Multicentre cohort study of cochlear implantation outcomes in Thailand

ObjectivesTo report the status and outcomes of cochlear implantation in Thailand.DesignCohort study.SettingTertiary care and university hospitals.ParticipantsPatients who underwent cochlear implant surgery in Thailand.InterventionsThis project collected data from all government and university hospitals in Thailand where cochlear implant surgery was performed between 2016 and 2020.Primary and secondary outcome measuresBaseline characteristics, operation data, complications, audiological outcomes and quality of life were reported.ResultsThis study included 458 patients, and nearly half of the patients were children and adolescents (46.94%). The mean age of the patients was 2.96±5.83 years. At 1 year postoperatively, the mean pure tone average of the hearing threshold in the implanted ear significantly improved from unaided preoperative baseline (mean difference (MD) 64.23 dB HL; 95% CI 59.81 to 68.65; p<0.001). The mean speech recognition threshold also improved (MD 55.96 dB HL; 95% CI 49.50 to 62.42, p<0.001). The quality-of-life scores of the EQ-5D-5L, PedsQL and HUI3 questionnaires at 1 year showed improved mobility (range, 0–5; MD 0.65; 95% CI 0.05 to 1.25; p=0.037), hearing (range, 0–6; MD 0.96; 95% CI 0.30 to 1.61; p=0.006) and speech (range, 0–5; MD 0.44; 95% CI 0.04 to 0.84; p=0.031). Common complications included electrode dislodgement (2.18%), vertigo (1.23%) and meningitis (1.93%).ConclusionsExcellent audiological outcomes and improvement in the quality of life in the mobility, hearing and speech domains were observed in patients who underwent cochlear implantation in Thailand.

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Sense of taste in patients after cochlear implantation-preliminary study

African Health Sciences ◽

10.4314/ahs.v21i4.37 ◽

2021 ◽

Vol 21 (4) ◽

pp. 1801-7

Author(s):

Piotr H Skarzynski ◽

Marcin Wojciechowski ◽

Magdalena B Skarzynska ◽

Piotr Fronczak

Keyword(s):

Quality Of Life ◽

Cochlear Implant ◽

Cochlear Implantation ◽

Well Being ◽

Weak Correlation ◽

Entire Study ◽

Cochlear Implant Surgery ◽

Taste Disorders ◽

Preliminary Study

Background: Taste is the leading sense in how we determine the quality of consumed food. Proper gustatory sensation largely determines the well-being and health of an organism, and this affects their quality of life.Objectives: The aim of the present study was to estimate the risk of early taste disorders following implantation surgery. Methods: Twenty patients underwent a taste test before, 1 day after, and 1 month after cochlear implantation. The taste sensations of sweet, sour, salty, and bitter were determined. Results: Statistical analysis showed no significant differences (p > 0.05) between individual tests among the entire study group. After dividing the respondents into smoking (n=6) and non-smoking (n=14) groups, only a weak correlation (p =0.043) was found between the results of the first and second examination in the smoker group. However, a statistically significant decrease in the number of saline-sensitive (p<0.001) and acid-sensitive (p = 0.042) subjects was observed. Conclusion: These findings suggest that people after a cochlear implant may have transient taste disorders. Taste disorder called dysgeusia may be an early complication after the implantation procedure contributing to deterioration of patients quality of life. Keywords: Sense of taste; taste disorders; cochlear implant surgery; quality of life, partial deafness treatment.

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Minimal incision cochlear implantation: is it the future

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20191745 ◽

2019 ◽

Vol 5 (3) ◽

pp. 760

Author(s):

Munish Saroch ◽

Amit Saini ◽

Gaveshna Gargi

Keyword(s):

Cochlear Implant ◽

Cochlear Implantation ◽

Operative Time ◽

Operating Time ◽

Flap Necrosis ◽

Implant Surgery ◽

Minimal Incision ◽

Incision Size ◽

Cochlear Implant Surgery ◽

The Mean

Background: The objective of the study was to compare the incision size, operative time and complications in minimal incision cochlear implantation (MICI) and standard incision cochlear implantation (SICI).Methods: Patients who underwent cochlear implant surgery from August 2015 to August 2017. Patients in the MICI group underwent surgery with 2 cm post aural incision whereas patients in SICI group underwent surgery with inverted J incision. Results: A total of eight patients who underwent cochlear implantation during study period were divided into SICI and MICI group of four patients each. The mean size of incision in SICI group was 7.62cm (SD 0.47) and in MICI group was 2 cm. The mean operative time in SICI group was 211.25 minutes (SD 8.53) and in MICI group was 247.5 minutes (SD 11.9). One patient (25%) in SICI group had flap necrosis where as MICI group had none.Conclusions: The MICI can be performed with a small incision of 2 cm. It causes less trauma to the flap with very less incidence of flap necrosis. Technique can be mastered by surgeon with less experience in Cochlear Implant surgery. Other complications are comparable to SICI though operating time is more initially. This is a small study which indicates that Minimal Incision cochlear Implantation is less traumatic and has a more favourable cosmetic outcome with benefits comparable to that of standard technique.

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Qualitative assessment of YouTube videos as a source of patient information for cochlear implant surgery

The Journal of Laryngology & Otology ◽

10.1017/s0022215121001390 ◽

2021 ◽

pp. 1-4

Author(s):

C Thomas ◽

J Westwood ◽

G F Butt

Keyword(s):

Cochlear Implant ◽

Cochlear Implants ◽

Qualitative Assessment ◽

Supplementary Information ◽

Implant Surgery ◽

Critical Elements ◽

Positive Elements ◽

Cochlear Implant Surgery ◽

Youtube Videos

Abstract Background YouTube is increasingly used as a source of healthcare information. This study evaluated the quality of videos on YouTube about cochlear implants. Methods YouTube was searched using the phrase ‘cochlear implant’. The first 60 results were screened by two independent reviewers. A modified Discern tool was used to evaluate the quality of each video. Results Forty-seven videos were analysed. The mean overall Discern score was 2.0 out of 5.0. Videos scored higher for describing positive elements such as the benefits of a cochlear implant (mean score of 3.4) and scored lower for negative elements such as the risks of cochlear implant surgery (mean score of 1.3). Conclusion The quality of information regarding cochlear implant surgery on YouTube is highly variable. These results demonstrated a bias towards the positive attributes of cochlear implants, with little mention of the risks or uncertainty involved. Although videos may be useful as supplementary information, critical elements required to make an informed decision are lacking. This is of particular importance when patients are considering surgery.

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Effects of Non-Pharmacological Treatment on Pain, Flexibility, Balance and Quality of Life in Women with Fibromyalgia: A Randomised Clinical Trial

Journal of Clinical Medicine ◽

10.3390/jcm10173826 ◽

2021 ◽

Vol 10 (17) ◽

pp. 3826

Author(s):

Juan Rodríguez-Mansilla ◽

Abel Mejías-Gil ◽

Elisa María Garrido-Ardila ◽

María Jiménez-Palomares ◽

Jesús Montanero-Fernández ◽

...

Keyword(s):

Quality Of Life ◽

Perceived Exertion ◽

Exercise Program ◽

Well Being ◽

Exercise Programme ◽

Secondary Outcome ◽

Control Group ◽

Static Balance ◽

The Mean

Background: The functional deficits in people with fibromyalgia can be related to the level of physical activity performed. This study investigated the effectiveness of an active exercise programme versus exercise for well-being improving pain, flexibility, static balance, perceived exertion and quality of life of women with fibromyalgia; Methods: A randomised, single-blind, controlled trial was conducted. A total of 141 of women diagnosed with fibromyalgia were enrolled and randomised to an active exercise program group (n = 47), where they performed physical active exercises, an exercise for well-being group (n = 47), which performed the Qi Gong exercises named ‘the twenty Wang Ziping figures for health and longevity’, and a control group (n = 47), which did not receive any intervention, for a period of 4 weeks. Measures were taken at baseline and after the treatment. The primary outcome measures were static balance and centre of gravity (Wii-Fit Nintendo ©), flexibility (test de Wells and Dillon), pain (Visual Analogue Scale) and quality of life (Spanish-Fibromyalgia Impact Questionnaire). The secondary outcome measure was the perceived exertion during activity (BORG Scale). Results: In total, 93 participants completed the study. The mean value of the age was 52.24 ± 6.19. The post intervention results showed statistically significant improvements in the exercise for well-being and the active exercise programme groups vs. the control group in relation to pain (p = 0.006 active exercise programme group, p = 0.001 exercise for well-being group), static balance (p < 0.001 active exercise programme group) and quality of life (p < 0.001 active exercise programme group, p = 0.002 exercise for well-being group). In addition, the mean scores related to perceived fatigue during the sessions were 6.30 ± 1.88 for the active exercise programme group and 5.52 ± 1.55 for the exercise for well-being group. These differences were not significant. Conclusions: The active exercise program and exercise for well-being improved flexibility, static balance, pain and quality of life of women with fibromyalgia. The participants of the active exercise programme achieved better results that those of the exercise for well-being.

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A Cochlearis Implantáltak Funkcionális Indexe (CIFI) magyarországi bevezetésével szerzett kezdeti tapasztalatok

Orvosi Hetilap ◽

10.1556/650.2019.31453 ◽

2019 ◽

Vol 160 (33) ◽

pp. 1296-1303

Author(s):

Gréta Bodzai ◽

Márton Kovács ◽

János Uzsaly ◽

Kinga Harmat ◽

Adrienn Németh ◽

...

Keyword(s):

Quality Of Life ◽

Cochlear Implant ◽

Cochlear Implantation ◽

Social State ◽

Remarkable Improvement ◽

Quality Of Life Questionnaires ◽

Function Index

Abstract: Introduction: The success of cochlear implantation can be evaluated with audiological measurements and quality of life questionnaires. Aim: Our aim was to translate and introduce the Cochlear Implant Function Index (CIFI) test to analyze the physical, psychological and social state of our cochlear implant patients. Method: Between 01. 11. 2016 and 31. 05. 2018, 30 patients filled the questionnaire before and 6 and 12 months after the implantation. Results and conclusion: Results showed a remarkable improvement in the quality of life in several patients even after 6 months. Further improvements could be measured after 12 months. Orv Hetil. 2019; 160(33): 1296–1303.

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A New Minimal Approach in Cochlear Implant Surgery: The Colombian Experience

Otolaryngology ◽

10.1016/j.otohns.2004.09.126 ◽

2005 ◽

Vol 133 (1) ◽

pp. 147-149 ◽

Cited By ~ 4

Author(s):

Jorge E. Almario ◽

Jose G. Lora ◽

Jose A. Prieto

Keyword(s):

Cochlear Implant ◽

Surgical Approach ◽

Minimal Invasive ◽

Surgical Trauma ◽

Invasive Approach ◽

Implant Surgery ◽

Minimal Invasive Approach ◽

Cochlear Implant Surgery ◽

The Mean ◽

Age Range

OBJECTIVES: To implement a minimal invasive approach in cochlear implant surgery for children and adults. In order to decrease surgical complications and morbidity with the surgery. SUBJECTS AND METHODS: During a 1-year period, 12 consecutive patients (5 female and 7 male; age range, 1.5 to 78 years; mean age, 14.5 years), who had cochlear implantation (1 Nucleus and 11 Clarion) through a new surgical approach, were prospectively evaluated. RESULTS: The surgical approach was accomplished in all the patients with no major complications. The mean surgical time was 3.2 hours and the mean time between surgery and process of programming was 2.7 weeks. CONCLUSION: The surgical trauma and postoperatory edema was decreased and allowed programming of the implant in a shorter period of time.

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Cochlear implant surgery at the Clinical Center of Vojvodina - ten-year experience

Medicinski pregled ◽

10.2298/mpns14s1025d ◽

2014 ◽

Vol 67 (suppl. 1) ◽

pp. 25-31

Author(s):

Dragan Dankuc ◽

Darja Segan ◽

Zoran Komazec ◽

Ljiljana Vlaski ◽

Slobodanka Lemajic-Komazec ◽

...

Keyword(s):

Hearing Loss ◽

Facial Nerve ◽

Cochlear Implant ◽

Surgical Procedures ◽

Cochlear Implantation ◽

Facial Nerve Paralysis ◽

Nerve Paralysis ◽

Implant Surgery ◽

Clinical Center ◽

Cochlear Implant Surgery

Introduction. The first cochlear implant surgery was performed at the Center for Cochlear Implantation of the Department of Ear, Nose and Throat Diseases, Clinical Center of Vojvodina in 2002 after long preparations and that was the first successful cochlear implantation in Serbia. Material and Methods. Over the period from November 2002 to November 2013, 99 patients underwent surgical procedures and 100 cochlear implants were placed. Results. The analysis encompassed 99 patients, the youngest and the oldest one being 1 year and 61 years old, respectively. Prelingual and postlingual deafness developed in 84 (84.9%) and in 15 (15.1%), respectively. Postlingual deafness was observed in all 11 adult patients. The prelingual deafness was diagnosed in 84 (95.4%) children, whereas in four (4.6%) children it occurred after the development of speech between 6 and 8 years of age. Progressive hearing loss was observed in 11 patients - seven adults and four children. The majority of our patients, i.e. 74 (74.75%) manifested idiopathic deafness of unknown cause. A range of usually reported hearing loss etiologies included ototoxic medications in seven (7.07%), hereditary factor in six (6.06%), and bacterial meningitis in four (4.04%) patients. Somewhat less common causes were perinatal hypoxia in three (3.03%), premature birth in three (3.03%), Down syndrome in one (1.01%), and chronic otitis media in one (1.01%) patient. Conclusion. Both intraoperative and postoperative complications were analyzed in the investigated patient population. The complications developed in 11 patients, i.e. in 10.5% of 105 surgical procedures. The majority of procedures (89.5%) were not accompanied by any post-surgical complications. Unsuccessful implantation in a single-step procedure and transient facial nerve paralysis can be considered most frequent among our patients, whereas cochlear ossification and transient ataxia occurred more rarely. Stimulation of facial nerve, intraoperative perilymph liquid gusher, device failure and late infections were recorded extremely rarely.

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S237 – Computerized Tomography in the Prediction of CSF Gusher

Otolaryngology ◽

10.1016/j.otohns.2008.05.412 ◽

2008 ◽

Vol 139 (2_suppl) ◽

pp. P154-P155

Author(s):

Vanessa S Rothholtz ◽

Mahmood F Mafee ◽

Nancy M Young

Keyword(s):

Cochlear Implant ◽

Temporal Bone ◽

Computerized Tomography ◽

Cochlear Implantation ◽

Statistical Significance ◽

Internal Auditory Canal ◽

Implant Surgery ◽

Tegmen Tympani ◽

Cochlear Implant Surgery ◽

Temporal Bone Anatomy

Objectives 1) Identify anatomic variations of the temporal bone in children with and without cochlear malformations who experienced an intra-operative cerebrospinal fluid (CSF) gusher at the time of cochlear implantation. 2) Compare the anatomic findings in the current study to those described in prior studies. Methods A retrospective case-controlled chart review was performed on patients undergoing cochlear implant surgery. Computerized tomography images were analyzed in a single-blind fashion for characteristics and measurements of both the right and left cochlea, internal auditory canal, cochlear aperture, facial nerve canal, vestibular aqueduct, cochlear aqueduct, oval window, round window, vestibule, mastoid, tegmen tympani and semi-circular canals. After verifying equal variances, data was statistically evaluated utilizing the paired 2-tailed t test with criterion for statistical significance set at p < 0.05. Results The average age at implantation for this series of children was 4 years old. 70% of patients had cochlear malformations. 25% of patients had an abnormal internal auditory canal (IAC) and 30% had a widened cochlear aperture. Most patients with an abnormal IAC had an abnormal cochlear aperture; however, some patients with a normal IAC also had an abnormal cochlear aperture. Correlations between the temporal bone anatomy and the incidence of CSF gushers will be discussed. Conclusions Specific characteristics of the temporal bone anatomy may lead to an increased incidence of CSF gusher in cochlear implant surgery. Computerized tomography of the temporal bone can assist in the surgeon in evaluation and planning for cochlear implantation.

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Cochlear implant surgery and perioperative dizziness is associated with utricular hyperfunction

Journal of Vestibular Research ◽

10.3233/ves-210053 ◽

2021 ◽

pp. 1-10

Author(s):

Michelle Truong ◽

Christo Bester ◽

Kumiko Orimoto ◽

Maria Vartanyan ◽

Debra Phyland ◽

...

Keyword(s):

Observational Study ◽

Cochlear Implant ◽

Cochlear Implantation ◽

Subjective Visual Vertical ◽

Implant Surgery ◽

Otolith Function ◽

Cochlear Implant Surgery ◽

Visual Vertical ◽

Perioperative Complication ◽

Utricular Function

BACKGROUND: Dizziness is a common perioperative complication after cochlear implantation (CI). To date, the exact cause behind this phenomenon remains unclear. There is recent evidence to suggest that otolith function, specifically utricular, may be affected shortly after CI surgery, however whether these changes are related to patient symptoms has not yet been investigated. OBJECTIVE: To determine whether CI surgery and perioperative dizziness is associated with changes on utricular function. METHODS: We performed an observational study on patients undergoing routine CI surgery. Utricular function was assessed using the Subjective Visual Vertical (SVV), and perioperative dizziness was determined using a questionnaire. The study followed patients before surgery and then again 1-day, 1-week and 6-weeks after implantation. RESULTS: Forty-one adult CI recipients participated in the study. The SVV deviated away from the operated ear by an average of 2.17° a day after implantation, 0.889° 1 week and –0.25° 6 weeks after surgery. Dizziness contributed to a tilt of 0.5° away from the implanted ear. These deviations were statistically significant. CONCLUSIONS: CI surgery causes utricular hyperfunction in the operated ear that resolves over 6 weeks. SVV tilts were greater in participants experiencing dizziness, suggesting that utricular hyperfunction may contribute to the dizziness.

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Cochlear implantation of a deaf blind patient with mitochondrial cytopathy

The Journal of Laryngology & Otology ◽

10.1017/s0022215100143956 ◽

1999 ◽

Vol 113 (4) ◽

pp. 353-354 ◽

Cited By ~ 6

Author(s):

Helen E. Cullington

Keyword(s):

Quality Of Life ◽

Mitochondrial Dna ◽

Case Report ◽

Cochlear Implant ◽

Cochlear Implantation ◽

The Body ◽

Genetic Defects ◽

Mitochondrial Cytopathy ◽

Sensorineural Hearing Impairment

AbstractGenetic defects of the mitochondrial DNA often cause sensorineural hearing impairment, accompaniment by disorders of organs within the body. This case report describes cochlear implantation of a 33-year-old deaf blind female with mitochondrial cytopathy. The outcome was very successful, and vastly improved quality of life for this patient. Many cases of mitochondrial cytopathy cause progressive deafness; it is, therefore, likely that other patients with this unusual disorder will present for cochlear implant assessment.

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