1
|
Qin F, Guo S, Yin X, Lu X, Ma J. Auditory and speech outcomes of cochlear implantation in patients with Waardenburg syndrome: a meta-analysis. Front Neurol 2024; 15:1372736. [PMID: 39055322 PMCID: PMC11269181 DOI: 10.3389/fneur.2024.1372736] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2024] [Accepted: 07/02/2024] [Indexed: 07/27/2024] Open
Abstract
Objective This study aims to assess the potential efficacy of cochlear implantation as a treatment for patients with Waardenburg syndrome (WS) and to guide clinical work by comparing the effect of auditory and speech recovery after cochlear implantation in patients with WS and non-WS. Methods PubMed, the Cochrane Library, CNKI, and Wanfang Data were sources for retrieving literature on cochlear implantation in WS, and clinical data meeting the inclusion criteria were meta-analyzed using RevMan5.41. Results A total of nine articles were included in this study, including 132 patients with WS and 815 patients in the control group. Meta-analysis showed that there are no significant differences in the scores for categories of audit performance (CAP), speech intelligibility rating (SIR), and parents' evaluation of aural/oral performance of children (PEACH) between the WS group and the control group. Conclusion Cochlear implantation demonstrates comparable auditory and speech recovery outcomes for WS patients and non-WS patients.
Collapse
Affiliation(s)
- Feng Qin
- The Changzhou Clinical College of Xuzhou Medical University, Changzhou, Jiangsu, China
- Department of Otorhinolaryngology, Changzhou Third People’s Hospital, Changzhou, Jiangsu, China
| | - Siquan Guo
- Department of Otorhinolaryngology, The First People’s Hospital of Changzhou, Changzhou, Jiangsu, China
| | - Xiuwen Yin
- The Changzhou Clinical College of Xuzhou Medical University, Changzhou, Jiangsu, China
- Department of Otorhinolaryngology, Changzhou Third People’s Hospital, Changzhou, Jiangsu, China
| | - Xiaoyu Lu
- The Changzhou Clinical College of Xuzhou Medical University, Changzhou, Jiangsu, China
- Department of Otorhinolaryngology, Changzhou Third People’s Hospital, Changzhou, Jiangsu, China
| | - Jing Ma
- The Changzhou Clinical College of Xuzhou Medical University, Changzhou, Jiangsu, China
- Department of Otorhinolaryngology, Changzhou Third People’s Hospital, Changzhou, Jiangsu, China
| |
Collapse
|
2
|
Vanstrum EB, Castellanos CX, Ziltzer RS, Ulloa R, Moen R, Choi JS, Cortessis VK. Cochlear implantation in Waardenburg syndrome: Systematic review and meta-analysis. Int J Pediatr Otorhinolaryngol 2023; 175:111738. [PMID: 37847940 DOI: 10.1016/j.ijporl.2023.111738] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/01/2023] [Revised: 08/16/2023] [Accepted: 09/18/2023] [Indexed: 10/19/2023]
Abstract
OBJECTIVE Waardenburg syndrome (WS) is a genetic condition associated with moderate to profound sensorineural hearing loss. The aim of this review is to characterize cochlear implant (CI) outcomes in patients with a confirmed clinical diagnosis of WS. DATA SOURCES MEDLINE, Ovid EMBASE, and Cochrane Library. REVIEW METHODS All reports describing defined sets of patients with WS who underwent CI and subsequent evaluation of clinical outcomes were included. To harmonize outcome data between studies that used different measures, a binary variable Favored CI was developed to capture success of procedures (1 = favored, 0 = unfavored) based on original authors' description, commentary, discussion, and conclusions. Expert reviewers independently reviewed and selected articles, extracted data and scored Favored CI values. Synthetic and analytic meta-analyses were implemented using standard analytic techniques. RESULTS Twenty articles meeting inclusion criteria provided data on 192 WS patients and 210 CIs. The mean age at CI was 3.8 years (95% confidence interval [95%CI]; 3.1-4.5 years), and the mean duration of follow up was 5.2 years (95% CI; 3.4-7.0 years). Surgical complications were rare (11/210 implants, 5.2%) where gusher was the most common complication. CIs yielded favorable hearing outcomes in 90% (95% CI; 84-94%) of cases, and appear successful for those with temporal bone anomalies (p = 0.04). CONCLUSIONS Quantitative synthesis of the study data demonstrates that in the majority of patients with WS, CI yield favorable hearing outcomes and low rates of surgical complications. CI has shown to provide clinical benefits in patients with WS.
Collapse
Affiliation(s)
- Erik B Vanstrum
- Department of Head and Neck Surgery, David Geffen School of Medicine at the University of California Los Angeles, Los Angeles, CA, USA.
| | | | | | - Ruben Ulloa
- Keck School of Medicine, Los Angeles, CA, USA
| | | | - Janet S Choi
- Department of Otolaryngology - Head and Neck Surgery, University of Minnesota, USA
| | | |
Collapse
|
3
|
Caragli V, Monzani D, Genovese E, Palma S, Persico AM. Cochlear Implantation in Children with Additional Disabilities: A Systematic Review. CHILDREN (BASEL, SWITZERLAND) 2023; 10:1653. [PMID: 37892316 PMCID: PMC10605071 DOI: 10.3390/children10101653] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/12/2023] [Revised: 09/26/2023] [Accepted: 09/29/2023] [Indexed: 10/29/2023]
Abstract
This study examines the last 10 years of medical literature on the benefits of cochlear implantation in children who are deaf or hard of hearing (DHH) with additional disabilities. The most recent literature concerning cochlear implants (CIs) in DHH children with additional disabilities was systematically explored through PubMed, Embase, Scopus, PsycINFO, and Web of Science from January 2012 to July 2023. Our two-stage search strategy selected a total of 61 articles concerning CI implantation in children with several forms of additional disabilities: autism spectrum disorder, cerebral palsy, visual impairment, motor disorders, developmental delay, genetic syndromes, and intellectual disability. Overall, many children with additional disabilities benefit from CIs by acquiring greater environmental sound awareness. This, in turn, improves non-verbal communication and adaptive skills, with greater possibilities to relate to others and to be connected with the environment. Instead, despite some improvement, expressive language tends to develop more slowly and to a lesser extent compared to children affected by hearing loss only. Further studies are needed to better appreciate the specificities of each single disability and to personalize interventions, not restricting the analysis to auditory and language skills, but rather applying or developing cross-culturally validated instruments able to reliably assess the developmental trajectory and the quality of life of DHH children with additional disabilities before and after CI.
Collapse
Affiliation(s)
- Valeria Caragli
- Otorhinolaryngology-Head and Neck Surgery, Audiology Program, Department of Diagnostic Clinical and Public Health, University of Modena and Reggio Emilia, 41125 Modena, Italy;
| | - Daniele Monzani
- Department of Surgery Dentistry Paediatrics and Gynaecology, University of Verona, 37100 Verona, Italy;
| | - Elisabetta Genovese
- Audiology Program, Department of Diagnostic Clinical and Public Health, University of Modena and Reggio Emilia, 41100 Modena, Italy;
| | - Silvia Palma
- Audiology, Primary Care Department, AUSL Modena, 41100 Modena, Italy;
| | - Antonio M. Persico
- Child and Adolescent Neuropsychiatry Program, Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Modena University Hospital, 41125 Modena, Italy
| |
Collapse
|
4
|
Lovett A, Eastwood M, Metcalfe C, Muzaffar J, Monksfield P, Bance M. Outcomes of Cochlear implantation in early-deafened patients with Waardenburg syndrome: A systematic review and narrative synthesis. Laryngoscope Investig Otolaryngol 2023; 8:1094-1107. [PMID: 37621295 PMCID: PMC10446317 DOI: 10.1002/lio2.1110] [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: 01/31/2023] [Revised: 05/23/2023] [Accepted: 06/17/2023] [Indexed: 08/26/2023] Open
Abstract
Objective This systematic review aims to establish the expected hearing and speech outcomes following cochlear implantation (CI) in patients with profound congenital deafness secondary to Waardenburg syndrome (WS). Methods A systematic review of the literature and narrative synthesis was performed in accordance with the PRISMA statement. Databases searched: Medline, Pubmed, Embase, Web of Science, Cochrane Collection, and ClinicalTrials.gov. No limits were placed on language or year of publication. Results Searches identified 186 abstracts and full texts. Of these, 16 studies met inclusion criteria reporting outcomes in 179 patients and at least 194 implants. Hearing outcomes of those receiving cochlear implantation were generally good. Five studies included genetic analysis of one or more of the participants. A total of 11 peri/post-operative complications were reported. The methodological quality of included studies was modest, mainly comprising noncontrolled case series with small cohort size. All studies were OCEBM grade III-IV. Conclusion Cochlear implantation in congenitally deafened children with Waardenburg Syndrome is a well-established intervention as a method of auditory rehabilitation. Due to the uncommon nature of the condition, there is a lack of large-scale high-quality studies examining the use of cochlear implantation in this patient group. However, overall outcomes following implantation are positive with the majority of patients demonstrating improved audiometry, speech perception and speech intelligibility supporting its use in appropriately selected cases.
Collapse
Affiliation(s)
- Amy Lovett
- Royal Stoke University HospitalStoke on TrentUK
| | | | - Chris Metcalfe
- Royal Stoke University HospitalStoke on TrentUK
- University Hospitals Birmingham NHS Foundation TrustQueen Elizabeth Hospital BirminghamEdgbastonUK
| | - Jameel Muzaffar
- University Hospitals Birmingham NHS Foundation TrustQueen Elizabeth Hospital BirminghamEdgbastonUK
- Department of Clinical NeurosciencesUniversity of CambridgeCambridgeUK
| | - Peter Monksfield
- University Hospitals Birmingham NHS Foundation TrustQueen Elizabeth Hospital BirminghamEdgbastonUK
| | - Manohar Bance
- Department of Clinical NeurosciencesUniversity of CambridgeCambridgeUK
| |
Collapse
|
5
|
李 果, 刘 莉, 杨 婷, 郎 春, 马 秀, 赵 丽, 唐 贤, 王 翔, 张 铁, 马 静. [Evaluation of hearing and speech rehabilitation after cochlear implantation in children with Waardenburg syndrome]. LIN CHUANG ER BI YAN HOU TOU JING WAI KE ZA ZHI = JOURNAL OF CLINICAL OTORHINOLARYNGOLOGY, HEAD, AND NECK SURGERY 2022; 36:347-352. [PMID: 35483684 PMCID: PMC10128261 DOI: 10.13201/j.issn.2096-7993.2022.05.005] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 12/31/2021] [Indexed: 06/14/2023]
Abstract
Objective:By comparing the hearing and speech rehabilitation effects of cochlear implantation (CI) in children with Waardenburg syndrome (WS) and children with common deafness genes (SLC26A4, GJB2) in the Chinese population, and the hearing and speech rehabilitation effects of bilateral CI and unilateral CI in children with WS, to provide a reference for clinical CIin children with WS. Methods:Follow up and return visit 72 pedestrian cochlear implant children with severe and above sensorineural hearing loss and clear gene mutation type diagnosed by Kunming Children's Hospital from 2017 to 2019, including 24 cases in the WS group, 24 cases in the control group (SLC26A4 deafness group and GJB2 deafness group). All enrolled children were evaluated for auditory and speech ability 12 months after startup. Results:The hearing aid threshold, the correct recognition rate of speech recognition ability evaluation, IT-MAIS / MAIS score rate, CAP score, SIR score, there was no significant difference(P>0.05). The correct recognition rates of IT-MAIS / MAIS score, SIR score, natural environment sound recognition, vowel recognition, tone recognition, monosyllabic word recognition, disyllabic word recognition and short sentence recognition in children with WS bilateral CI were significantly higher than those in children with WS unilateral CI (P<0.05). There was no significant difference in CAP score, initial recognition and correct recognition rate of trisyllabic words between children with WS bilateral CI and children with WS unilateral CI (P>0.05). Conclusion:Common deafness genes in children with WS and Chinese population (SLC26A4, GJB2) the effect of cochlear implantation on hearing and speech rehabilitation of sick children is equivalent. For children with severe and above sensorineural hearing loss associated with this syndrome, CI can be used clinically to improve their hearing and speech ability. WS bilateral CI has advantages in some hearing and speech abilities compared with unilateral CI, so those whomeet the conditions should be encouraged bilateral implantation.
Collapse
Affiliation(s)
- 果 李
- 昆明市儿童医院(云南省儿童医学中心,昆明医科大学附属儿童医院)耳鼻咽喉头颈外科(昆明,650100)Department of Otolaryngology Head and Neck Surgery, Kunming Children's Hospital[Yunnan Children's Medical Center, Children's Hospital Affiliated to Kunming Medical University], Kunming, 650100, China
| | - 莉 刘
- 丽江市特殊教育学校资源中心Lijiang Special Education School Resource Center
| | - 婷 杨
- 昆明市儿童医院(云南省儿童医学中心,昆明医科大学附属儿童医院)感染一科Department of Infection, Kunming Children's Hospital[Yunnan Children's Medical Center, Children's Hospital Affiliated to Kunming Medical University]
| | - 春梅 郎
- 昆明市儿童医院(云南省儿童医学中心,昆明医科大学附属儿童医院)耳鼻咽喉头颈外科(昆明,650100)Department of Otolaryngology Head and Neck Surgery, Kunming Children's Hospital[Yunnan Children's Medical Center, Children's Hospital Affiliated to Kunming Medical University], Kunming, 650100, China
| | - 秀丽 马
- 昆明市儿童医院(云南省儿童医学中心,昆明医科大学附属儿童医院)耳鼻咽喉头颈外科(昆明,650100)Department of Otolaryngology Head and Neck Surgery, Kunming Children's Hospital[Yunnan Children's Medical Center, Children's Hospital Affiliated to Kunming Medical University], Kunming, 650100, China
| | - 丽萍 赵
- 昆明市儿童医院(云南省儿童医学中心,昆明医科大学附属儿童医院)耳鼻咽喉头颈外科(昆明,650100)Department of Otolaryngology Head and Neck Surgery, Kunming Children's Hospital[Yunnan Children's Medical Center, Children's Hospital Affiliated to Kunming Medical University], Kunming, 650100, China
| | - 贤超 唐
- 昆明市儿童医院(云南省儿童医学中心,昆明医科大学附属儿童医院)放射科Department of Radiology, Kunming Children's Hospital[Yunnan Children's Medical Center, Children's Hospital Affiliated to Kunming Medical University]
| | - 翔 王
- 上海交通大学附属上海儿童医学中心耳鼻咽喉头颈外科Department of Otolaryngology Head and Neck Surgery, Shanghai Children's Medical Center Affiliated to Shanghai Jiaotong University
| | - 铁松 张
- 昆明市儿童医院(云南省儿童医学中心,昆明医科大学附属儿童医院)耳鼻咽喉头颈外科(昆明,650100)Department of Otolaryngology Head and Neck Surgery, Kunming Children's Hospital[Yunnan Children's Medical Center, Children's Hospital Affiliated to Kunming Medical University], Kunming, 650100, China
| | - 静 马
- 昆明市儿童医院(云南省儿童医学中心,昆明医科大学附属儿童医院)耳鼻咽喉头颈外科(昆明,650100)Department of Otolaryngology Head and Neck Surgery, Kunming Children's Hospital[Yunnan Children's Medical Center, Children's Hospital Affiliated to Kunming Medical University], Kunming, 650100, China
| |
Collapse
|
6
|
The Hearing Outcomes of Cochlear Implantation in Waardenburg Syndrome. BIOMED RESEARCH INTERNATIONAL 2016; 2016:2854736. [PMID: 27376080 PMCID: PMC4916269 DOI: 10.1155/2016/2854736] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/27/2016] [Revised: 03/27/2016] [Accepted: 05/18/2016] [Indexed: 01/22/2023]
Abstract
Objectives. This study aimed to determine the feasibility of cochlear implantation for sensorineural hearing loss in patients with Waardenburg syndrome. Method. A retrospective chart review was performed on patients who underwent cochlear implantation at the University of Tokyo Hospital. Clinical classification, genetic mutation, clinical course, preoperative hearing threshold, high-resolution computed tomography of the temporal bone, and postoperative hearing outcome were assessed. Result. Five children with Waardenburg syndrome underwent cochlear implantation. The average age at implantation was 2 years 11 months (ranging from 1 year 9 months to 6 years 3 months). Four patients had congenital profound hearing loss and one patient had progressive hearing loss. Two patients had an inner ear malformation of cochlear incomplete partition type 2. No surgical complication or difficulty was seen in any patient. All patients showed good hearing outcome postoperatively. Conclusion. Cochlear implantation could be a good treatment option for Waardenburg syndrome.
Collapse
|
7
|
van Nierop JWI, Snabel RR, Langereis M, Pennings RJE, Admiraal RJC, Mylanus EAM, Kunst HPM. Paediatric Cochlear Implantation in Patients with Waardenburg Syndrome. Audiol Neurootol 2016; 21:187-94. [PMID: 27245679 DOI: 10.1159/000444120] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2015] [Accepted: 01/15/2016] [Indexed: 11/19/2022] Open
Abstract
OBJECTIVE To analyse the benefit of cochlear implantation in young deaf children with Waardenburg syndrome (WS) compared to a reference group of young deaf children without additional disabilities. METHOD A retrospective study was conducted on children with WS who underwent cochlear implantation at the age of 2 years or younger. The post-operative results for speech perception (phonetically balanced standard Dutch consonant-vocal-consonant word lists) and language comprehension (the Reynell Developmental Language Scales, RDLS), expressed as a language quotient (LQ), were compared between the WS group and the reference group by using multiple linear regression analysis. RESULTS A total of 14 children were diagnosed with WS, and 6 of them had additional disabilities. The WS children were implanted at a mean age of 1.6 years and the 48 children of the reference group at a mean age of 1.3 years. The WS children had a mean phoneme score of 80% and a mean LQ of 0.74 at 3 years post-implantation, and these results were comparable to those of the reference group. Only the factor additional disabilities had a significant negative influence on auditory perception and language comprehension. CONCLUSIONS Children with WS performed similarly to the reference group in the present study, and these outcomes are in line with the previous literature. Although good counselling about additional disabilities concomitant to the syndrome is relevant, cochlear implantation is a good rehabilitation method for children with WS.
Collapse
Affiliation(s)
- Josephine W I van Nierop
- Department of Otorhinolaryngology - Head and Neck Surgery, Radboud University Medical Center, Nijmegen, The Netherlands
| | | | | | | | | | | | | |
Collapse
|
8
|
Laccourreye L, Ettienne V, Prang I, Couloigner V, Garabedian EN, Loundon N. Speech perception, production and intelligibility in French-speaking children with profound hearing loss and early cochlear implantation after congenital cytomegalovirus infection. Eur Ann Otorhinolaryngol Head Neck Dis 2015; 132:317-20. [DOI: 10.1016/j.anorl.2015.08.020] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
- L Laccourreye
- Service d'oto-rhino-laryngologie pédiatrique, hôpital Necker-Enfants malades, université Paris-Descartes, Sorbonne Paris-Cité, Assistance publique-Hôpitaux de Paris, 149, rue de Sèvres, 75015 Paris, France.
| | - V Ettienne
- Service d'oto-rhino-laryngologie pédiatrique, hôpital Necker-Enfants malades, université Paris-Descartes, Sorbonne Paris-Cité, Assistance publique-Hôpitaux de Paris, 149, rue de Sèvres, 75015 Paris, France
| | - I Prang
- Service d'oto-rhino-laryngologie pédiatrique, hôpital Necker-Enfants malades, université Paris-Descartes, Sorbonne Paris-Cité, Assistance publique-Hôpitaux de Paris, 149, rue de Sèvres, 75015 Paris, France
| | - V Couloigner
- Service d'oto-rhino-laryngologie pédiatrique, hôpital Necker-Enfants malades, université Paris-Descartes, Sorbonne Paris-Cité, Assistance publique-Hôpitaux de Paris, 149, rue de Sèvres, 75015 Paris, France
| | - E-N Garabedian
- Service d'oto-rhino-laryngologie pédiatrique, hôpital Necker-Enfants malades, université Paris-Descartes, Sorbonne Paris-Cité, Assistance publique-Hôpitaux de Paris, 149, rue de Sèvres, 75015 Paris, France
| | - N Loundon
- Service d'oto-rhino-laryngologie pédiatrique, hôpital Necker-Enfants malades, université Paris-Descartes, Sorbonne Paris-Cité, Assistance publique-Hôpitaux de Paris, 149, rue de Sèvres, 75015 Paris, France
| |
Collapse
|
9
|
Varga L, Kabátová Z, Mašindová I, Nechojdomová D, Gašperíková D, Klimeš I, Profant M. Is deafness etiology important for prediction of functional outcomes in pediatric cochlear implantation? Acta Otolaryngol 2014; 134:571-8. [PMID: 24720341 DOI: 10.3109/00016489.2014.894253] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
CONCLUSIONS Implanted children with GJB2 mutations tended to achieve better functional outcomes than the two control groups, although clear-cut significance was not always achieved. Hearing loss etiology may be considered as one of the important predictors, but complex influence of other factors on postoperative performance should be included in cautious individual counseling. OBJECTIVE This study aimed to detect possible associations between hearing loss etiology and postoperative rehabilitation outcomes in prelingually deaf children, with a particular focus on hereditary deafness caused by connexin mutations. METHODS Eighty-one of 92 prelingually deaf implanted children, tested for DFNB1 mutations, were divided into 3 etiology groups and underwent audiological evaluation in tone audiometry, speech audiometry, monosyllabic words, and categories of auditory performance (CAP), conducted 1, 3, and 5 years after implantation. RESULTS Statistically significant differences (p < 0.05) for tone audiometry were obtained, particularly after the first and third year post implantation, between 'connexin' and 'known' etiology groups. In speech audiometry, the monosyllabic word test, and CAP, the connexin group of children scored significantly better than the two control groups only after 3 and 5 years. Although the rate of excellent performers was higher in the connexin group, poor results were achieved in all groups in similar proportion.
Collapse
Affiliation(s)
- Lukáš Varga
- 1st Otorhinolaryngology Clinic, Faculty of Medicine and University Hospital, Comenius University , Bratislava
| | | | | | | | | | | | | |
Collapse
|