scholarly journals Social Inequalities in Health: Outcomes of Children’s Cochlear Implantation in Lithuania

2020 ◽  
Vol 20 ◽  
pp. 67-78
Author(s):  
Daumantas Stumbrys ◽  
Jekaterina Byčkova ◽  
Eugenijus Lesinskas ◽  
Jurga Mataitytė-Diržienė ◽  
Jolita Norkūnienė
Keyword(s):  
Speech Perception ◽  
Cochlear Implantation ◽  
Social Inequalities ◽  
University Hospital ◽  
Social And Cultural Capital ◽  
Open Set ◽  
Vilnius University ◽  
Children Speech ◽  
Children's Speech ◽  
Main Factor

The aim of this study was to evaluate the demographic, family, and educational differences in children’s speech perception development after cochlear (hearing) implantation. The research was conducted in Vilnius University Hospital Santaros Klinikos during the years 2013–2018. Open-set speech perception in quiet surroundings were evaluated during hearing assessments (n=81). Information about different factor groups was collected according to the Nottingham Children’s Implant Profile questionnaire. Three main factor groups were analysed: (a) demographic, (b) family, and (c) educational. A Bourdieu-based approach was adopted to analyse social inequalities of health of children with cochlear implants. Different factors were operationalized as different forms of capital. Our findings highlight the importance of family’s social and cultural capital to children speech perception after cochlear implantation.

Cochlear Implantation in Inner Ear Malformations: Systematic Review of Speech Perception Outcomes and Intraoperative Findings

2017 ◽  
Vol 156 (5) ◽  
pp. 783-793 ◽  
Author(s):  
Zachary Farhood ◽  
Shaun A. Nguyen ◽  
Stephen C. Miller ◽  
Meredith A. Holcomb ◽  
Ted A. Meyer ◽  
...  
Keyword(s):  
Speech Perception ◽  
Facial Nerve ◽  
Inner Ear ◽  
Cochlear Implantation ◽  
Classification Systems ◽  
Closed Set ◽  
Inner Ear Malformations ◽  
Open Set ◽  
Ear Malformations ◽  
The Impact

Objective (1) To analyze reported speech perception outcomes in patients with inner ear malformations who undergo cochlear implantation, (2) to review the surgical complications and findings, and (3) to compare the 2 classification systems of Jackler and Sennaroglu. Data Sources PubMed, Scopus (including Embase), Medline, and CINAHL Plus. Review Methods Fifty-nine articles were included that contained speech perception and/or intraoperative data. Cases were differentiated depending on whether the Jackler or Sennaroglu malformation classification was used. A meta-analysis of proportions examined incidences of complete insertion, gusher, and facial nerve aberrancy. For speech perception data, weighted means and standard deviations were calculated for all malformations for short-, medium-, and long-term follow-up. Speech tests were grouped into 3 categories—closed-set words, open-set words, and open-set sentences—and then compared through a comparison-of-means t test. Results Complete insertion was seen in 81.8% of all inner ear malformations (95% CI: 72.6-89.5); gusher was reported in 39.1% of cases (95% CI: 30.3-48.2); and facial nerve anomalies were encountered in 34.4% (95% CI: 20.1-50.3). Significant improvements in average performance were seen for closed- and open-set tests across all malformation types at 12 months postoperatively. Conclusions Cochlear implantation outcomes are favorable for those with inner ear malformations from a surgical and speech outcome standpoint. Accurate classification of anatomic malformations, as well as standardization of postimplantation speech outcomes, is necessary to improve understanding of the impact of implantation in this difficult patient population.

Critical Factors for Binaural Hearing in Children with Bilateral Sequential Cochlear Implantation: First Implant Performance and Inter-Implant Interval

2019 ◽  
Vol 24 (4) ◽  
pp. 174-182 ◽  
Author(s):  
Jeong Hun Jang ◽  
Ji-Min Roh ◽  
Oak Sung Choo ◽  
You-Jeong Kim ◽  
Hantai Kim ◽  
...  
Keyword(s):  
Speech Perception ◽  
Cochlear Implantation ◽  
Daily Life ◽  
Binaural Hearing ◽  
Impaired Hearing ◽  
Group Iii ◽  
Interval Group ◽  
Open Set ◽  
Group I ◽  
Device Use

Objectives: This study evaluated the influence of the performance of the first cochlear implant (CI-1) on the second implant (CI-2) and the significance of inter-implant intervals in children with sequential cochlear implantation. Method: Thirty-four patients were included for speech perception outcome and 38 patients were included for subjective hearing satisfaction in daily life in this study. The patients were classified into 3 groups according to inter-implant interval: group I, <4 years; group II, 4–7 years; group III, >7 years. Open-set speech perception scores before and at 3, 6, 12, and 24 months after the second implantation was compared among the CI-1, CI-2, and bilateral CI conditions. Subjective hearing benefits in daily life were measured using a questionnaire of Speech, Spatial, and Qualities of Hearing Scale (SSQ) for parents of children with impaired hearing, and device use and preference were evaluated (by phone interview.) Results: The speech perception of children using the CI-2 only improved quickly within 3 months postoperatively and were similar to those using the CI-1 only. The results of monosyllabic and disyllabic word tests using CI-2 at 3 months after second implantation were not significantly different from those in patients using the CI-1 only. In the sentence test, the scores using the CI-2 only were not significantly different from those using the first implant only at 6 months after second implantation. SSQ scores were similar among groups and the worst score in each section was shown from the questions about performance under noisy conditions in each section. Device usage habits showed that 17 (44.7%) and 16 (42.1%) patients preferred bilateral and the CI-1, respectively. Only 5 (13.2%) patients wanted the CI-2 rather than the CI-1. While group I and II showed a prominent positive attitude to bilateral use, group III, for which the inter-implant interval was 7 years or more, showed a definite preference for the CI-1 (p < 0.01). Conclusions: Functional binaural benefits were achieved in patients who were good performers with the CI-1 after the second implantation irrespective of the inter-implant interval. Sequential CI should be strongly recommended for patients with unilateral CI showing a good performance.

Cochlear Implantation in Children with Inner Ear Malformations

1998 ◽  
Vol 107 (6) ◽  
pp. 492-500 ◽  
Author(s):  
Audie L. Woolley ◽  
Rodney P. Lusk ◽  
Virginia Jenison ◽  
Robert S. Bahadori ◽  
Barbara S. Stroer ◽  
...  
Keyword(s):  
Speech Perception ◽  
Cochlear Implant ◽  
Inner Ear ◽  
Cochlear Implantation ◽  
Csf Leak ◽  
Closed Set ◽  
Inner Ear Malformations ◽  
Open Set ◽  
Ear Malformations ◽  
Csf Leaks

We performed a case study and intervention study, with follow-up of 1 to 5 years, in 4 children with inner ear malformations who underwent implantation of a multichannel cochlear implant (Nucleus, Cochlear Corporation) at ages 3 to 12 years. Malformations included a common cavity deformity, 2 incomplete partitions, and 1 case of isolated bilateral vestibular aqueduct enlargement. One child had a single-channel implant placed at 3 years of age, and this was exchanged for a 22-channel implant at age 9. One child had her implant placed at age 4.5 years, but due to complications from a cerebrospinal fluid (CSF) leak had the initial implant removed and replaced at age 5 years during repair of the CSF leak. Intraoperative findings included a CSF leak at the time of surgery in 3 patients. One patient contracted bacterial meningitis 7 months postimplantation that was thought to be secondary to acute otitis media in the unoperated ear. Bilateral CSF leaks were noted in the middle ear by a lumbar puncture radionuclide and fluorescein dye study. Successful repair of the CSF leaks and reimplantation of the cochlear implant was carried out in this patient. Mapping and programing of the implant was found to be challenging in each of these patients. All patients demonstrated improved performance after implantation. Two patients demonstrated some open-set speech perception. One patient demonstrates improved use of temporal cues in a structured closed set. One patient has achieved no significant speech recognition at this time, but does have improved sound detection and awareness. Cochlear implantation in children with congenital inner ear abnormalities can be a successful method of rehabilitation. It should be recognized that the postoperative speech perception results may be highly variable among patients, and that intraoperative complications may occur.

Self-Reported Listening Habits and Enjoyment of Music among Adult Cochlear Implant Recipients

2009 ◽  
Vol 118 (5) ◽  
pp. 350-355 ◽  
Author(s):  
Lela Migirov ◽  
Jona Kronenberg ◽  
Yael Henkin
Keyword(s):  
Speech Perception ◽  
Cochlear Implant ◽  
Cochlear Implantation ◽  
Speech Coding ◽  
Musical Instrument ◽  
Open Set ◽  
Coding Strategy ◽  
Listening Habits ◽  
Musical Activities

Objectives: We sought to assess the associations between self-reported listening habits and enjoyment of music, and the following variables: Age at implantation, gender, prelingual versus postlingual deafness, duration of deafness, duration of cochlear implant (CI) use, type of CI, speech coding strategy, and speech perception abilities. Methods: A questionnaire on listening habits and enjoyment of music before the onset of deafness and after implantation was sent to 85 adult CI recipients who had been using the devices for at least 6 months. Results: Of the 53 responders, 39 (73.6%) listened to music after implantation. Listening to music was not significantly related to age at implantation, gender, duration of deafness, duration of CI use, type of CI device, speech coding strategy, or open-set speech perception abilities. The 14 nonlisteners were postlingually deafened. The ratings of enjoyment were the same for 22.6% of patients, improved for 26.4%, and worse for 50.9%. Only 2 of 13 patients who played a musical instrument and 14 of 24 patients who sang before the onset of deafness resumed their musical activities. Conclusions: Despite the decline in listening habits and in the enjoyment of music after cochlear implantation, most patients do listen to music. The changes in listening habits and enjoyment were not related to the selected background variables.

scholarly journals White Matter Lesions as Possible Predictors of Audiological Performance in Adults after Cochlear Implantation

2021 ◽  
Vol 11 (5) ◽  
pp. 600
Author(s):  
Steffen Knopke ◽  
Hans-Christian Bauknecht ◽  
Stefan Gräbel ◽  
Sophia Marie Häußler ◽  
Agnieszka J. Szczepek ◽  
...  
Keyword(s):  
Speech Perception ◽  
White Matter ◽  
Cochlear Implantation ◽  
Age Groups ◽  
White Matter Lesions ◽  
Periventricular White Matter ◽  
Rehabilitation Outcomes ◽  
Hearing Ability ◽  
Structural Brain Damage ◽  
Oldenburg Sentence Test

The presented prospective study investigated whether structural brain damage, measured with the Fazekas score, could predict hearing rehabilitation outcomes with cochlear implantation (CI). With a follow-up period of 24 months, this study included 49 bilaterally, postlingually hearing impaired CI candidates for unilateral CI (67.3 ± 8.7 years; 20 men, 29 women) older than 50 at the time of implantation. The differences in the predictive value between two age groups, 50–70 year-olds (mid-age; n = 26) and over 70-year-olds (elderly; n = 23), were analyzed. The patients were evaluated using speech perception (SP) measured in quiet (Freiburg monosyllabic test; FMT) and noise (Oldenburg sentence test; OLSA). The subjective hearing ability was assessed using Oldenburg inventory (OI). The Fazekas PVWM score predicted postoperative speech perception two years after CI in the mid-age population. The periventricular white matter lesions (PVWM) could explain 27.4% of the speech perception (FMT) variance. Our findings support the hypothesis about the influence of pre-existing WMLs on CI outcome. We recommend the evaluation of Fazekas score as a predictive factor for post-implantation hearing ability.

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