

2011 ◽  
Vol 122 (1) ◽  
pp. 196-203 ◽  
Author(s):  
Heidi Olze ◽  
Stefan Gräbel ◽  
Ulrike Förster ◽  
Nina Zirke ◽  
Laura E. Huhnd ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Elderly Patients ◽  
Cochlear Implantation ◽  
Auditory Rehabilitation

scholarly journals Improvements in Hearing and in Quality of Life after Sequential Bilateral Cochlear Implantation in a Consecutive Sample of Adult Patients with Severe-to-Profound Hearing Loss

2021 ◽  
Vol 10 (11) ◽  
pp. 2394
Author(s):  
Ville Sivonen ◽  
Saku T. Sinkkonen ◽  
Tytti Willberg ◽  
Satu Lamminmäki ◽  
Hilkka Jääskelä-Saari ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Hearing Loss ◽  
Cochlear Implantation ◽  
Signal To Noise Ratio ◽  
Adult Patients ◽  
Profound Hearing Loss ◽  
Bilateral Cochlear Implants ◽  
Consecutive Sample ◽  
Release From Masking

Bilateral cochlear implantation is increasing worldwide. In adults, bilateral cochlear implants (BICI) are often performed sequentially with a time delay between the first (CI1) and the second (CI2) implant. The benefits of BICI have been reported for well over a decade. This study aimed at investigating these benefits for a consecutive sample of adult patients. Improvements in speech-in-noise recognition after CI2 were followed up longitudinally for 12 months with the internationally comparable Finnish matrix sentence test. The test scores were statistically significantly better for BICI than for either CI alone in all assessments during the 12-month period. At the end of the follow-up period, the bilateral benefit for co-located speech and noise was 1.4 dB over CI1 and 1.7 dB over CI2, and when the noise was moved from the front to 90 degrees on the side, spatial release from masking amounted to an improvement of 2.5 dB in signal-to-noise ratio. To assess subjective improvements in hearing and in quality of life, two questionnaires were used. Both questionnaires revealed statistically significant improvements due to CI2 and BICI. The association between speech recognition in noise and background factors (duration of hearing loss/deafness, time between implants) or subjective improvements was markedly smaller than what has been previously reported on sequential BICI in adults. Despite the relatively heterogeneous sample, BICI improved hearing and quality of life.

Assessment of quality of life outcomes with the Glasgow Children's Benefit Inventory following cochlear implantation in children

2019 ◽  
Vol 133 (09) ◽  
pp. 759-763
Author(s):  
A N Dev ◽  
S Adhikari ◽  
U Lohith ◽  
C S Dutt ◽  
S N Dutt
Keyword(s):  
Quality Of Life ◽  
Hearing Loss ◽  
Cochlear Implantation ◽  
Demographic Data ◽  
Life Outcomes ◽  
Or Education ◽  
Profound Hearing Loss ◽  
Quality Of Life Outcomes ◽  
Related Quality

AbstractBackgroundThis study investigated health-related quality of life outcomes for children with cochlear implants in India using the Glasgow Children's Benefit Inventory questionnaire. Cochlear implantation is associated with improved language outcomes. Some studies show this gives higher quality of life after implantation. Previous research demonstrates that India presents unique circumstances that impact perspectives regarding cochlear implantation.MethodChildren (aged under 18 years) who had undergone cochlear implantation were recruited from Vani Pradan Kendra, an organisation for individuals with hearing loss based in Bangalore, India. Demographic data including age, sex, duration of hearing loss and age at implant were collected, and the children's parents or caregivers completed the Glasgow Children's Benefit Inventory questionnaire.ResultsSixty-nine children (mean age: 8.0 ± 3.89 years) were recruited, and all reported improved quality of life after cochlear implantation. There was no effect of age, gender or education on reported benefits. However, a younger age at implant and longer experience with an implant were associated with greater quality of life improvements.ConclusionCochlear implantation leads to improved quality of life, with greater improvements associated with earlier implantation. This supports early intervention in children with profound hearing loss.

scholarly journals Evaluation of quality of life after paediatric cochlear implantation

2019 ◽  
Vol 25 (3) ◽  
pp. 173-184 ◽  
Author(s):  
Jekaterina Byčkova ◽  
Justė Simonavičienė ◽  
Vaiva Mickevičienė ◽  
Eugenijus Lesinskas
Keyword(s):  
Quality Of Life ◽  
Social Relations ◽  
Cochlear Implantation ◽  
Well Being ◽  
Treatment Method ◽  
Profound Hearing Loss ◽  
Self Reliance ◽  
Parental Perspectives ◽  
General Functioning

Background. Cochlear implantation (CI) is the main treatment method for deaf children. CI influences not only communication, but also psychosocial outcomes in children with severe to profound hearing loss. Focusing on issues specific to CI (e.g., self-reliance, social relations, education) may provide a more accurate and relative view of functional status of paediatric cochlear implant users. The objectives of this study were to translate into Lithuanian and adapt an international questionnaire of the quality of life after cochlear implantation and to evaluate parental perspectives regarding CI and the child’s progress after a minimum of two years after surgery. Materials and methods. The parental questionnaire The Children with Cochlear Implants: Parental Perspectives CCIPP was used to evaluate the quality of life following cochlear implantation. The questionnaire includes 74 items covering two main domains: decision-making (26 items) and the outcomes of implantation (48 items). Quality of life is estimated according to the scores of eight sub-domains: communication, general functioning, well-being, self-reliance, social relations, education, effects of implantation, and supporting the child. Results. The paediatric sample consisted of 11 (39%) girls and 17 (61%) boys, whose mean age at the time of cochlear implantation was 2.41 ± 2.25 years, mean duration of the implant use 3.7 ± 1.3 years. All the grand means in the outcomes of implantation domain exceeded 3 on the 5-point scale, meaning that parents viewed the quality of life of their children as either average or better. Parents rated the sub-domains of communication (3.90 ± 0.77 points), social relations (4.05 ± 0.41), and supporting the child (3.89 ± 0.49) most positively. Conclusions. According to parents, the quality of life improves after the cochlear implantation, especially in the fields of communication, social relations and supporting the child.

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