Hostname: page-component-8448b6f56d-c47g7 Total loading time: 0 Render date: 2024-04-20T04:08:45.470Z Has data issue: false hasContentIssue false
  • English
  • Français

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 ,
Y Li ,
B Xu ,
X Liu ,
P Bian  and
Y Guo Open the ORCID record for Y Guo [Opens in a new window]
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
Get access Rights & Permissions [Opens in a new window]

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.

Keywords

Cochlear ImplantationHearing LossChildrenRehabilitation
Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 136 , Issue 10 , October 2022 , pp. 986 - 993
Copyright
Copyright © The Author(s), 2022. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

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

References

Almeida, G, Martins, MF, Costa, L, Costa, O, Martinho de Carvalho, AC. Sequential bilateral cochlear implant: results in children and adolescents. Braz J Otorhinolaryngol 2019;85:774–9CrossRefGoogle ScholarPubMed
van Zon, A, Smulders, YE, Stegeman, I, Ramakers, GG, Kraaijenga, VJ, Koenraads, SP et al. Stable benefits of bilateral over unilateral cochlear implantation after two years: a randomized controlled trial. Laryngoscope 2017;127:1161–8CrossRefGoogle ScholarPubMed
Guevara, N, Grech, C, Gahide, I, Gallego, S. Assessment of the contralateral routing of signal system in unilateral cochlear implantation. Clin Otolaryngol 2015;40:535–44CrossRefGoogle ScholarPubMed
Hoppe, U, Hocke, T, Digeser, F. Bimodal benefit for cochlear implant listeners with different grades of hearing loss in the opposite ear. Acta Otolaryngol 2018;138:713–21CrossRefGoogle ScholarPubMed
Sennaroglu, L. Cochlear implantation in inner ear malformations--a review article. Cochlear Implants Int 2010;11:4–41CrossRefGoogle Scholar
Nikolopoulos, TP, Archbold, SM, Gregory, S. Young deaf children with hearing aids or cochlear implants: early assessment package for monitoring progress. Int J Pediatr Otorhinolaryngol 2005;69:175–86CrossRefGoogle ScholarPubMed
Liu, R, Jiao, Q, Ji, F, Wang, Q, Zhao, H, Li, J et al. The use of the MUSS and the SIR scale in late-implanted prelingually deafened adolescents and adults as a subjective evaluation. Acta Otolaryngol 2020;140:94–8CrossRefGoogle ScholarPubMed
Robbins, AM, Renshaw, JJ, Berry, SW. Evaluating meaningful auditory integration in profoundly hearing-impaired children. Am J Otol 1991;12 suppl:144–50Google Scholar
Osberger, MJ, Geier, L, Zimmerman-Phillips, S, Barker, MJ. Use of a parent-report scale to access benefit in children given the Clarion cochlear implant. Am J Otol 1997;18:S79–80Google Scholar
Crew, JD, Galvin, JJ 3rd, Landsberger, DM, Fu, QJ. Contributions of electric and acoustic hearing to bimodal speech and music perception. PLoS One 2015;10:e0120279CrossRefGoogle ScholarPubMed
Blamey, PJ, Dooley, GJ, James, CJ, Parisi, ES. Monaural and binaural loudness measures in cochlear implant users with contralateral residual hearing. Ear Hear 2000;21:6–17CrossRefGoogle ScholarPubMed
Fitzgerald, MB, Kan, A, Goupell, MJ. Bilateral loudness balancing and distorted spatial perception in recipients of bilateral cochlear implants. Ear Hear 2015;36:e225–36CrossRefGoogle ScholarPubMed
Xu, J, Feng, S, Li, W, Jiang, XJ. Bilateral listening outcomes in bimodal and bilateral cochlear implantation. Chin J Otol 2020;18:886–90Google Scholar
Zhong, M, Qiu, JX. Evaluation of hearing ability after binaural double mode cochlear implantation. J Audiol Speech Pathol 2018;26:312–15Google Scholar
Litovsky, RY, Johnstone, PM, Godar, S, Agrawal, S, Parkinson, A, Peters, R et al. Bilateral cochlear implants in children: localization acuity measured with minimum audible angle. Ear Hear 2006;27:43–59CrossRefGoogle ScholarPubMed
Tyler, RS, Parkinson, AJ, Wilson, BS, Witt, S, Preece, JP, Noble, W. Patients utilizing a hearing aid and a cochlear implant: speech perception and localization. Ear Hear 2002;23:98–105CrossRefGoogle Scholar
Scherf, FW, van Deun, L, van Wieringen, A, Wouters, J, Desloovere, C, Dhooge, I et al. Functional outcome of sequential bilateral cochlear implantation in young children: 36 months postoperative results. Int J Pediatr Otorhinolaryngol 2009;73:723–30CrossRefGoogle ScholarPubMed
Reeder, RM, Firszt, JB, Cadieux, JH, Strube, MJ. A longitudinal study in children with sequential bilateral cochlear implants: time course for the second implanted ear and bilateral performance. J Speech Lang Hear Res 2017;60:276–87CrossRefGoogle ScholarPubMed
Li, L, Ye, FL, Wang, L, Bai, XF, Zhu, LY. Speech perception in patients with cochlear implants and hearing aids in opposite ears. J Audiol Speech Pathol 2016;24:273–6Google Scholar
Sun, Y, Qiu, J, Liu, Y, Yu, D, Tong, B. Evaluation on the hearing, speech and quality of life for cases received cochlear implant [in Chinese]. Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2015;29:1622–6Google Scholar
Demir, B, Cesur, S, Sahin, A, Binnetoglu, A, Ciprut, A, Batman, C. Outcomes of cochlear implantation in children with inner ear malformations. Eur Arch Otorhinolaryngol 2019;276:2397–403CrossRefGoogle ScholarPubMed
Catli, T, Uckan, B, Olgun, L. Speech and language development after cochlear implantation in children with bony labyrinth malformations: long-term results. Eur Arch Otorhinolaryngol 2015;272:3131–6CrossRefGoogle ScholarPubMed