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Bruschke S, Zeh R, Baumann U, Helbig S, Stöver T. [Frankfurt concept of early inpatient rehabilitation after cochlear implant treatment : Feasibility for aftercare. German version]. HNO 2024:10.1007/s00106-024-01440-z. [PMID: 38358482 DOI: 10.1007/s00106-024-01440-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/04/2024] [Indexed: 02/16/2024]
Abstract
BACKGROUND The Association of the Scientific Medical Societies in Germany (AWMF) clinical practice guideline on cochlear implant (CI) treatment, which was updated in 2020, defined the entire process of CI care for the first time. In the present study, the feasibility and results of very early rehabilitation were examined. MATERIALS AND METHODS The intervention group (IG) comprised 54 patients in whom rehabilitation was initiated within 14 (maximally 28) days after implantation. Patients with a significantly longer waiting time were included in the control group (CG, n = 21). In addition to the start and duration of rehabilitation, the speech intelligibility achieved with CI was recorded at different timepoints within a 12-month period. In addition, questionnaires were used to assess the effort of fitting the CI processor and the patients' satisfaction with the outcome as well as the timing of the start of rehabilitation. RESULTS Median waiting time between implantation and start of rehabilitation was 14 days in the IG and 106 days in the CG; 92.6% of IG patients were able to start rehabilitation within 14 days. The effect of rehabilitation in the IG was 35 and in the CG 25 percentage points (Freiburg monosyllabic test). After 6 and 12 months of CI use, both groups showed comparable results in the test condition in quiet (IG/CG 6 months: 70%/70%; 12 months: 70%/60%, Freiburg monosyllabic test) and in noise (IG/CG 6 months: -1.1-0.85 dB SNR; 12 months: -0.65 dB SNR/0.3 dB SNR, Oldenburg sentence test). Hearing quality assessment scores collected by SSQ (Speech, Spatial and Qualities of Hearing Scale) questionnaire showed better scores in the IG at 6 months, which converged to CG scores at 12 months. The IG was significantly more satisfied with the timing of the start of rehab than the CG. All other data obtained from questionnaires showed no differences between the two groups. CONCLUSION A very early start of inpatient rehabilitation after cochlear implantation was successfully implemented. The rehabilitation was completed within 7 weeks of CI surgery. Comparison of speech recognition test results before and after rehabilitation showed a significant improvement. A clear rehabilitation effect can therefore be demonstrated. Inclusion of CI rehabilitation in the German catalog of follow-up treatments is thus scientifically justified and therefore strongly recommended.
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Affiliation(s)
- Stefanie Bruschke
- Klinik für HNO-Heilkunde, Goethe-Universität Frankfurt, Universitätsklinikum, Frankfurt a. M, Deutschland.
| | - Roland Zeh
- MEDIAN Kaiserberg-Klinik, Bad Nauheim, Deutschland
| | - Uwe Baumann
- Klinik für HNO-Heilkunde, Goethe-Universität Frankfurt, Universitätsklinikum, Frankfurt a. M, Deutschland.
| | - Silke Helbig
- Klinik für HNO-Heilkunde, Goethe-Universität Frankfurt, Universitätsklinikum, Frankfurt a. M, Deutschland
| | - Timo Stöver
- Klinik für HNO-Heilkunde, Goethe-Universität Frankfurt, Universitätsklinikum, Frankfurt a. M, Deutschland
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Gu W, Daoudi H, Lahlou G, Sterkers O, Ferrary E, Nguyen Y, Mosnier I, Torres R. Auditory outcomes after scala vestibuli array insertion are similar to those after scala tympani insertion 1 year after cochlear implantation. Eur Arch Otorhinolaryngol 2024; 281:155-162. [PMID: 37516989 DOI: 10.1007/s00405-023-08107-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2023] [Accepted: 07/03/2023] [Indexed: 08/01/2023]
Abstract
PURPOSE In cochlear implantation, a scala vestibuli (SV) insertion of an electrode array is a rare occurrence and is reported to be linked to poor hearing outcomes. Using the same electrode array, the auditory performance of patients with a complete SV location was compared with that of patients having a complete scala tympani (ST) location 1 year after implantation. METHODS Thirty-three patients were included in this retrospective case-control study (SV, n = 12; ST, n = 21). The matching criteria were electrode array type, age at implantation, and duration of severe or profound deafness. The array location was analyzed using 3D reconstruction of postoperative CT scans. Postoperative audiological evaluation of the implanted ear was performed using pure-tone audiometry, speech recognition of monosyllabic words in quiet, and words and sentences in noise. RESULTS On the preoperative CT scan, six patients in the SV group presented with both round window (RW) and ST ossification, three with RW ossification alone, and three with no RW ossification. Auditory performance did not differ between SV and ST groups 1 year after cochlear implantation. Speech recognition of words was 49 ± 7.6% and 56 ± 5.0% in quiet and 75 ± 9.5% and 66 ± 6.0% in noise in SV and ST groups, respectively. CONCLUSION ST insertion is the gold standard that allows the three cochlear scalae to preserve scalar cochlear integrity. However, 1 year after implantation, a planned or unexpected SV insertion is not detrimental to hearing outcomes, providing similar auditory performance in quiet and noise to ST insertion.
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Affiliation(s)
- Wenxi Gu
- APHP/Sorbonne Université, GHU Pitié-Salpêtrière, Service ORL, Unité Fonctionnelle Implants Auditifs Et Explorations Fonctionnelles, 50-52 Boulevard Vincent Auriol, 75013, Paris, France
- Institut Pasteur/Université Paris Cité/Inserm, Institut de L'Audition, Technologie Et Thérapie Génique Pour La Surdité, 63 Rue de Charenton, 75012, Paris, France
- Department of Otolaryngology-Head and Neck Surgery, Shanghai Key Laboratory of Translational Medicine On Ear and Nose Diseases (14DZ2260300), Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Hannah Daoudi
- APHP/Sorbonne Université, GHU Pitié-Salpêtrière, Service ORL, Unité Fonctionnelle Implants Auditifs Et Explorations Fonctionnelles, 50-52 Boulevard Vincent Auriol, 75013, Paris, France
- Institut Pasteur/Université Paris Cité/Inserm, Institut de L'Audition, Technologie Et Thérapie Génique Pour La Surdité, 63 Rue de Charenton, 75012, Paris, France
| | - Ghizlene Lahlou
- APHP/Sorbonne Université, GHU Pitié-Salpêtrière, Service ORL, Unité Fonctionnelle Implants Auditifs Et Explorations Fonctionnelles, 50-52 Boulevard Vincent Auriol, 75013, Paris, France
- Institut Pasteur/Université Paris Cité/Inserm, Institut de L'Audition, Technologie Et Thérapie Génique Pour La Surdité, 63 Rue de Charenton, 75012, Paris, France
| | - Olivier Sterkers
- APHP/Sorbonne Université, GHU Pitié-Salpêtrière, Service ORL, Unité Fonctionnelle Implants Auditifs Et Explorations Fonctionnelles, 50-52 Boulevard Vincent Auriol, 75013, Paris, France
- Institut Pasteur/Université Paris Cité/Inserm, Institut de L'Audition, Technologie Et Thérapie Génique Pour La Surdité, 63 Rue de Charenton, 75012, Paris, France
| | - Evelyne Ferrary
- APHP/Sorbonne Université, GHU Pitié-Salpêtrière, Service ORL, Unité Fonctionnelle Implants Auditifs Et Explorations Fonctionnelles, 50-52 Boulevard Vincent Auriol, 75013, Paris, France
- Institut Pasteur/Université Paris Cité/Inserm, Institut de L'Audition, Technologie Et Thérapie Génique Pour La Surdité, 63 Rue de Charenton, 75012, Paris, France
| | - Yann Nguyen
- APHP/Sorbonne Université, GHU Pitié-Salpêtrière, Service ORL, Unité Fonctionnelle Implants Auditifs Et Explorations Fonctionnelles, 50-52 Boulevard Vincent Auriol, 75013, Paris, France
- Institut Pasteur/Université Paris Cité/Inserm, Institut de L'Audition, Technologie Et Thérapie Génique Pour La Surdité, 63 Rue de Charenton, 75012, Paris, France
| | - Isabelle Mosnier
- APHP/Sorbonne Université, GHU Pitié-Salpêtrière, Service ORL, Unité Fonctionnelle Implants Auditifs Et Explorations Fonctionnelles, 50-52 Boulevard Vincent Auriol, 75013, Paris, France
- Institut Pasteur/Université Paris Cité/Inserm, Institut de L'Audition, Technologie Et Thérapie Génique Pour La Surdité, 63 Rue de Charenton, 75012, Paris, France
| | - Renato Torres
- APHP/Sorbonne Université, GHU Pitié-Salpêtrière, Service ORL, Unité Fonctionnelle Implants Auditifs Et Explorations Fonctionnelles, 50-52 Boulevard Vincent Auriol, 75013, Paris, France.
- Institut Pasteur/Université Paris Cité/Inserm, Institut de L'Audition, Technologie Et Thérapie Génique Pour La Surdité, 63 Rue de Charenton, 75012, Paris, France.
- Departamento de Ciencias Fisiológicas, Facultad de Medicina, Universidad Nacional de San Agustín de Arequipa, Arequipa, Peru.
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Simonetti P, Vasconcelos LG, Gândara MR, Lezirovitz K, Medeiros ÍRTD, Oiticica J. Hearing aid effectiveness on patients with chronic tinnitus and associated hearing loss. Braz J Otorhinolaryngol 2022; 88 Suppl 3:S164-S170. [PMID: 35729042 DOI: 10.1016/j.bjorl.2022.03.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2021] [Revised: 02/08/2022] [Accepted: 03/08/2022] [Indexed: 12/14/2022] Open
Abstract
OBJECTIVE Our study aimed to measure the effectiveness of using HA in reducing the disturbance caused by tinnitus. METHODS Study was designed as a within-subjects clinical trial. Nineteen patients with chronic tinnitus and untreated sensorineural hearing loss were under counseling, HA fitting and 6 months follow-up. Tinnitus assessment was performed with Tinnitus Handicap Inventory (THI), Visual Analog Scale (VAS), pitch and loudness matching, and Minimum Masking Level measurements (MML). RESULTS following 6 months of HA use, a reduction in reported tinnitus and hearing handicap scales scores was observed both statistically and clinically. The pitch and loudness matching, as well as MML at the baseline and final evaluation were compared. MML's thresholds reduced significantly after 6 months of HA use. CONCLUSION Our study has provided evidence that HA fitting is a valuable treatment strategy for chronic tinnitus relief and associated hearing loss subtype of patient. LEVEL OF EVIDENCE: 3
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Affiliation(s)
- Patricia Simonetti
- Universidade de São Paulo, Faculdade de Medicina, Hospital das Clínicas (HCFMUSP), Departamento de Otorrinolaringologia, São Paulo, SP, Brazil.
| | - Laura Garcia Vasconcelos
- Universidade de São Paulo, Faculdade de Medicina, Hospital das Clínicas (HCFMUSP), Departamento de Otorrinolaringologia, São Paulo, SP, Brazil
| | - Mara Rocha Gândara
- Universidade de São Paulo, Faculdade de Medicina, Hospital das Clínicas (HCFMUSP), Departamento de Otorrinolaringologia, São Paulo, SP, Brazil
| | - Karina Lezirovitz
- Universidade de São Paulo, Faculdade de Medicina, Hospital das Clínicas (HCFMUSP), Departamento de Otorrinolaringologia, São Paulo, SP, Brazil
| | - Ítalo Roberto Torres de Medeiros
- Universidade de São Paulo, Faculdade de Medicina, Hospital das Clínicas (HCFMUSP), Departamento de Otorrinolaringologia, São Paulo, SP, Brazil
| | - Jeanne Oiticica
- Universidade de São Paulo, Faculdade de Medicina, Hospital das Clínicas (HCFMUSP), Departamento de Otorrinolaringologia, São Paulo, SP, Brazil
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Yang Y, Gao J, Du H, Geng L, Li A, Zhao N, Xu Y, Liu X, Qian X, Gao X. Influence of cochlear implants on hearing-related quality of life: results from Chinese children with cochlear implants entering mainstream education. Int J Pediatr Otorhinolaryngol 2022; 160:111228. [PMID: 35932564 DOI: 10.1016/j.ijporl.2022.111228] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/13/2022] [Revised: 06/09/2022] [Accepted: 06/29/2022] [Indexed: 11/30/2022]
Abstract
OBJECTIVES This study aimed to 1) assess the hearing-related Quality of Life (QoL) of children with cochlear implants (CIs) in China and 2) investigate the impact of CI in children and of the socio-demographic backgrounds of their guardians on the hearing-related QoL of children with CIs in the Chinese mainstream education system. METHODS This study used the Mandarin Children with Cochlear Implants: Parental Perspectives questionnaire (MPP), which assessed the communication capability, auditory perception, self-independence, level of happiness with family, social interaction, academic performance, outcome assessment for CI, and level of family support in children with CIs. Both univariate and multiple linear regression analyses were performed to identify the relationship of CI in children and the socio-demographic backgrounds of their guardians with hearing-related QoL in children with CI. RESULT A total of 124 responses were collected, and they indicated satisfaction and improvement across all aspects of the MPP Questionnaire. Statistical analysis revealed that an earlier age of cochlear implantation (≤3 years old) could improve the communication capabilities, self-independence, social interaction performance, and academic performance of children with CIs. In addition, children with CI from the urban regions demonstrated better social interaction performance than that by those from the rural regions of China. CONCLUSION CIs can improve hearing-related QoL in children with pre-lingual or congenital hearing loss entering the mainstream education system in China. This study showed that early age of cochlear implantation was critical for successful long-term auditory development and academic achievement in children with CIs in China. Therefore, healthcare professionals and educators in China should advocate for CI for children with severe congenital or pre-lingual hearing loss.
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Affiliation(s)
- Ye Yang
- Department of Otolaryngology-Head and Neck Surgery, Affiliated Drum Tower Hospital of Nanjing University Medical School, Jiangsu Provincial Key Medical Discipline (Laboratory), No.321 Zhongshan Road, Nanjing, 210008, China; Research Institute of Otolaryngology, No.321 Zhongshan Road, Nanjing, 210008, China
| | - Junyan Gao
- Department of Technical Counseling, Jiangsu Children's Rehabilitation Research Center, Nanjing, 210008, China
| | - Haoliang Du
- Department of Otolaryngology-Head and Neck Surgery, Affiliated Drum Tower Hospital of Nanjing University Medical School, Jiangsu Provincial Key Medical Discipline (Laboratory), No.321 Zhongshan Road, Nanjing, 210008, China; Research Institute of Otolaryngology, No.321 Zhongshan Road, Nanjing, 210008, China
| | - Liguo Geng
- Department of Medical Information, Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, 210008, China
| | - Ao Li
- Department of Otolaryngology-Head and Neck Surgery, Affiliated Drum Tower Hospital of Nanjing University Medical School, Jiangsu Provincial Key Medical Discipline (Laboratory), No.321 Zhongshan Road, Nanjing, 210008, China; Research Institute of Otolaryngology, No.321 Zhongshan Road, Nanjing, 210008, China
| | - Ning Zhao
- Department of Otolaryngology-Head and Neck Surgery, Affiliated Drum Tower Hospital of Nanjing University Medical School, Jiangsu Provincial Key Medical Discipline (Laboratory), No.321 Zhongshan Road, Nanjing, 210008, China; Research Institute of Otolaryngology, No.321 Zhongshan Road, Nanjing, 210008, China
| | - Yuqin Xu
- Department of Otolaryngology-Head and Neck Surgery, Affiliated Drum Tower Hospital of Nanjing University Medical School, Jiangsu Provincial Key Medical Discipline (Laboratory), No.321 Zhongshan Road, Nanjing, 210008, China; Research Institute of Otolaryngology, No.321 Zhongshan Road, Nanjing, 210008, China
| | - Xueyao Liu
- Department of Otolaryngology-Head and Neck Surgery, Affiliated Drum Tower Hospital of Nanjing University Medical School, Jiangsu Provincial Key Medical Discipline (Laboratory), No.321 Zhongshan Road, Nanjing, 210008, China; Research Institute of Otolaryngology, No.321 Zhongshan Road, Nanjing, 210008, China
| | - Xiaoyun Qian
- Department of Otolaryngology-Head and Neck Surgery, Affiliated Drum Tower Hospital of Nanjing University Medical School, Jiangsu Provincial Key Medical Discipline (Laboratory), No.321 Zhongshan Road, Nanjing, 210008, China; Research Institute of Otolaryngology, No.321 Zhongshan Road, Nanjing, 210008, China
| | - Xia Gao
- Department of Otolaryngology-Head and Neck Surgery, Affiliated Drum Tower Hospital of Nanjing University Medical School, Jiangsu Provincial Key Medical Discipline (Laboratory), No.321 Zhongshan Road, Nanjing, 210008, China; Research Institute of Otolaryngology, No.321 Zhongshan Road, Nanjing, 210008, China.
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Schaumann K, Albrecht A, Turowski B, Hoffmann C, Cornelius JF, Schipper J. [Cochlear nerve continuity preservation during retrosigmoid ablative osteotomy of the internal auditory canal for advanced vestibular schwannomas]. HNO 2022; 70:445-454. [PMID: 34812915 PMCID: PMC9160153 DOI: 10.1007/s00106-021-01116-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/31/2021] [Indexed: 11/30/2022]
Abstract
The data of 86 patients with retrosigmoid microsurgical resection of vestibular schwannoma in tumor stage Koos II-IV were evaluated. In more than two thirds of the cases it was shown that the cochlear nerve followed the facial nerve, which is easily identified by electroneurography, in recurrent similar patterns in the region of the internal auditory canal. Starting from the fundus, this facilitated early identification and thus preservation of continuity of the cochlear nerve in the course of the internal auditory canal. This was of particular importance when safe functional preservation could not be guaranteed due to tumor size or formation despite intraoperative derivation of somatosenoric potentials, but when the possibility of subsequent hearing rehabilitation with a cochlear implant should be granted. Preoperative MRI sequences gave an indication of the possible nerve courses in some cases, but intraoperative imaging in the internal auditory canal was superior to MRI.
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Affiliation(s)
- Katharina Schaumann
- Universitätsklinik für Hals‑, Nasen- und Ohrenheilkunde und Poliklinik, Heinrich-Heine-Universität Düsseldorf, Moorenstraße 5, 40255, Düsseldorf, Deutschland.
| | - A Albrecht
- Universitätsklinik für Hals‑, Nasen- und Ohrenheilkunde und Poliklinik, Heinrich-Heine-Universität Düsseldorf, Moorenstraße 5, 40255, Düsseldorf, Deutschland
| | - B Turowski
- Institut für diagnostische und interventionelle Radiologie, Heinrich-Heine-Universität Düsseldorf, Düsseldorf, Deutschland
| | - C Hoffmann
- Universitätsklinik für Neurochirurgie, Heinrich-Heine-Universität Düsseldorf, Düsseldorf, Deutschland
| | - J F Cornelius
- Universitätsklinik für Neurochirurgie, Heinrich-Heine-Universität Düsseldorf, Düsseldorf, Deutschland
| | - J Schipper
- Universitätsklinik für Hals‑, Nasen- und Ohrenheilkunde und Poliklinik, Heinrich-Heine-Universität Düsseldorf, Moorenstraße 5, 40255, Düsseldorf, Deutschland
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Abstract
BACKGROUND Due to the COVID-19 pandemic, digitalization in healthcare grew rapidly. Auditory training after cochlear implantation usually takes place face-to-face but social distancing interferes with this therapeutic approach. MATERIALS AND METHODS In follow-up treatment, 42 adult cochlear implant (CI) users aged 53.8 (±15.6) years received video therapy 1 x/week for 5 weeks on a certified platform. After each therapy session, the technical process and therapeutic content were assessed. At the end of the study, usability and the relationship between therapist and patient were evaluated by patients and therapists using the System Usability Scale (SUS), a final questionnaire and by the Skala Therapeutische Allianz - Revised (STA-R). Furthermore, a cost-benefit analysis was done. RESULTS Usability for both users was high (87.97 versus 93.0). Despite the lack of personal contact, therapeutic alliance was highly appreciated by patients and therapists (87.8% versus 84.8%). The main advantages for the patients were reductions in time and costs. In contrast, the rehabilitation center faced higher costs initially due to the longer time therapists needed to prepare the lessons. Technical problems had to be solved in > 75% of the first sessions but did not bother training thereafter. In total, 47.6% of the patients believe that teletherapy can completely fulfill their therapeutic needs. CONCLUSION Video therapy has been judged as a useful tool by all users and the majority wants to continue. However, it remains questionable whether the therapist-patient relationship can be sufficiently maintained over a longer period and whether online therapy is as effective as face-to-face therapy.
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Affiliation(s)
- Christiane Völter
- Klinik für Hals-Nasen-Ohrenheilkunde, Kopf- und Halschirurgie, Ruhr-Universität Bochum, St. Elisabeth-Hospital, Bleichstraße 15, 44787, Bochum, Deutschland.
| | - Carolin Stöckmann
- Klinik für Hals-Nasen-Ohrenheilkunde, Kopf- und Halschirurgie, Ruhr-Universität Bochum, St. Elisabeth-Hospital, Bleichstraße 15, 44787, Bochum, Deutschland
| | - Hannah Klein
- Klinik für Hals-Nasen-Ohrenheilkunde, Kopf- und Halschirurgie, Ruhr-Universität Bochum, St. Elisabeth-Hospital, Bleichstraße 15, 44787, Bochum, Deutschland
| | - Stefan Dazert
- Klinik für Hals-Nasen-Ohrenheilkunde, Kopf- und Halschirurgie, Ruhr-Universität Bochum, St. Elisabeth-Hospital, Bleichstraße 15, 44787, Bochum, Deutschland
| | - Jan Peter Thomas
- Klinik für Hals-Nasen-Ohrenheilkunde, Kopf- und Halschirurgie, Kath. St. Paulus Gesellschaft, St. Johannes Hospital Dortmund, Johannesstr. 9-17, 44137, Dortmund, Deutschland
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Lawrence BJ, Eikelboom RH, Jayakody DMP. Auditory-cognitive training for adult cochlear implant recipients: a study protocol for a randomised controlled trial. Trials 2021; 22:793. [PMID: 34772432 PMCID: PMC8588651 DOI: 10.1186/s13063-021-05714-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2021] [Accepted: 10/11/2021] [Indexed: 11/20/2022] Open
Abstract
Background There is an urgent need to develop new therapies to improve cognitive function in adults following cochlear implant surgery. This study aims to determine if completing at-home computer-based brain training activities improve memory and thinking skills in adults following their first cochlear implant. Methods This study will be conducted as a single-blind, head-to-head, randomised controlled trial (RCT). It will determine whether auditory training combined with adaptive computerised cognitive training will elicit greater improvement in cognition, sound and speech perception, mood, and quality of life outcomes in adult cochlear implant recipients, when compared to auditory training combined with non-adaptive (i.e. placebo) computerised cognitive training. Participants 18 years or older who meet the clinical criteria for a cochlear implant will be recruited into the study. Results The results of this trial will clarify whether the auditory training combined with cognitive training will improve cognition, sound and speech perception, mood, and quality of life outcomes in adult cochlear implant recipients. Discussion We anticipate that our findings will have implications for clinical practice in the treatment of adult cochlear implant recipients. Trial registration Australian New Zealand Clinical Trials Registry ACTRN12619000609156. Registered on April 23 2019.
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Affiliation(s)
- Blake J Lawrence
- School of Population Health, Curtin University, Bentley, WA, Australia
| | - Robert H Eikelboom
- Ear Science Institute Australia, 1 Salvado Road, Subiaco, WA, 6008, Australia.,Ear Sciences Centre, Medical School, The University of Western Australia, Crawley, WA, Australia.,Department of Speech-Language Pathology and Audiology, University of Pretoria, Pretoria, South Africa
| | - Dona M P Jayakody
- Ear Science Institute Australia, 1 Salvado Road, Subiaco, WA, 6008, Australia. .,Ear Sciences Centre, Medical School, The University of Western Australia, Crawley, WA, Australia.
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Wang X, Zheng Y, Liu Y, Lu J, Cui Z, Li Z. Effects of demographic, audiologic, and hearing-aid-related variables on the outcomes of using hearing aids. Eur Arch Otorhinolaryngol 2021; 279:3857-3865. [PMID: 34725721 DOI: 10.1007/s00405-021-07126-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2021] [Accepted: 10/04/2021] [Indexed: 02/05/2023]
Abstract
PURPOSE To examine the influence of demographic, audiologic, and hearing-aid (HA)-related variables on HA outcomes. METHODS In total, 235 adults with hearing loss (HL) who used HAs for at least 3 months were included in the study, and completed audiologic tests and the Chinese version of the International Outcome Inventory for Hearing Aids (IOI-HA). Spearman correlation analysis and Wilcoxon test were conducted to identify factors related to IOI-HA overall and subscales scores. Stepwise multiple linear regression analysis was subsequently performed to determine the influence of factors on HA outcomes. RESULTS Age, daily use time, HA price, pure tone average (PTA) threshold, word recognition score (WRS), fitting (bilateral or unilateral), and HA style were associated with IOI-HA overall and subscales scores. However, only WRS, daily HA use time, HA price, and age entered the final regression model and were factors determining HA outcomes. CONCLUSIONS HA outcome is a multi-dimensional construct. In this study, WRS had the greatest influence on HA outcomes and seemed to be a primary predictor. Thus, HA owners with a higher WRS before HA fitting may indicate better satisfaction. Daily use time, HA price, and patient age also made significant contributions to HA outcomes and should be considered in clinical practice to facilitate auditory rehabilitation.
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Affiliation(s)
- Xunyi Wang
- Hearing Center/Hearing and Speech Laboratory, Department of Otorhinolaryngology Head and Neck Surgery, West China Hospital, Sichuan University, 37 Guo Xue Lane, Chengdu, Sichuan, China
| | - Yun Zheng
- Hearing Center/Hearing and Speech Laboratory, Department of Otorhinolaryngology Head and Neck Surgery, West China Hospital, Sichuan University, 37 Guo Xue Lane, Chengdu, Sichuan, China.
| | - Yiran Liu
- Statistics with Data Science, School of Mathematics, The University of Edinburgh, Edinburgh, UK
| | - Jingzhe Lu
- Hearing Center/Hearing and Speech Laboratory, Department of Otorhinolaryngology Head and Neck Surgery, West China Hospital, Sichuan University, 37 Guo Xue Lane, Chengdu, Sichuan, China
| | - Zhiyuan Cui
- Hearing Center/Hearing and Speech Laboratory, Department of Otorhinolaryngology Head and Neck Surgery, West China Hospital, Sichuan University, 37 Guo Xue Lane, Chengdu, Sichuan, China
| | - Zhen Li
- Hearing Center/Hearing and Speech Laboratory, Department of Otorhinolaryngology Head and Neck Surgery, West China Hospital, Sichuan University, 37 Guo Xue Lane, Chengdu, Sichuan, China
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Krohs C, Bordeynik-Cohen M, Messika-Gold N, Elkon R, Avraham KB, Nothwang HG. Expression pattern of cochlear microRNAs in the mammalian auditory hindbrain. Cell Tissue Res 2021; 383:655-666. [PMID: 33156384 PMCID: PMC7904729 DOI: 10.1007/s00441-020-03290-x] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2020] [Accepted: 08/24/2020] [Indexed: 12/28/2022]
Abstract
The auditory system comprises the auditory periphery, engaged in sound transduction and the central auditory system, implicated in auditory information processing and perception. Recently, evidence mounted that the mammalian peripheral and central auditory systems share a number of genes critical for proper development and function. This bears implication for auditory rehabilitation and evolution of the auditory system. To analyze to which extent microRNAs (miRNAs) belong to genes shared between both systems, we characterize the expression pattern of 12 cochlea-abundant miRNAs in the central auditory system. Quantitative real-time PCR (qRT-PCR) demonstrated expression of all 12 genes in the cochlea, the auditory hindbrain and the non-auditory prefrontal cortex (PFC) at embryonic stage (E)16 and postnatal stages (P)0 and P30. Eleven of them showed differences in expression between tissues and nine between the developmental time points. Hierarchical cluster analysis revealed that the temporal expression pattern in the auditory hindbrain was more similar to the PFC than to the cochlea. Spatiotemporal expression analysis by RNA in situ hybridization demonstrated widespread expression throughout the cochlear nucleus complex (CNC) and the superior olivary complex (SOC) during postnatal development. Altogether, our data indicate that miRNAs represent a relevant class of genetic factors functioning across the auditory system. Given the importance of gene regulatory network (GRN) components for development, physiology and evolution, the 12 miRNAs provide promising entry points to gain insights into their molecular underpinnings in the auditory system.
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Affiliation(s)
- Constanze Krohs
- Neurogenetics Group and Cluster of Excellence Hearing4All, School of Medicine and Health Sciences, Carl Von Ossietzky University Oldenburg, 26111, Oldenburg, Germany
| | - Mor Bordeynik-Cohen
- Department of Human Molecular Genetics and Biochemistry, Sackler Faculty of Medicine and Sagol School of Neuroscience, Tel Aviv University, 6997801, Tel Aviv, Israel
| | - Naama Messika-Gold
- Department of Human Molecular Genetics and Biochemistry, Sackler Faculty of Medicine and Sagol School of Neuroscience, Tel Aviv University, 6997801, Tel Aviv, Israel
| | - Ran Elkon
- Department of Human Molecular Genetics and Biochemistry, Sackler Faculty of Medicine and Sagol School of Neuroscience, Tel Aviv University, 6997801, Tel Aviv, Israel
| | - Karen B Avraham
- Department of Human Molecular Genetics and Biochemistry, Sackler Faculty of Medicine and Sagol School of Neuroscience, Tel Aviv University, 6997801, Tel Aviv, Israel
| | - Hans Gerd Nothwang
- Neurogenetics Group and Cluster of Excellence Hearing4All, School of Medicine and Health Sciences, Carl Von Ossietzky University Oldenburg, 26111, Oldenburg, Germany.
- Research Center for Neurosensory Science, Carl Von Ossietzky University Oldenburg, 26111, Oldenburg, Germany.
- Department of Neuroscience, Center of Excellence Hearing4All, Carl Von Ossietzky University Oldenburg, 26111, Oldenburg, Germany.
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10
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Tuz D, Isikhan SY, Yücel E. Developing the computer-based auditory training program for adults with hearing impairment. Med Biol Eng Comput 2021; 59:175-86. [PMID: 33400137 DOI: 10.1007/s11517-020-02298-3] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2020] [Accepted: 12/18/2020] [Indexed: 10/22/2022]
Abstract
Although it is known that auditory training is essential for hearing-impaired individuals, patients do not willingly participate in auditory training sessions, because individual training is a time-consuming and costly process. Computer-based auditory training programs are under development for reducing the cost and time. The aim of this study is to develop a computer-based auditory training program and to evaluate the usability of the program by applying it to adults with normal hearing indifferent age groups and professions. The developed auditory training program consists of nine modules: identification, discrimination, recognition, auditory closure, comprehension, auditory sequencing, phonological awareness, auditory memory, and attention. Forty adults (age ranges of 25-34, 35-44, 45-54, and 55-65 years), nine audiologists, and one software engineer were included in this study. The computer-based auditory training program was applied to all individuals. An evaluation form was filled out by the participants to evaluate the usability of and satisfaction with the program, and the average performances of the individuals were calculated for each module. The form measures five usability subscales: ease of use, comprehensibility, design, satisfaction, and motivation. The professionals evaluated the program and found it to be quite positive in terms of design, ease of use, motivation, and comprehensibility, and positive in terms of the satisfaction subscale. The participants evaluated all factors and found them to be quite positive. There were no statistically significant differences between the gender, age, and computer use groups in terms of the average performance value of the modules (p > 0.05). However, a significant difference was found in the average performance for the auditory sequencing module considering the educational status of individuals (p = 0.019). Furthermore, it was determined that computer experience (> 5 years) and having a personal computer have a significant effect on auditory memory (p = 0.049) and identification (p = 0.027). These results show that the instructions and information used in the program are clear and understandable, the colors and texts used in the program are readable, the program is easy to use, and the individuals are not disturbed by the sounds used in the program. However, it would be valuable to apply it to individuals with hearing losses to evaluate the efficacy of the program.
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11
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Legris E, Henriques J, Aussedat C, Aoustin JM, Robier M, Bakhos D. Emotional prosody perception in presbycusis patients after auditory rehabilitation. Eur Ann Otorhinolaryngol Head Neck Dis 2020; 138:163-168. [PMID: 33162354 DOI: 10.1016/j.anorl.2020.10.004] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
OBJECTIVE Perception of emotion plays a major role in social interaction. Studies have shown that hearing loss and aging degrade emotional recognition. The main aim of the present study was to evaluate the benefit of first-time hearing aids (HA) for emotional prosody perception in presbycusis patients. Secondary objectives comprised comparison with normal-hearing subjects, and assessment of the impact of demographic and audiologic factors. METHODS To assess HA impact, 29 subjects with presbycusis were included. They were tested without HA and 1 month after starting to use HA. A test with emotional hearing stimuli (Montreal Affective Voice test: MAV) was performed at various intensities (50, 65 and 80dB SPL). Patients' experience was evaluated on the Profile of Emotional Competence questionnaire, before and after HA fitting. Results were compared with those of 29 normal-hearing subjects. RESULTS Auditory rehabilitation did not significantly improve MAV results (P>0.005), or subjective questionnaire results (P>0.005). Scores remained lower than those of normal-hearing subjects (P<0.001). MAV results, before and after HA, showed significant correlation with pure-tone average (r=-0.88, P<0.001) and age (r=0.44, P=0.018). The older the presbycusis patient and the more severe the hearing loss, the greater the difficulty in recognising emotional prosody. CONCLUSION Despite hearing rehabilitation, presbycusis patients' results remained poorer than in normal-hearing subjects.
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Affiliation(s)
- E Legris
- Ear, nose and throat department, CHRU de Tours, 2, boulevard Tonnellé, 37000 Tours, France.
| | | | - C Aussedat
- Ear, nose and throat department, CHRU de Tours, 2, boulevard Tonnellé, 37000 Tours, France
| | - J-M Aoustin
- Ear, nose and throat department, CHRU de Tours, 2, boulevard Tonnellé, 37000 Tours, France
| | - M Robier
- Ear, nose and throat department, CHRU de Tours, 2, boulevard Tonnellé, 37000 Tours, France
| | - D Bakhos
- Ear, nose and throat department, CHRU de Tours, 2, boulevard Tonnellé, 37000 Tours, France; Université François-Rabelais de Tours, UMR-S1253, Tours, France; INSERM U1253, iBrain, équipe 3, Tours, France
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12
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Topcu O, Senli FD, Batuk MO, Kilic S, Sennaroglu G. Social competence in children with cochlear implants: is it possible to catch up with their peers? Eur Arch Otorhinolaryngol 2020; 278:2775-2780. [PMID: 32975671 DOI: 10.1007/s00405-020-06363-3] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2020] [Accepted: 09/08/2020] [Indexed: 11/24/2022]
Abstract
PURPOSE The objective of this study is to compare social competence skills in children with CI and their normal hearing peers. METHODS Forty-six children with normal hearing and 46 children with CI between the ages of 42 and 72 months were included in the control group and study group, respectively. Preschool teachers rated children's social competence in the classroom using the Social Competence and Behavior Evaluation-Preschool Edition. Three subscales constitute the structure of the SCBE-30 scale: anger-aggression, social competence, and anxiety-withdrawal. RESULTS The analyses showed that there were statistically significant differences between social competence scores of the study group and the control group. However, there was no statistically significant difference between anger-aggression scores and anxiety-withdrawal scores of the study group and the control group. There was a significant correlation found between anger-aggression score and the age of starting rehabilitation. CONCLUSION Anger-aggression scores and anxiety-withdrawal scores were similar between children using cochlear implant and normal hearing peers, whereas children with CI show lower social competence abilities than normal hearing peers. Earlier beginning to the rehabilitation programs coincide with lower anger-aggression scores. To the best of our knowledge, this is the first study to reflect these findings more objectively, from the view of teachers.
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Affiliation(s)
- Ozlem Topcu
- Department of Audiology, Hacettepe University, Sihhiye, Ankara, 06100, Turkey
| | | | - Merve Ozbal Batuk
- Department of Audiology, Hacettepe University, Sihhiye, Ankara, 06100, Turkey.
| | - Samet Kilic
- Department of Audiology, Hacettepe University, Sihhiye, Ankara, 06100, Turkey
| | - Gonca Sennaroglu
- Department of Audiology, Hacettepe University, Sihhiye, Ankara, 06100, Turkey
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13
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Balan JR, Maruthy S. Dynamics of Speech Perception in the Auditory-Visual Mode: An Empirical Evidence for the Management of Auditory Neuropathy Spectrum Disorders. J Audiol Otol 2018; 22:197-203. [PMID: 29969891 PMCID: PMC6233939 DOI: 10.7874/jao.2018.00059] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2018] [Accepted: 05/09/2018] [Indexed: 11/22/2022] Open
Abstract
BACKGROUND AND OBJECTIVES The present study probed into the relative and combined contribution of auditory and visual modalities in the speech perception of individuals with auditory neuropathy spectrum disorders (ANSD). Specifically, the identification scores of consonantvowel (CV) syllables, visual enhancement (VE), and auditory enhancement in different signal to noise ratios (SNRs) were compared with that of the control group. Subjects and. METHODS The study used a repeated measure standard group comparison research design. Two groups of individuals in the age range of 16 to 35 years participated in the study. The clinical group included 35 participants diagnosed as ANSD, while the control group had 35 age and gender matched individuals with typical auditory abilities. The participants were assessed for CV syllable identification in auditory only (A), visual only (V), and auditory-visual (AV) modalities. The syllables were presented in quiet and at 0 dB SNR. RESULTS The speech identification score was maximum in AV condition followed by A-condition and least in V condition. This was true in both the groups. The individuals with ANSD were able to make better use of visual cues than the control group, as evident in the VE score. CONCLUSIONS The dynamics of speech perception in the AV mode is different between ANSD and control. There is definite benefit of auditory as well as visual cues to individuals with ANSD, suggesting the need to facilitate both the modalities as part of the audiological rehabilitation. Future studies can focus on independently facilitating the two modalities and testing the benefits in the AV mode of speech perception in individuals with ANSD.
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Affiliation(s)
- Jithin Raj Balan
- Department of Audiology, All India Institute of Speech and Hearing, Mysuru, India
| | - Sandeep Maruthy
- Department of Audiology, All India Institute of Speech and Hearing, Mysuru, India
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Lambert J, Ghadry-Tavi R, Knuff K, Jutras M, Siever J, Mick P, Roque C, Jones G, Little J, Miller H, Van Bergen C, Kurtz D, Murphy MA, Jones CA. Targeting functional fitness, hearing and health-related quality of life in older adults with hearing loss: Walk, Talk 'n' Listen, study protocol for a pilot randomized controlled trial. Trials 2017; 18:47. [PMID: 28129779 PMCID: PMC5273835 DOI: 10.1186/s13063-017-1792-z] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2016] [Accepted: 01/10/2017] [Indexed: 01/05/2023] Open
Abstract
BACKGROUND Hearing loss (HL) is a disability associated with poorer health-related quality of life including an increased risk for loneliness, isolation, functional fitness declines, falls, hospitalization and premature mortality. The purpose of this pilot trial is to determine the feasibility and acceptability of a novel intervention to reduce loneliness, improve functional fitness, social connectedness, hearing and health-related quality of life in older adults with HL. METHODS This 10-week, single-blind, pilot randomized control trial (RCT) will include a convenience sample of ambulatory adults aged 65 years or older with self-reported HL. Following baseline assessments, participants will be randomized to either intervention (exercise, health education, socialization and group auditory rehabilitation (GAR)) or control (GAR only) groups. The intervention group will attend a local YMCA twice a week and the control group once a week. Intervention sessions will include 45 min of strengthening, balance and resistance exercises, 30 min of group walking at a self-selected pace and 60 min of interactive health education or GAR. The control group will attend 60-min GAR sessions. GAR sessions will include education about hearing, hearing technologies, enhancing communication skills, and psychosocial support. Pre-post trial data collection and measures will include: functional fitness (gait speed, 30-s Sit to Stand Test), hearing and health-related quality of life, loneliness, depression, social participation and social support. At trial end, feasibility (recruitment, randomization, retention, acceptability) and GAR will be evaluated. DISCUSSION Despite evidence suggesting that HL is associated with declines in functional fitness, there are no studies aimed at addressing functional fitness declines associated with the disability of HL. This pilot trial will provide knowledge about the physical, mental and social impacts on health related to HL as a disability. This will inform the feasibility of a larger RCT and preliminary evidence about the initial effects of a novel, community-based, holistic intervention addressing both the negative psychosocial and functional physical effects of HL among older adults. TRIAL REGISTRATION ClinicalTrials.gov, NCT02662192 . Registered on 14 January 2016.
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Affiliation(s)
- Justin Lambert
- Faculty of Medicine, Southern Medical Program, University of British Columbia, Okanagan campus, Kelowna, BC Canada
| | - Rouzbeh Ghadry-Tavi
- Faculty of Medicine, Southern Medical Program, University of British Columbia, Okanagan campus, Kelowna, BC Canada
| | - Kate Knuff
- Faculty of Medicine, Southern Medical Program, University of British Columbia, Okanagan campus, Kelowna, BC Canada
| | - Marc Jutras
- Faculty of Medicine, Southern Medical Program, University of British Columbia, Okanagan campus, Kelowna, BC Canada
| | - Jodi Siever
- Faculty of Medicine, Southern Medical Program, University of British Columbia, Okanagan campus, Kelowna, BC Canada
| | - Paul Mick
- Faculty of Medicine, Department of Surgery, Division of Otolaryngology, University of British Columbia, Okanagan campus, Kelowna, BC Canada
| | - Carolyn Roque
- Faculty of Medicine, Southern Medical Program, University of British Columbia, Okanagan campus, Kelowna, BC Canada
| | - Gareth Jones
- Faculty of Health and Social Development, School of Health and Exercise Science, University of British Columbia, Okanagan campus, Kelowna, BC Canada
| | - Jonathan Little
- Faculty of Health and Social Development, School of Health and Exercise Science, University of British Columbia, Okanagan campus, Kelowna, BC Canada
| | - Harry Miller
- Faculty of Medicine, Southern Medical Program, University of British Columbia, Okanagan campus, Kelowna, BC Canada
- Irving K. Barber School of Arts and Social Sciences, Psychology, University of British Columbia, Okanagan campus, Kelowna, BC Canada
| | | | - Donna Kurtz
- Faculty of Health and Social Development, School of Nursing, University of British Columbia, Okanagan campus, Kelowna, BC Canada
| | - Mary Ann Murphy
- Irving K. Barber School of Arts and Social Sciences, Sociology and School of Social Work, University of British Columbia, Okanagan campus, Kelowna, BC Canada
| | - Charlotte Ann Jones
- Southern Medical Program, #321 Reichwald Health Sciences Center, 1088 Discovery Ave, Kelowna, BC V1V-1V7 Canada
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15
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GIUNTINI G, FORLI F, NICASTRO R, CIABOTTI A, BRUSCHINI L, BERRETTINI S. Early care in children with permanent hearing impairment. Acta Otorhinolaryngol Ital 2016; 36:51-9. [PMID: 27054391 PMCID: PMC4825066 DOI: 10.14639/0392-100x-1079] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 10/26/2015] [Accepted: 11/30/2015] [Indexed: 11/23/2022]
Abstract
The implementation of regional protocols for newborn hearing screening and early audiologic diagnosis represent the first step of the entire diagnostic, rehabilitative and prosthetic programme for children with permanent hearing impairment. The maximum benefit of early diagnosis can indeed be obtained only by prompt rehabilitation aimed at fostering the child's communicative, linguistic and cognitive development. Within the framework of the CMM 2013 project of the Ministry of Health entitled "Preventing Communication Disorders: a Regional Program for Early Identification, Intervention and Care of Hearing Impaired Children", the problems concerning the promotion of the global development of children with PHI through an early rehabilitation project based on shared knowledge and scientific evidence. In this project, our specific aim was to define the features and modes of access to a precise and specialised rehabilitation project for the small hearing-impaired child within three months from audiologic diagnosis. Three main recommendations relative to assessment and rehabilitation aspects of early care emerged from the study.
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Affiliation(s)
- G. GIUNTINI
- U.O. ORL Audiologia e Foniatria Universitaria, Università di Pisa
| | - F. FORLI
- U.O. ORL Audiologia e Foniatria Universitaria, Università di Pisa
| | - R. NICASTRO
- U.O. ORL Audiologia e Foniatria Universitaria, Università di Pisa
| | - A. CIABOTTI
- U.O. ORL Audiologia e Foniatria Universitaria, Università di Pisa
| | - L. BRUSCHINI
- U.O. ORL Audiologia e Foniatria Universitaria, Università di Pisa
| | - S. BERRETTINI
- U.O. ORL Audiologia e Foniatria Universitaria, Università di Pisa, Operative Unit of Otorhinolaryngology, Audiology and Phoniatrics, University of Pisa, Italy, Guest Professor at Division of Ear, Nose and Throat Diseases, Dept. of Clinical Science, Intervention and Technology, Karolinska Istituet, Stockholm, Sweden
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Alves M, Martins JH, Moura JE, Ramos D, Alves H, Oliveira G, Magalhães I, Silva L, Ribeiro C, Paiva AD. Auditory rehabilitation after cochlear implantation in adults with hearing impairment after head trauma. Cochlear Implants Int 2014; 15:312-7. [PMID: 24702433 DOI: 10.1179/1754762814y.0000000074] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
Abstract
INTRODUCTION In this paper, the authors analyze the auditory rehabilitation after cochlear implantation in adults with hearing impairment after head trauma, comparing their performance with that of other cochlear implant (CI) adult users who have post-lingual hearing impairment with other etiologies. METHODS The participants were divided into two groups: group 1 (N = 14) composed of CI adult users who have acquired severe to profound hearing loss after head trauma; group 2 (N = 231) composed of CI adult users who have severe to profound hearing loss from other etiologies. Performance was assessed using the following tests: tonal audiometry, speech audiometry, consonantal phonemes identification test, 100 words test, 100 words through the telephone test, monosyllables test, numbers test, sentences test, and sentences through the telephone test. RESULTS Average results from group 1 were lower when compared with those of group 2 in all the tests used. No statistically significant difference was found for most tests. Statistically significant difference was found for consonantal phonemes identification test, 100 words through the telephone test, monosyllables test (when analyzed regarding the phonemes correctly repeated), and sentences through the telephone test. DISCUSSION The performance of the group of CI adult users who have acquired hearing impairment after head trauma was globally lower than that observed on the group of hearing impairment with other etiologies. However, the difference was not statistically significant for most tests. Despite this difference in performance, the results from the group of CI adult users who have acquired hearing impairment after head trauma show the effectiveness of auditory rehabilitation through cochlear implantation in these situations.
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