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Ordóñez Ordóñez LE, Angulo Martínez ES, Vanegas SC, Rodríguez Montoya SR. Clinical experience with the Nurotron™ cochlear implant in a Spanish-speaking postlingual population: Clinical safety and audiological results. ACTA OTORRINOLARINGOLOGICA ESPANOLA 2024; 75:137-147. [PMID: 38220047 DOI: 10.1016/j.otoeng.2024.01.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2023] [Accepted: 06/25/2023] [Indexed: 01/16/2024]
Abstract
OBJECTIVE to assess clinical safety and postoperative audiological outcomes in postlingual deafness Spanish speaking patients, who underwent surgery with Nurotron™ cochlear implant. MATERIAL AND METHODS Retrospective descriptive case series study. We performed follow-up of complications and audiological measurements before and after cochlear implantation. Patients with bilateral severe to profound sensorineural hearing loss or patients with unilateral deafness with/without tinnitus were included. Repeated-measures within-subjects for assess pure tone thresholds and speech performance (bilingual test) with a detailed monitoring to establish security or adverse effects were performed. Analysis of variance tests, repetitive measures, were used for statistical analysis. RESULTS 31 patients were included, 17 (54.8%) men and 14 (45.2%) women. Mean age at the time of surgery was 49.82 ± 18.8 years. The mean follow-up of the group was 31.56 ± 9.57 months (minimum = 19.6 months and maximum = 52.50 months). As major complication one patient (3.23%) had a hard failure that required removal and re-implantation. 25.8% of the patients presented minor complications, the most frequent being vertigo/unsteadiness in 22.6%. The mean of language discrimination (free field at 65 dB SPL) was 62.19% ± 16.66; being 69.82% ± 7.35 in the group of severe to profound bilateral sensorineural hearing loss. A statistically significant reduction was observed in patients with tinnitus, assessed using the visual analogue scale, preoperative = 7.2 ± 1,6 vs postoperative (18months postoperative) = 1.7 ± 1.3 (p < .001). CONCLUSIONS The Nurotron™ cochlear implant shows satisfactory audiological results, in accordance with what has been reported in the literature. Minor complications were similar to previous studies, but the percentage of hard failure should continue to be observed, which was higher than other reports with comparable follow-up.
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Affiliation(s)
- Leonardo Elías Ordóñez Ordóñez
- Clínica Universitaria Colombia (Clínica Colsanitas), Fundación Universitaria Sanitas (Unisanitas); Keralty. Grupo de investigación Anaboleas, Bogotá, Colombia; Universidad Militar Nueva Granada, Hospital Militar Central, Bogotá, Colombia.
| | | | - Silvia Carolina Vanegas
- Clínica Universitaria Colombia (Clínica Colsanitas), Fundación Universitaria Sanitas (Unisanitas); Keralty. Grupo de investigación Anaboleas, Bogotá, Colombia; Rehabiltación Infantil, Clínica Universitaria Colombia (Clínica Colsanitas), Fundación Universitaria Sanitas (Unisanitas); Keralty. Grupo de investigación Anaboleas, Bogotá, Colombia
| | - Silvia Raquel Rodríguez Montoya
- Universidad Militar Nueva Granada, Hospital Militar Central, Bogotá, Colombia; Rehabilitación Auditivo Verbal, Universidad Nacional de Colombia, Bogotá, Colombia
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The Impact of Hearing Aids on Speech Perception in Mandarin-Speaking Children. COMPUTATIONAL INTELLIGENCE AND NEUROSCIENCE 2022; 2022:8692865. [PMID: 35990159 PMCID: PMC9391143 DOI: 10.1155/2022/8692865] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/14/2022] [Revised: 07/11/2022] [Accepted: 07/16/2022] [Indexed: 11/18/2022]
Abstract
Background. Severe hearing loss can affect speech perception in children, and hearing aids as a medical device may help improve speech perception in children. Objective. To explore the effects of fitting hearing aids (HAs) on speech perception in children with severe hearing loss (60–70 dB HL). Methods. Ninety-five children with bilateral severe hearing loss who were fitted bilaterally with HAs before the age of 3 years were followed up. The subjects were grouped according to their age at the time of fitting, i.e., <1, 1–2 , and 2–3 years groups. The Mandarin Early Speech Perception test was used to evaluate speech perception of Mandarin monosyllabic words at 12, 24, and 36 months after fitting. Results. There were significant improvements in vowel, consonant, and tone perception scores from 12 to 36 months after fitting HAs in the three age groups, and the mean score at 36 months after fitting was significantly improved at >85%. The mean speech pattern and spondee perception scores averaged at >90% at 12 months after fitting and were comparable to the scores of 2-year-old children with normal hearing. Conclusions. HA helps with speech perception in children with severe hearing loss.
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Li G, Zhao F, Tao Y, Zhang L, Zheng Y. Trajectories of receptive and expressive vocabulary in Mandarin speaking children under 4 years of age fitted with cochlear implants: a 12-month longitudinal study. Int J Audiol 2022:1-9. [PMID: 35608224 DOI: 10.1080/14992027.2022.2071769] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
Abstract
OBJECTIVE To explore trajectories of receptive and expressive vocabulary in Mandarin-speaking children under the age of 4 years, fitted with cochlear implants (CIs). DESIGN Vocabulary trajectories were measured at baseline, 3, 6, and 12 months after implantation using the Chinese version of the MacArthur-Bates Communicative Development Inventory. STUDY SAMPLE There were 216 children with CIs in West China Hospital who took part and were divided into three groups based on age at first CI. RESULTS Receptive and expressive vocabulary scores of the younger implantation group were significantly different from the older groups at baseline. After 12 months of implant use, there were no significant differences between all groups. Furthermore receptive vocabulary trajectories for all children with CIs were not significantly different from those of children with normal hearing. However, expressive vocabulary trajectories were poorer when compared to children with normal hearing. Significant differences were seen between receptive and expressive vocabulary in all age groups. CONCLUSIONS This study suggests no differences in vocabulary trajectories in Mandarin-speaking children whether they received their first CI at 1, 2, or 3 years of age. It is important that clinicians convey realistic expectations about potential differences in receptive vs. expressive trajectories for Mandarin-speaking children fitted with CIs.
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Affiliation(s)
- Gang Li
- Hearing Center/Hearing & Speech Science Laboratory, Department of Otolaryngology/Head and Neck Surgery, West China Hospital of Sichuan University, Chengdu, China
| | - Fei Zhao
- Centre for Speech and Language Therapy and Hearing Science, Cardiff School of Sport and Health Sciences, Cardiff Metropolitan University, Cardiff, UK
| | - Yong Tao
- Hearing Center/Hearing & Speech Science Laboratory, Department of Otolaryngology/Head and Neck Surgery, West China Hospital of Sichuan University, Chengdu, China
| | - Lin Zhang
- Hearing Center/Hearing & Speech Science Laboratory, Department of Otolaryngology/Head and Neck Surgery, West China Hospital of Sichuan University, Chengdu, China
| | - Yun Zheng
- Hearing Center/Hearing & Speech Science Laboratory, Department of Otolaryngology/Head and Neck Surgery, West China Hospital of Sichuan University, Chengdu, China
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Gao Q, Wong LLN, Chen F. A Review of Speech Perception of Mandarin-Speaking Children With Cochlear Implantation. Front Neurosci 2022; 15:773694. [PMID: 34970113 PMCID: PMC8712552 DOI: 10.3389/fnins.2021.773694] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2021] [Accepted: 11/15/2021] [Indexed: 11/23/2022] Open
Abstract
Objective: This paper reviewed the literature on the development of and factors affecting speech perception of Mandarin-speaking children with cochlear implantation (CI). We also summarized speech outcome measures in standard Mandarin for evaluating auditory and speech perception of children with CI. Method: A comprehensive search of Google Scholar and PubMed was conducted from March to June 2021. Search terms used were speech perception/lexical tone recognition/auditory perception AND cochlear implant AND Mandarin/Chinese. Conclusion: Unilateral CI recipients demonstrated continuous improvements in auditory and speech perception for several years post-activation. Younger age at implantation and longer duration of CI use contribute to better speech perception. Having undergone a hearing aid trial before implantation and having caregivers whose educational level is higher may lead to better performance. While the findings that support the use of CI to improve speech perception continue to grow, much research is needed to validate the use of unilateral and bilateral implantation. Evidence to date, however, revealed bimodal benefits over CI-only conditions in lexical tone recognition and sentence perception in noise. Due to scarcity of research, conclusions on the benefits of bilateral CIs compared to unilateral CI or bimodal CI use cannot be drawn. Therefore, future research on bimodal and bilateral CIs is needed to guide evidence-based clinical practice.
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Affiliation(s)
- Qi Gao
- Department of Electrical and Electronic Engineering, Southern University of Science and Technology, Shenzhen, China.,Faculty of Education, The University of Hong Kong, Pokfulam, Hong Kong SAR, China
| | - Lena L N Wong
- Faculty of Education, The University of Hong Kong, Pokfulam, Hong Kong SAR, China
| | - Fei Chen
- Department of Electrical and Electronic Engineering, Southern University of Science and Technology, Shenzhen, China
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Li G, Zhao F, Tao Y, Zhang L, Yao X, Zheng Y. Trajectory of auditory and language development in the early stages of pre-lingual children post cochlear implantation: A longitudinal follow up study. Int J Pediatr Otorhinolaryngol 2020; 128:109720. [PMID: 31634650 DOI: 10.1016/j.ijporl.2019.109720] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/16/2019] [Revised: 10/08/2019] [Accepted: 10/08/2019] [Indexed: 11/24/2022]
Abstract
OBJECTIVES The aim of this longitudinal follow-up study was to explore the trajectories of early auditory and language development in Mandarin speaking children younger than 3 years of age following switch-on of their cochlear implants (CIs). METHODS Early auditory and language development was measured longitudinally using the Infant-Toddler Meaningful Auditory Integration Scale (IT-MAIS), which is a commonly used tool for assessing early prelingual auditory development (EPLAD) in children, and the subtest (Words and Gestures, W&G) of the simplified short form version of the Mandarin Communicative Development Inventory (SSF-MCDI) to assess receptive and expressive vocabulary growths of children in 24 pediatric cochlea implant recipients at baseline, 3, 6, and 12 months following switch-on. Age at switch-on ranged from 1 to 3 years of age. Participants were divided into two groups based on age at switch-on. The IT-MAIS and SSF-MCDI (W&G) scores were analyzed with comparison to normal children, unaided hearing-impaired children, and CI children. RESULTS Significant improvements in IT-MAIS and SSF-MCDI (W&G) scores from baseline to 12 months were seen after switch-on in both CI groups and were comparable to the normal hearing children in the first year of age. The IT-MAIS scores of CI children in both groups at 12 months after switch-on surpassed the average level of unaided peers with profound hearing loss and were similar to the average level of unaided peers with mild hearing loss. SSF-MCDI (W&G) scores in word comprehension and expression were significantly different between groups at some intervals. CONCLUSIONS Children younger than 3 years of age with cochlear implants have similar trajectories in early auditory and language developments to normally hearing children. Moreover, early implantation is an important factor for the early auditory development when comparing EPLAD results between CI children and unaided peers with different hearing loss. Finally, it is noteworthy that CI children master the skill of word comprehension before the skill of word expression, and that word comprehension may be the basis of word expression.
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Affiliation(s)
- Gang Li
- Hearing Center/Hearing & Speech Science Laboratory, Department of Otolaryngology/Head and Neck Surgery, West China Hospital of Sichuan University, Chengdu, China
| | - Fei Zhao
- Center for Speech and Language Therapy and Hearing Science, Cardiff School of Sport and Health Sciences, Cardiff Metropolitan University, Cardiff, UK
| | - Yong Tao
- Hearing Center/Hearing & Speech Science Laboratory, Department of Otolaryngology/Head and Neck Surgery, West China Hospital of Sichuan University, Chengdu, China
| | - Lin Zhang
- Hearing Center/Hearing & Speech Science Laboratory, Department of Otolaryngology/Head and Neck Surgery, West China Hospital of Sichuan University, Chengdu, China
| | - Xinyi Yao
- Hearing Center/Hearing & Speech Science Laboratory, Department of Otolaryngology/Head and Neck Surgery, West China Hospital of Sichuan University, Chengdu, China
| | - Yun Zheng
- Hearing Center/Hearing & Speech Science Laboratory, Department of Otolaryngology/Head and Neck Surgery, West China Hospital of Sichuan University, Chengdu, China.
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Li Y, Kong Y, Xu T, Dong R, Lv J, Qi B, Wang S, Yan F, Li Y, Long M, Chen X. Speech development after cochlear implantation in infants with isolated large vestibular aqueduct syndrome. Acta Otolaryngol 2019; 139:990-997. [PMID: 31550964 DOI: 10.1080/00016489.2019.1630755] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
Background: Few studies on speech performance of children after cochlear implantation (CI) described isolated large vestibular aqueduct syndrome (LVAS). Objective: To investigate speech developmental trajectories of infants with LVAS after CI, and to compare with those who have structurally normal inner ears. Materials and methods: 1112 infants with congenital severe to profound hearing loss participated in this study. 150 infants in group A were diagnosed with LVAS, 962 infants in group B with structurally normal inner ear. The speech performance was assessed via the Meaningful Use of Speech Scale (MUSS). The evaluations were performed pre-implant, 1, 3, 6, 9, 12, 24, 36, 48 and 60 months after CI. Results: The mean scores of the MUSS improved over a 5-year period after implantation in both groups A and B. The LVAS group presented similar speech developmental trajectory to the non-LVAS group at each assessment interval, except pre-operation. There were significant differences in mean scores between vocalizing behavior and oral communication skills, clarification skills of infants in both two groups. Conclusions and significance: Speech performance of infants with LVAS developed rapidly after CI and was similar to infants with structurally normal inner ear. For infants with isolated LVAS, CI had a significant effect and should be recommended as a therapeutic option.
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Affiliation(s)
- Yang Li
- Department of Otolaryngology, Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, and Beijing Institute of Otolaryngology, Beijing, China
| | - Ying Kong
- Department of Otolaryngology, Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, and Beijing Institute of Otolaryngology, Beijing, China
| | - Tianqiu Xu
- Department of Otolaryngology, Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, and Beijing Institute of Otolaryngology, Beijing, China
| | - Ruijuan Dong
- Department of Otolaryngology, Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, and Beijing Institute of Otolaryngology, Beijing, China
| | - Jing Lv
- Department of Otolaryngology, Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, and Beijing Institute of Otolaryngology, Beijing, China
| | - Beier Qi
- Department of Otolaryngology, Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, and Beijing Institute of Otolaryngology, Beijing, China
| | - Shuo Wang
- Department of Otolaryngology, Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, and Beijing Institute of Otolaryngology, Beijing, China
| | - Fei Yan
- Department of Radiology, Beijing Tongren Hospital, Capital Medical University, Beijing, China
| | - Yongxin Li
- Department of Otolaryngology, Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, and Beijing Institute of Otolaryngology, Beijing, China
| | - Mo Long
- China Rehabilitation Research Center for Hearing and Speech Impairment, Beijing, China
| | - Xueqing Chen
- Department of Otolaryngology, Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, and Beijing Institute of Otolaryngology, Beijing, China
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Liu S, Wang F, Chen P, Zuo N, Wu C, Ma J, Huang J, Wang C. Assessment of outcomes of hearing and speech rehabilitation in children with cochlear implantation. J Otol 2019; 14:57-62. [PMID: 31223302 PMCID: PMC6570639 DOI: 10.1016/j.joto.2019.01.006] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2018] [Revised: 01/19/2019] [Accepted: 01/28/2019] [Indexed: 01/16/2023] Open
Abstract
Objectives This study aimed to assess the effect of hearing and speech rehabilitation in patients with Nurotron® cochlear implants. Design Ninety-eight paediatric patients with bilateral severe-to-profound sensorineural deafness who received cochlear implantation were divided into three groups according to age: group A (≤3 years), group B (4–7 years), and group C (8–16 years). All patients were followed up for one year for hearing and speech performance after the surgery. The comprehensive Auditory Perception Assessment, MAIS, CAP and SIR hearing and speech assessments and rating materials were used for assessment before the surgery and at 3, 6, and 12 months after implant activation. Results The scores of patients in the open-set speech assessment, Chinese Auditory Perception Assessment, MAIS, CAP and SIR significantly improved after cochlear implantation in all age groups. The younger the age at implantation, the better the results. Moreover, the hearing and speech performance of cochlear implant recipients gradually improved with the extension of rehabilitation time. Conclusions Nurotron® Venus™ cochlear implantation can improve the hearing and speech performance of patients with bilateral severe-to-profound sensorineural deafness.
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Affiliation(s)
- Shaofeng Liu
- Department of Otolaryngology-Head and Neck Surgery, Yijisan Hospital of Wanan Medical College, Wuhu, Anhui, 241001, China
| | - Fang Wang
- Department of Otolaryngology, Shaoxing People's Hospital, Shaoxing, Zhejiang, 312000, China
| | - Peipei Chen
- Department of Otolaryngology-Head and Neck Surgery, Yijisan Hospital of Wanan Medical College, Wuhu, Anhui, 241001, China
| | - Na Zuo
- Department of Otolaryngology-Head and Neck Surgery, Yijisan Hospital of Wanan Medical College, Wuhu, Anhui, 241001, China
| | - Cheng Wu
- Department of Otolaryngology-Head and Neck Surgery, Yijisan Hospital of Wanan Medical College, Wuhu, Anhui, 241001, China
| | - Jun Ma
- Department of Otolaryngology-Head and Neck Surgery, Yijisan Hospital of Wanan Medical College, Wuhu, Anhui, 241001, China
| | - Jingjiang Huang
- Department of Otolaryngology-Head and Neck Surgery, Yijisan Hospital of Wanan Medical College, Wuhu, Anhui, 241001, China
| | - Chuanxi Wang
- Department of Otolaryngology-Head and Neck Surgery, Yijisan Hospital of Wanan Medical College, Wuhu, Anhui, 241001, China
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Guo Q, Li Y, Fu X, Liu H, Chen J, Meng C, Long M, Chen X. The relationship between cortical auditory evoked potentials (CAEPs) and speech perception in children with Nurotron(®) cochlear implants during four years of follow-up. Int J Pediatr Otorhinolaryngol 2016; 85:170-7. [PMID: 27240518 DOI: 10.1016/j.ijporl.2016.03.035] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/15/2015] [Revised: 03/21/2016] [Accepted: 03/24/2016] [Indexed: 10/22/2022]
Abstract
OBJECTIVE The purpose of the current study was to evaluate the relationship between the presence or absence of cortical auditory evoked potentials (CAEPs) to speech stimuli and the performance of speech perception in Chinese pediatric recipients of the Nurotron(®) cochlear implant (CI).We also wanted to determine how the CAEPs might be used as an indicator for predicting early speech perception and could provide objective evidence for clinical applications of CAEPs. METHODS 23 pediatric unilateral CI recipients participated in this study. 15 males 8 females, and their ages at implantation ranged from 13 to 68 months, with a mean age of 36 months. CAEPs and Mandarin Early Speech Perception (MESP) tests were used to evaluate the audibility and speech perception of these CI users. The tests were administered at the first, second, third, and fourth year after the CI surgery. RESULTS All the subjects demonstrated improvements in detection of speech sounds with CI. The percentages of participants who could detect all three stimuli were 26% (6/23) at first year, to 100% (23/23) at the fourth year post-implantation. The percentages of participants who passed the Category 6 of MESP were from 9% (2/23) at first year, to 91% (21/23) at the fourth year post-implantation. Significant correlations (p<0.05) were found between CAEP scores and MESP at the first, second, third year after the CI surgery. The multiple regression equation for prediction of MESP categories from CAEP scores and hearing ages was MESP=1.088+(0.504×CAEP score)+(0.964×hearing ages) (F=72.919, p<0.001, R(2)=0.621). CONCLUSION The results of this study suggested that aided cortical assessment was a useful tool to evaluate the outcomes of cochlear implantation. Cortical outcomes had a significant positive relationship with the MESP, which predicted the early speech perception of CI recipients.
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Affiliation(s)
- Qianqian Guo
- BeijingTongren Hospital, Capital Medical University, Beijing 100730, China; Beijing Institute of Otolaryngology, Key Laboratory of Otolaryngology Head and Neck Surgery(Capital Medical University), Ministry of Education, Beijing, China
| | - Yuling Li
- BeijingTongren Hospital, Capital Medical University, Beijing 100730, China; Beijing Institute of Otolaryngology, Key Laboratory of Otolaryngology Head and Neck Surgery(Capital Medical University), Ministry of Education, Beijing, China
| | - Xinxing Fu
- BeijingTongren Hospital, Capital Medical University, Beijing 100730, China; Beijing Institute of Otolaryngology, Key Laboratory of Otolaryngology Head and Neck Surgery(Capital Medical University), Ministry of Education, Beijing, China
| | - Hui Liu
- BeijingTongren Hospital, Capital Medical University, Beijing 100730, China; Beijing Institute of Otolaryngology, Key Laboratory of Otolaryngology Head and Neck Surgery(Capital Medical University), Ministry of Education, Beijing, China
| | - Jing Chen
- BeijingTongren Hospital, Capital Medical University, Beijing 100730, China; Beijing Institute of Otolaryngology, Key Laboratory of Otolaryngology Head and Neck Surgery(Capital Medical University), Ministry of Education, Beijing, China
| | - Chao Meng
- BeijingTongren Hospital, Capital Medical University, Beijing 100730, China; Beijing Institute of Otolaryngology, Key Laboratory of Otolaryngology Head and Neck Surgery(Capital Medical University), Ministry of Education, Beijing, China
| | - Mo Long
- China Rehabilitation Research Center for Deaf Children, Beijing 100029, China.
| | - Xueqing Chen
- BeijingTongren Hospital, Capital Medical University, Beijing 100730, China; Beijing Institute of Otolaryngology, Key Laboratory of Otolaryngology Head and Neck Surgery(Capital Medical University), Ministry of Education, Beijing, China.
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