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Different modes of cochlear implantation in children: a comparative study on hearing and speech rehabilitation effects

Published online by Cambridge University Press:  28 January 2022

H Jia
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Lanzhou University Second Hospital, Lanzhou, People's Republic of China
Y Li
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Lanzhou University Second Hospital, Lanzhou, People's Republic of China
B Xu
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Lanzhou University Second Hospital, Lanzhou, People's Republic of China
X Liu
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Lanzhou University Second Hospital, Lanzhou, People's Republic of China
P Bian
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Lanzhou University Second Hospital, Lanzhou, People's Republic of China
Y Guo*
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Lanzhou University Second Hospital, Lanzhou, People's Republic of China Health Commission of Gansu Province, Lanzhou, People's Republic of China
*
Author for correspondence: Dr Yufen Guo, Department of Otolaryngology – Head and Neck Surgery, Lanzhou University Second Hospital, Lanzhou 730030, PR China E-mail: guoyflz@163.com

Abstract

Objective

To study the effectiveness of unilateral cochlear implantation, binaural-bimodal hearing devices, and bilateral cochlear implantation in children with inner-ear malformation.

Methods

This study comprised 261 patients who were allocated to inner-ear malformation or control groups. Twenty-four months after surgery, aided sound-field thresholds were tested, and the Meaningful Auditory Integration Scale, Infant-Toddler Meaningful Auditory Integration Scale, Meaningful Use of Speech Scale, Categories of Auditory Performance scale and Speech Intelligibility Rating test were completed.

Results

Aided sound-field thresholds were significantly better for bilateral cochlear implantation patients than for unilateral cochlear implantation or binaural-bimodal hearing device patients. There was no significant difference in Meaningful Auditory Integration Scale, Infant-Toddler Meaningful Auditory Integration Scale, or Categories of Auditory Performance scores among the three groups. The binaural-bimodal hearing device patients outperformed unilateral cochlear implantation patients on both Meaningful Use of Speech Scale and Speech Intelligibility Rating scores. No statistical difference was observed between the two subgroups.

Conclusion

Children who received bilateral cochlear implants have the best auditory awareness in a quiet environment. Children with binaural-bimodal hearing devices have better voice control and verbal skills than unilateral cochlear implantation patients, and people are more likely to understand them. Children with inner-ear malformations benefit from cochlear implantation.

Type
Main Article
Copyright
Copyright © The Author(s), 2022. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Dr Y Guo takes responsibility for the integrity of the content of the paper

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