Listening skill progress in children with cochlear implants in the first three months after implantation

Background: Development of auditory skills is triggered as soon as cochlear implantation is done. Very few studies have reported development of listening skills in cochlear implanted children in the immediate period following the implantation. The present study aims to profile the development of auditory skills in children with cochlear implants during the first three months following implantation. Methods: The tool used is Listening Progress Profile (LiP) which was used to collect information about listening skills one week prior to cochlear implantation, within a week of switch on and once every two weeks till the end of three months after implantation. Twelve children in the age range of one year to five years with congenital bilateral profound hearing loss, who were scheduled for unilateral cochlear implantation were included as participants. Results: Results indicate a statistically significant improvement in LiP scores at each test interval. No significant difference was found in the listening skill progress for children implanted before and after three years of age. Younger male participants performed consistently better than older males and younger and older females. Conclusions: LiP can be used as a major tool for assessing the development of listening skills in young children during the immediate post implantation period as it provides detailed information regarding the auditory performance towards a variety of stimuli.

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The effect of the COVID-19 pandemic on metabolic control in children with type 1 diabetes: a single-center experience

Journal of Pediatric Endocrinology and Metabolism ◽

10.1515/jpem-2021-0509 ◽

2021 ◽

Vol 0 (0) ◽

Author(s):

Emre Sarıkaya ◽

Dilek Çiçek ◽

Ebru Gök ◽

Leyla Kara ◽

Uğur Berber ◽

...

Keyword(s):

Type 1 Diabetes ◽

Metabolic Control ◽

Glycosylated Hemoglobin ◽

Emergency Admissions ◽

Single Center Experience ◽

Number Of Patients ◽

Significant Difference ◽

Before And After ◽

One Year

Abstract Objectives Coronavirus disease 2019 has caused a major epidemic worldwide, and lockdowns became necessary in all countries to prevent its spread. This study aimed to evaluate the effects of staying-at-home practices on the metabolic control of children and adolescents with type 1 diabetes during the pandemic period. Materials and Methods Eighty-nine patients younger than 18 years old who were diagnosed with type 1 diabetes at least one year before the declaration of the pandemic were included in the study. The last visit data of the patients before and after the declaration of the pandemic, and the frequency of presentation of diabetes-related emergencies from one year after diagnosis of type 1 diabetes to the declaration of the pandemic, and from the declaration of the pandemic to the last visit after the pandemic declaration were compared. Results The total number of patients was 89, and 48 (53.9%) were boys. The mean (± standard deviation [SD]) age at diagnosis was 8.4 ± 3.7 years (boys 7.9 ± 3.6 years; girls 8.9 ± 3.9 years). There was no statistically significant difference when the SD values of the anthropometric measurements, and the glycosylated hemoglobin (HbA1c) and lipid profile tests were compared. However, the frequency of admission to the emergency service related to diabetes was significantly different. Conclusions Although the pandemic did not significantly affect the metabolic and glycemic controls of the children with type 1 diabetes included in this study, an increase in the frequency of diabetes-related emergency admissions was noted.

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Outcome of Cochlear Implantation in Postmeningitis Profound Sensorineural Hearing Loss at Rajavithi Hospital

Journal of the Medical Association of Thailand ◽

10.35755/jmedassocthai.2021.02.11599 ◽

2021 ◽

Vol 104 (2) ◽

pp. 260-263

Keyword(s):

Hearing Loss ◽

Sensorineural Hearing Loss ◽

Cochlear Implantation ◽

Sensorineural Hearing ◽

Preoperative Imaging ◽

Profound Hearing Loss ◽

Language Status ◽

Auditory Performance ◽

Electrode Insertion ◽

One Year

Background: Bacterial meningitis is one of the major factors in the etiology of acquired sensorineural hearing loss in children and adults. Cochlear implantation in these patients is challenging because of inner ear ossification and fibrosis, and this procedure sometimes achieves poorer outcomes in this scenario than with other causes of sensorineural hearing loss. There has been little research into the factors affecting the outcomes of this procedure. Objective: To evaluate the outcomes of cochlear implantation in patients with postmeningitis profound sensorineural hearing loss and to evaluate the factors that affect the results. Materials and Methods: A retrospective review was conducted of thirty patients who were diagnosed with post meningitis profound hearing loss and underwent cochlear implantation at Rajavithi Hospital between 2001 and 2016. Preoperative language status, duration of deafness, preoperative imaging, and degree of electrode insertion were recorded. Categories of auditory performance-II test (CAP-II) was evaluated in all cases, one year postoperative. Results: Thirty postmeningitis deafness patients underwent cochlear implantation. The median age at diagnosis of meningitis and age at implantation were 41 years (range 1 to 75) and 49.50 years (range 3 to 75), respectively. The median duration of deafness was 12 months (range 4 to 300), and the overall mean CAP-II at one year after surgery was 5.47±2.21. The postlinguistic group had a significantly higher CAP-II score than the prelinguistic one (p=0.006). Electrodes were successfully totally inserted in 19 patients (63.3%) and partially inserted in 11 (36.7%). The average CAP-II score in the group with fully-inserted electrodes was significantly higher than in the group with partially-inserted electrodes (p=0.045). There was no correlation between CAP-II score and age at meningitis diagnosis (p=0.069), age at time of surgery (p=0.105), duration of deafness (p=0.506), or preoperative CT (p=0.228) or MRI abnormality (p=0.078). Conclusion: Cochlear implantation in patients with postmeningitis profound hearing loss had high success rates and favorable outcomes. Preoperative language status and degree of electrode insertion were factors that affected auditory performance results. Keywords: Cochlear implantation, Postmeningitis hearing loss, Sensorineural hearing loss, Meningitis, Rajavithi Hospital

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Costs involved in using a cochlear implant in South Africa

South African Journal of Communication Disorders ◽

10.4102/sajcd.v59i1.18 ◽

2012 ◽

Vol 59 (1) ◽

Cited By ~ 1

Author(s):

Gillian Robyn Kerr ◽

Seppo Tuomi ◽

Alida Müller

Keyword(s):

South Africa ◽

Cochlear Implant ◽

Cochlear Implants ◽

Cochlear Implantation ◽

Consumer Price Index ◽

Information Costs ◽

Profound Hearing Loss ◽

Short And Long Term ◽

Implant System

Cochlear implantation is an expensive but effective lifelong intervention for individuals with a severe-to-profound hearing loss. The primary aim of this study was to survey the short- and long-term costs of cochlear implantation. Individuals (N=154) using cochlear implants obtained from the University of Stellenbosch-Tygerberg Hospital Cochlear Implant Unit in Cape Town, South Africa were surveyed using a questionnaire and patient record review. The questionnaire used a combination of closed and open-ended questions to gather both quantitative and qualitative information. Costs were categorised as short- and long-term costs. All costs were converted to constant rands (June 2010) using the Consumer Price Index to allow for comparison in real terms over time. In the first 10 years of implantation the average estimated costs incurred by adults totalled R379 626, and by children R455 225. The initial purchase of the implant system was the most substantial cost, followed by upgrading of the processor. Travel and accommodation costs peaked in the first 2 years. On average the participants spent R2 550 per year on batteries and spares. Rehabilitation for children cost an average of R7 200. Insurance costs averaged R4 040 per year, and processor repairs R3 000 each. In addition to the upfront expense of obtaining the cochlear implant system, individuals using a cochlear implant in South Africa should be prepared for the long-term costs of maintenance, accessing the unit, support services and additional costs associated with use. Knowledge of these costs is important to ensure that individuals are successful users of their cochlear implants in the long term.

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Effects of Sublingual Duster Mite Drops on Lung Function and Exhaled Nitric Oxide in Children with Multiple and Single Allergic Respiratory Diseases

Canadian Respiratory Journal ◽

10.1155/2020/7430936 ◽

2020 ◽

Vol 2020 ◽

pp. 1-6

Author(s):

Li Wang ◽

Tao Ai ◽

Ronghua Luo ◽

Yinghong Fan ◽

Huiling Liao ◽

...

Keyword(s):

Pulmonary Function ◽

Symptom Score ◽

Respiratory Diseases ◽

Allergic Diseases ◽

Dermatophagoides Farinae ◽

Vas Score ◽

Significant Difference ◽

Before And After ◽

Drug Score ◽

One Year

Objective. To evaluate the efficiency of sublingual immunotherapy with Dermatophagoides Farinae Drops in children with single and multiple respiratory allergic diseases. Methods. Seventy-one children with allergic respiratory diseases who had been treated with Dermatophagoides Farinae Drops for one year or more were divided into a single allergic group (12 cases) and multiple allergic group (59 cases). The rhinitis score, daytime and night symptom score of asthma, VAS score, drug score, pulmonary function, and FeNO level before and after treatment were evaluated and compared between the two groups. Results. The rhinitis score, night symptom score, VAS score, and drug score in the single allergic group after treatment were significantly lower than those before treatment ( p < 0.05 ), but there was no significant difference in the daytime symptom score before and after treatment ( p > 0.05 ). The rhinitis score, VAS score, and drug score in the multiple allergic group after treatment were significantly lower than those before treatment ( p < 0.05 ), but there was no significant difference in the scores of daytime symptoms and nighttime symptoms before and after treatment ( p > 0.05 ). In both the single allergic group and multiple allergic group, the pulmonary function indexes of the patients were significantly improved after treatment, and the FeNO after treatment was significantly lower than that before treatment ( p < 0.05 ). There was no significant difference in scores, pulmonary function, and FeNO between the two groups ( p > 0.05 ). Conclusion. Sublingual specific immunotherapy is effective in treating multiple and single allergic respiratory diseases in children.

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Musical ear syndrome in adult cochlear implant patients

The Journal of Laryngology & Otology ◽

10.1017/s0022215113001758 ◽

2013 ◽

Vol 127 (9) ◽

pp. 854-858 ◽

Cited By ~ 7

Author(s):

W-K Low ◽

C A Tham ◽

V-D D'Souza ◽

S-W Teng

Keyword(s):

Cochlear Implant ◽

Cochlear Implants ◽

Cochlear Implantation ◽

Instrumental Music ◽

Single Case ◽

Well Being ◽

Cross Sectional Survey ◽

Profound Hearing Loss ◽

Cross Sectional ◽

Single Case Report

AbstractObjective:Except for a single case report, musical ear syndrome in cochlear implantees has not been studied. We aimed to study the prevalence and nature of musical ear syndrome among adult cochlear implant patients, as well as the effect on their emotional well-being.Study design, patients and intervention:A cross-sectional survey of patients aged 18 years and above who had received cochlear implants for profound hearing loss between 1997 and 2010.Results:Of the 82 patients studied, 18 (22 per cent) were found to have experienced musical ear syndrome. Seven and 11 patients had musical ear syndrome prior to and after cochlear implantation, respectively. The character of musical ear syndrome symptoms was described as instrumental music (n = 2), singing (6) or both (10). Fourteen patients reported an adverse emotional effect, with three expressing ‘intolerance’.Conclusions:In this study, 22 per cent of cochlear implantees experienced musical ear syndrome. These symptoms affected patients' emotional state, but most coped well. Musical ear syndrome can occur prior to and after cochlear implantation.

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Cochlear Implantation after Bacterial Meningitis in Infants Younger Than 9 Months

International Journal of Otolaryngology ◽

10.1155/2011/845879 ◽

2011 ◽

Vol 2011 ◽

pp. 1-9 ◽

Cited By ~ 2

Author(s):

B. Y. Roukema ◽

M. C. Van Loon ◽

C. Smits ◽

C. F. Smit ◽

S. T. Goverts ◽

...

Keyword(s):

Hearing Loss ◽

Bacterial Meningitis ◽

Cochlear Implants ◽

Cochlear Implantation ◽

Speech Intelligibility ◽

Pneumococcal Meningitis ◽

Profound Hearing Loss ◽

Young Infants ◽

Key Points ◽

Auditory Performance

Objective. To describe the audiological, anesthesiological, and surgical key points of cochlear implantation after bacterial meningitis in very young infants.Material and Methods. Between 2005 and 2010, 4 patients received 7 cochlear implants before the age of 9 months (range 4–8 months) because of profound hearing loss after pneumococcal meningitis.Results. Full electrode insertions were achieved in all operated ears. The audiological and linguistic outcome varied considerably, with categories of auditory performance (CAP) scores between 3 and 6, and speech intelligibility rating (SIR) scores between 0 and 5. The audiological, anesthesiological, and surgical issues that apply in this patient group are discussed.Conclusion. Cochlear implantation in very young postmeningitic infants is challenging due to their young age, sequelae of meningitis, and the risk of cochlear obliteration. A swift diagnostic workup is essential, specific audiological, anesthesiological, and surgical considerations apply, and the outcome is variable even in successful implantations.

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

Otolaryngologia Polska ◽

10.5604/01.3001.0013.0400 ◽

2019 ◽

Vol 73 (2) ◽

pp. 11-17 ◽

Cited By ~ 2

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.

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Diode Laser Trabeculoplasty in Patients with Pseudoexfoliative Glaucoma

European Ophthalmic Review ◽

10.17925/eor.2013.07.01.14 ◽

2013 ◽

Vol 07 (01) ◽

pp. 14

Author(s):

Nikola Babić ◽

Aleksandar Miljković ◽

Veljko Andreić ◽

◽

...

Keyword(s):

Diode Laser ◽

Open Angle Glaucoma ◽

Spot Size ◽

Open Angle ◽

Pseudoexfoliative Glaucoma ◽

Laser Trabeculoplasty ◽

Significant Difference ◽

Before And After ◽

One Year ◽

A Prospective Study

Aim:A prospective study was carried out to examine the efficacy of diode laser trabeculoplasty (DLT) in the treatment of pseudoexfoliative glaucoma (XFG).Material and Methods:Laser trabeculoplasty was performed by Zeiss VISULAS 532s diode pumped solid state laser on 69 eyes of 40 patients with XFG and primary open-angle glaucoma. Power of 6001,200 mW was used, with a spot size of 100 microns and a pulse of 0.10 second. One hour before DLT brimonidine 0.1 % was administered and during seven days after the treatment Dexamethasone 1 % was administered. All patients underwent complete ophthalmic evaluation before and at intervals after treatment (seven days, one, three and six months and one year postoperatively). During the follow-up period, patients were treated with the same topical anti-glaucoma medicaments as before diode laser trabeculoplasty.Results:Before treatment in XFG patients mean intraocular pressure (IOP) was 23.7±2.6 mmHg and seven days after DLT it was 16.8 ± 2.1 mmHg that is 26.9 % decrease from the baseline, on day 30 it was 14.3 ± 2.2 mmHg which is 38.3 % decrease from the baseline, after 3 months 13.9 ± 2.4 mmHg (39.0 % decrease from the baseline), after six months 13.8 ± 2.7 mmHg or 39.9 % decrease from the baseline and after one year 15.1 ± 3.1 mmHg that makes 36.3 % decrease from the baseline. No side effects (either objective or subjective) were present in examined patients.Conclusions:There is statistically significant difference between IOP before and after diode laser trabeculoplasty, so it is concluded that diode laser trabeculoplasty is an effective mode of treatment for eyes with open-angle glaucoma especially in patients with XFG.

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Current Practices in Pediatric Cochlear Implantation

Perspectives on Hearing and Hearing Disorders in Childhood ◽

10.1044/hhdc19.1.32 ◽

2009 ◽

Vol 19 (1) ◽

pp. 32-42 ◽

Cited By ~ 6

Author(s):

Tamala S. Bradham ◽

Geneine Snell ◽

David Haynes

Keyword(s):

Hearing Loss ◽

Cochlear Implants ◽

Cochlear Implantation ◽

Healthcare Providers ◽

Interdisciplinary Teams ◽

Profound Hearing Loss ◽

Comprehensive Management ◽

Technological Advances ◽

Management Protocol ◽

Professional Guidelines

Abstract Technological advances, specifically cochlear implants, have significantly impacted the treatment of children with severe to profound hearing loss. There are, however, very few professional guidelines or resources providing direction for hearing healthcare providers who are serving children with cochlear implants. The following article discusses a comprehensive management protocol for interdisciplinary teams providing cochlear implant services for children.

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