Auditory rehabilitation after cochlear implantation in adults with hearing impairment after head trauma

2014 ◽  
Vol 15 (6) ◽  
pp. 312-317 ◽  
Author(s):  
Marisa Alves ◽  
Jorge Humberto Martins ◽  
João Elói Moura ◽  
Daniela Ramos ◽  
Helena Alves ◽  
...  
Keyword(s):  
Hearing Impairment ◽  
Head Trauma ◽  
Cochlear Implantation ◽  
Auditory Rehabilitation

Audiological Rehabilitation After Cochlear Implantation: A New Model Developed Based on the International Classification of Functioning, Disability and Health (ICF)

2020 ◽  
Author(s):  
Artur Lorens ◽  
Griet Mertens ◽  
Anja Kurz
Keyword(s):  
Hearing Loss ◽  
Hearing Impairment ◽  
Cochlear Implantation ◽  
International Classification ◽  
Assessment Tools ◽  
International Classification Of Functioning ◽  
Disability And Health ◽  
Core Sets ◽  
Icf Core Sets

Abstract Background: There is a need for a more holistic approach to treating hearing impairment, as it affects many aspects of a person’s life, not just their hearing. This article describes how The International Classification of Functioning, Disability and Health (ICF), particularly the ICF core sets for hearing loss, can be used to plan and evaluate the audiological (re)habilitation of cochlear implant (CI) recipients. Using the ICF core sets should help clinicians better address not only hearing impairment but also its consequences.Methods: The opinions of experts were gathered on their clinical experience about the most relevant ICF categories and codes to describe audiological rehabilitation after cochlear implantation. For the relevant ICF categories, the most commonly used audiological assessment tools and methods were identified.Results: The most relevant codes for Body Functions and Structures, Activity, and Participation were identified. These include: structure of the inner ear (s260), auditory nerve (s260), brainstem (s1105), midbrain (s1101), diencephalon (s1102), and cortical lobe (s110); sound detection (b2300); sound discrimination (b2301); localization of sound source (b2302); lateralization of sound (b2303); speech discrimination (b2304); listening (d115); communicating with – receiving – spoken messages (d310); handling stress and other psychological demands (d240); using communication devices and techniques (d360); conversation (d350); family relationships (d760); school education (d820); remunerative employment (d850); and community life (d910). The appropriate questionnaires as an assessment tools were proposed.Conclusions: Using the ICF can help target the holistic (re)habilitation of CI recipients and reduce hearing loss-induced deficits in function, activity, and participation.

Migration of Cochlear Implantation Magnet without Head Trauma

2011 ◽  
Vol 144 (6) ◽  
pp. 962-963
Author(s):  
Kai-Chieh Chan ◽  
Che-Ming Wu
Keyword(s):  
Head Trauma ◽  
Cochlear Implantation

scholarly journals Hearing Restoration with Cochlear Implantation in Patients Deafened after Blunt Head Trauma

2019 ◽  
Vol 14 (3) ◽  
pp. 347-352 ◽  
Author(s):  
Magdalena Lachowska ◽  
◽  
Zuzanna Lukaszewicz-Moszynska ◽  
Agnieszka Pastuszka ◽  
Lidia Mikolajewska ◽  
...  
Keyword(s):  
Head Trauma ◽  
Cochlear Implantation ◽  
Blunt Head Trauma

scholarly journals Migration of Cochlear Implant Magnets after Head trauma in an Adult and a Child

2007 ◽  
Vol 86 (10) ◽  
pp. 612-613 ◽  
Author(s):  
Robert J. Stokroos ◽  
Pirn van Dijk
Keyword(s):  
Wound Healing ◽  
Hearing Loss ◽  
Cochlear Implant ◽  
Sensorineural Hearing Loss ◽  
Effective Treatment ◽  
Cochlear Implants ◽  
Head Trauma ◽  
Cochlear Implantation ◽  
Proper Place ◽  
Device Failure

Cochlear implantation is considered to be a safe and effective treatment for severe to profound sensorineural hearing loss. Device failures are rare. We report the cases of 2 patients—a 44-year-old woman and a 3-year-old boy—with cochlear implants who were referred to our tertiary cochlear implant center for treatment of magnet migration secondary to mild head trauma. The migration had led to device failure in both cases. Surgical re-exploration was performed with nonmagnetic instruments, and both magnets were easily returned to their proper place. Postoperatively, implant function was restored to previous levels, and wound healing was uncomplicated. The incidence of magnet migration in cochlear implant patients is unknown. A few cases have been reported in children, but to the best of our knowledge, ours is the first report of magnet migration in an adult.

scholarly journals Auditory rehabilitation of patients with neurofibromatosis Type 2 by using cochlear implants

2011 ◽  
Vol 115 (4) ◽  
pp. 827-834 ◽  
Author(s):  
Pamela C. Roehm ◽  
Jon Mallen-St. Clair ◽  
Daniel Jethanamest ◽  
John G. Golfinos ◽  
William Shapiro ◽  
...  
Keyword(s):  
Cochlear Implants ◽  
Cochlear Implantation ◽  
Neurofibromatosis Type ◽  
Neurofibromatosis Type 2 ◽  
Speech Understanding ◽  
Speech Discrimination ◽  
Auditory Rehabilitation ◽  
Open Set ◽  
Cochlear Ossification

Object The aim of this study was to determine whether patients with neurofibromatosis Type 2 (NF2) who have intact ipsilateral cochlear nerves can have open-set speech discrimination following cochlear implantation. Methods Records of 7 patients with documented NF2 were reviewed to determine speech discrimination outcomes following cochlear implantation. Outcomes were measured using consonant-nucleus-consonant words and phonemes; Hearing in Noise Test sentences in quiet; and City University of New York sentences in quiet and in noise. Results Preoperatively, none of the patients had open-set speech discrimination. Five of the 7 patients had previously undergone excision of ipsilateral vestibular schwannoma (VS). One of the patients who received a cochlear implant had received radiation therapy for ipsilateral VS, and another was undergoing observation for a small ipsilateral VS. Following cochlear implantation, 4 of 7 patients with NF2 had open-set speech discrimination following cochlear implantation during extended follow-up (15–120 months). Two of the 3 patients without open-set speech understanding had a prolonged period between ipsilateral VS resection and cochlear implantation (120 and 132 months), and had cochlear ossification at the time of implantation. The other patient without open-set speech understanding had good contralateral hearing at the time of cochlear implantation. Despite these findings, 6 of the 7 patients were daily users of their cochlear implants, and the seventh is an occasional user, indicating that all of the patients subjectively gained some benefit from their implants. Conclusions Cochlear implantation can provide long-term auditory rehabilitation, with open-set speech discrimination for patients with NF2 who have intact ipsilateral cochlear nerves. Factors that can affect implant performance include the following: 1) a prolonged time between VS resection and implantation; and 2) cochlear ossification.

scholarly journals In Patients Undergoing Cochlear Implantation, Psychological Burden Affects Tinnitus and the Overall Outcome of Auditory Rehabilitation

2017 ◽  
Vol 11 ◽  
Author(s):  
Petra Brüggemann ◽  
Agnieszka J. Szczepek ◽  
Katharina Klee ◽  
Stefan Gräbel ◽  
Birgit Mazurek ◽  
...  
Keyword(s):  
Cochlear Implantation ◽  
Psychological Burden ◽  
Auditory Rehabilitation

The Effects of Preoperative Audiovisual Speech Perception on the Audiologic Outcomes of Cochlear Implantation in Patients with Postlingual Deafness

2020 ◽  
pp. 1-8
Author(s):  
Hyun Jin Lee ◽  
Jeon Mi Lee ◽  
Jae Young Choi ◽  
Jinsei Jung
Keyword(s):  
Speech Perception ◽  
Cochlear Implantation ◽  
Visual Information ◽  
Significant Negative Correlation ◽  
Retrospective Case ◽  
Audiovisual Speech Perception ◽  
Auditory Rehabilitation ◽  
Before And After ◽  
Case Comparison ◽  
Perception Score

<b><i>Introduction:</i></b> Patients with postlingual deafness usually depend on visual information for communication, and their lipreading ability could influence cochlear implantation (CI) outcomes. However, it is unclear whether preoperative visual dependency in postlingual deafness positively or negatively affects auditory rehabilitation after CI. Herein, we investigated the influence of preoperative audiovisual per­ception on CI outcomes. <b><i>Method:</i></b> In this retrospective case-comparison study, 118 patients with postlingual deafness who underwent unilateral CI were enrolled. Evaluation of speech perception was performed under both audiovisual (AV) and audio-only (AO) conditions before and after CI. Before CI, the speech perception test was performed under hearing aid (HA)-assisted conditions. After CI, the speech perception test was performed under the CI-only condition. Only patients with a 10% or less preoperative AO speech perception score were included. <b><i>Results:</i></b> Multivariable regression analysis showed that age, gender, residual hearing, operation side, education level, and HA usage were not correlated with either postoperative AV (pAV) or AO (pAO) speech perception. However, duration of deafness showed a significant negative correlation with both pAO (<i>p</i> = 0.003) and pAV (<i>p</i> = 0.015) speech perceptions. Notably, the preoperative AV speech perception score was not correlated with pAO speech perception (<i>R</i><sup>2</sup> = 0.00134, <i>p</i> = 0.693) but was positively associated with pAV speech perception (<i>R</i><sup>2</sup> = 0.0731, <i>p</i> = 0.003). <b><i>Conclusion:</i></b> Preoperative dependency on audiovisual information may positively influence pAV speech perception in patients with postlingual deafness.

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