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Olgun Y, Arayici ME, İncesulu A, Tuncer Ü, Güneri EA, Ellidokuz H, Olgun L. Evaluation of the Impact of Cochlear Implantation on Patients' Working Life: A Cross-Sectional Study. Healthcare (Basel) 2024; 12:566. [PMID: 38470677 PMCID: PMC10931089 DOI: 10.3390/healthcare12050566] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2024] [Revised: 02/19/2024] [Accepted: 02/27/2024] [Indexed: 03/14/2024] Open
Abstract
Hearing loss that arises from various causes at different stages of life has a direct impact on individuals' physical and mental well-being. This paper aimed to evaluate the employment, workplace adaptation, productivity, and professional success of individuals who have hearing loss and whose hearing loss is corrected with a cochlear implant. In this cross-sectional study, data were collected between November 2022 and March 2023 with the participation of individuals with cochlear implants living in several settlements in all regions of Türkiye. A total of 142 participants with severe hearing loss who were corrected with a cochlear implant were included in this study. The survey method was used to collect data for the study. The questionnaire consisted of 32 questions and was distributed to the participants online. In the first part of the questionnaire (questions 1-10), the general characteristics of implant patients were investigated. In the second part (questions 11-32), the positive or negative effects of implantation on the work lives of the participants were evaluated. Almost half of the research group (49.3%, n = 70) consisted of women, and the mean age of the participants was determined to be 35.8 ± 14.8 years. There was no significant difference between gender, educational status, implanted side, working time, working style (physical, desk), and factors affecting work life (p > 0.05). Professional satisfaction and success at work increased significantly more in those with acquired hearing loss (p = 0.010). Post-implantation workplace compliance, success, and productivity were found to be higher in those with acquired hearing loss (p = 0.013). Hearing loss had a significantly less negative impact on work performance in those implanted in childhood than in those implanted in adulthood (p = 0.043). It was observed that hearing loss had a greater negative impact on the work life of married people (p = 0.006). Cochlear implantation greatly enhances workplace satisfaction, increases self-confidence, and has a positive impact on the future of profoundly deaf individuals.
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Affiliation(s)
- Yüksel Olgun
- Department of Otorhinolaryngology, Faculty of Medicine, Dokuz Eylül University, 35220 İzmir, Türkiye;
| | - Mehmet Emin Arayici
- Department of Public Health, Faculty of Medicine, Dokuz Eylül Universtiy, 35220 İzmir, Türkiye;
| | - Armağan İncesulu
- Department of Otorhinolaryngology, Faculty of Medicine, Osmangazi University, 26040 Eskişehir, Türkiye;
| | - Ülkü Tuncer
- Department of Otorhinolaryngology, Faculty of Medicine, Çukurova University, 01330 Adana, Türkiye;
| | - Enis Alpin Güneri
- Department of Otorhinolaryngology, Faculty of Medicine, Dokuz Eylül University, 35220 İzmir, Türkiye;
| | - Hülya Ellidokuz
- Department of Biostatistics and Medical Informatics, Faculty of Medicine, Dokuz Eylül Universtiy, 35220 İzmir, Türkiye;
| | - Levent Olgun
- Department of Otorhinolaryngology, Faculty of Medicine, Başkent University, 06790 Ankara, Türkiye;
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Presbycusis and balance disorders in the elderly. Bibliographical review of ethiopathogenic aspects, consequences on quality of life and positive effects of its treatment. ACTA OTORRINOLARINGOLOGICA ESPANOLA 2023; 74:124-132. [PMID: 36906066 DOI: 10.1016/j.otoeng.2023.03.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2021] [Accepted: 05/15/2022] [Indexed: 03/11/2023]
Abstract
At this time, we still do not have adequate knowledge and awareness of the consequences of hearing loss in the elderly on quality of life. Similarly, there is also insufficient information on the relationship of presbycusis and balance disorders with other comorbidities. Such knowledge can contribute to improve both prevention and treatment of these pathologies, to reduce their impact on other areas such as cognition or autonomy, as well as to have more accurate information on the economic impact they generate in society and in the health system. Therefore, with this review article we aim to update the information on the type of hearing loss and balance disorders in people over 55 years of age, and their associated factors; to analyze the impact on the quality of life of these people and the one which can be generated at a personal and population level (both sociological and economic) if an early intervention in these patients is pursued.
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Presbiacusia y trastornos del equilibrio en personas mayores. Revision bibliográfica de aspectos etiopatogénicos, consecuencias sobre la calidad de vida y efectos positivos de su tratamiento. ACTA OTORRINOLARINGOLOGICA ESPANOLA 2022. [DOI: 10.1016/j.otorri.2022.05.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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Prelingual Deaf Children Treated With Cochlear Implant: Monitoring Performance With Percentiles. Otol Neurotol 2020; 40:S2-S9. [PMID: 31225816 DOI: 10.1097/mao.0000000000002206] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
OBJECTIVES To develop a percentile ranking system driven by speech recognition data obtained from different groups of patients treated with a cochlear implant to serve as a tool to monitor the progress of these patients. STUDY DESIGN Prospective study. SETTING Tertiary referral center. PATIENTS Diagnosed with a bilateral, profound sensorineural hearing loss treated with a unilateral cochlear implant. INTERVENTION Diagnostic. MAIN OUTCOME MEASURE Six different percentiles (p) were classified taking into account the correlation between speech recognition outcome scores and age at implantation, with reference to the onset of hearing loss. RESULTS Four hundred sixteen prelingual patients were included. These subjects were divided into subgroups depending on age at implantation.Prelingual group, from the fifth year after implantation, p50 centered on the following percentages of correct words in each subgroup: 100, 94.6, 91.4, 91.0, 79.2, and 63.1% in children implanted under 12 months, 1, 2, 3, 4 to 6, 7 to 10 years, respectively. After a 12-year follow-up, a significant negative correlation between age at implantation and speech recognition was observed in both prelinguals (Rhos=-0.578, p<0.001). CONCLUSION A percentile system was developed to monitor the postimplant progress of prelingual deaf implanted patients, with potential applications in patient follow-up and handling circumstances that may deteriorate results.
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Caldeira JMA, Goffi-Gomez MVS, Imamura R, Bento RF. Speech Recognition of Cochlear Implant Users Inside a Noisy Helicopter Environment. Audiol Neurootol 2019; 24:32-37. [PMID: 30955013 DOI: 10.1159/000497031] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2018] [Accepted: 01/16/2019] [Indexed: 11/19/2022] Open
Abstract
In this study, we tested whether the speech recognition, through radio communications, of cochlear implant (CI) users inside a noisy helicopter cockpit is adequate for safe flight. METHOD Speech recognition tests (sentences, numbers and disyllables) through a very-high-frequency radio were administered to 12 CI users in a soundproof booth, inside a helicopter with the engine turned off and turned on. RESULTS In quiet environments, radio communications were impacted only for disyllable intelligibility, but in noisy situations, all tests were affected. CONCLUSIONS CI subjects did not achieve the auditory levels recommended by the International Civil Aviation Organization.
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Affiliation(s)
| | - Maria Valéria Schmidt Goffi-Gomez
- Cochlear Implant Group, Department of Otorhinolaryngology, Clinical Hospital, University of São Paulo School of Medicine, São Paulo, Brazil
| | - Rui Imamura
- Department of Otorhinolaryngology, Clinical Hospital, University of São Paulo School of Medicine, São Paulo, Brazil
| | - Ricardo Ferreira Bento
- Department of Otorhinolaryngology, University of São Paulo School of Medicine, São Paulo, Brazil
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Puga AM, Pajares MA, Varela-Moreiras G, Partearroyo T. Interplay between Nutrition and Hearing Loss: State of Art. Nutrients 2018; 11:nu11010035. [PMID: 30586880 PMCID: PMC6356655 DOI: 10.3390/nu11010035] [Citation(s) in RCA: 70] [Impact Index Per Article: 11.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2018] [Revised: 12/17/2018] [Accepted: 12/21/2018] [Indexed: 12/14/2022] Open
Abstract
Hearing loss has been recently ranked as the fifth leading cause of years lived with disability, ahead of many other chronic diseases such as diabetes, dementia, or chronic obstructive pulmonary disease. Moreover, according to the World Health Organization, moderate-to-profound hearing loss affects about 466 million people worldwide. Its incidence varies in each population segment, affecting approximately 10% of children and increasing to 30% of the population over 65 years. However, hearing loss receives still very limited research funding and public awareness. This sensory impairment is caused by genetic and environmental factors, and among the latter, the nutritional status has acquired relevance due its association to hearing loss detected in recent epidemiological studies. Several experimental models have proved that the onset and progression of hearing loss are closely linked to the availability of nutrients and their metabolism. Here, we have reviewed studies focused on nutrient effects on auditory function. These studies support the potential of nutritional therapy for the protection against hearing loss progression, which is especially relevant to the aging process and related quality of life.
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Affiliation(s)
- Ana M Puga
- Department of Pharmaceutical and Health Sciences, Faculty of Pharmacy, CEU San Pablo University, 28668 Madrid, Spain.
| | - María A Pajares
- Department of Structural and Chemical Biology, Centro de Investigaciones Biológicas (CSIC), 28040 Madrid, Spain.
- Molecular Hepatology Group, Hospital La Paz Institute for Health Research (IdiPAZ), 28046 Madrid, Spain.
| | - Gregorio Varela-Moreiras
- Department of Pharmaceutical and Health Sciences, Faculty of Pharmacy, CEU San Pablo University, 28668 Madrid, Spain.
| | - Teresa Partearroyo
- Department of Pharmaceutical and Health Sciences, Faculty of Pharmacy, CEU San Pablo University, 28668 Madrid, Spain.
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Survey on the Knowledge of Cochlear Implant Indication in the Treatment of Hearing Loss in Spain. ACTA OTORRINOLARINGOLOGICA ESPANOLA 2018. [DOI: 10.1016/j.otoeng.2017.06.018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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Crowson MG, Semenov YR, Tucci DL, Niparko JK. Quality of Life and Cost-Effectiveness of Cochlear Implants: A Narrative Review. Audiol Neurootol 2017; 22:236-258. [PMID: 29262414 DOI: 10.1159/000481767] [Citation(s) in RCA: 52] [Impact Index Per Article: 7.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2016] [Accepted: 09/21/2017] [Indexed: 11/19/2022] Open
Abstract
OBJECTIVES To review evidence regarding the health-related quality of life (HRQoL) and cost-effectiveness of unilateral and bilateral cochlear implantation (CI) among children and adults with severe-to-profound hearing loss. STUDY DESIGN Narrative review. METHODS Publications related to quality of life (QoL) and costs of care in CI were acquired through searches in English-language databases. Studies were included if they had identified the HRQoL attainment, cost of care, cost-utility, or cost-effectiveness associated with CI. RESULTS 57 studies were critically reviewed. The QoL outcome metrics used in these articles were divided into 2 categories - generic and condition specific. In studies investigating children, many reported no significant difference in QoL attainment between CI recipients and normal-hearing peers. In adults, significant improvements in QoL after implantation and higher QoL than in their nonimplanted (hearing-aided) peers were frequently reported. Studies involving an older adult cohort reported significant improvement in QoL after implantation, which was often independent of audiological performance. Overall, the calculated cost-utility ratios consistently met the threshold of cost acceptance, indicating acceptable values for expenditures on CI. CONCLUSIONS Considerable work has been done on the QoL attainment and health economic implications of CI. Unilateral CI across all age groups leads to reported sustained benefits in the recipients' overall and disease-specific QoL. With increased cost associated with bilateral CI, further study is needed to characterize its costs and benefits with respect to the recipients' health, well-being, and contributions to society.
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Affiliation(s)
- Matthew G Crowson
- Department of Otolaryngology, Head and Neck Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA
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Brandão M, Rebelo C. Uma Revisão Sistemática de Instrumentos sobre Qualidade de Vida em Pessoas Idosas após Implante Coclear. PORTUGUESE JOURNAL OF PUBLIC HEALTH 2017. [DOI: 10.1159/000477645] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
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Manrique M, Ramos Á, Pradel B, Cenjor C, Calavia D, Morera C. Survey on the knowledge of cochlear implant indication in the treatment of hearing loss in Spain. ACTA OTORRINOLARINGOLOGICA ESPANOLA 2017; 69:251-259. [PMID: 28859992 DOI: 10.1016/j.otorri.2017.06.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2017] [Accepted: 06/01/2017] [Indexed: 10/19/2022]
Abstract
INTRODUCTION This study aims to analyse the knowledge of cochlear implant (CI) candidacy criteria of otorhinolaryngology specialists in Spain, and from the results, consider whether it is necessary to implement training measures aimed at improving knowledge in this area. MATERIAL AND METHODS A questionnaire was designed for measuring the level of knowledge of cochlear implant candidacy criteria (CI) in people with hearing loss. The questionnaire collected the demographic data of the respondents and their knowledge on the conventional and emergency indications for CI, technical characteristics of CI and results in the implanted population. RESULTS A total of 222 Spanish specialists in otorhinolaryngology answered the questionnaire (10.29% of the sample surveyed). CONCLUSIONS The 50% of all respondents showed a medium-high knowledge about CI. Epidemiological data suggest that a high percentage of adults with postlocutive deafness and candidates for a CI are not referred for treatment. The lack of knowledge about the criteria for the indication of CI by otorhinolaryngology specialists may contribute to inadequate guidance of patients who are potential candidates for CI. The greatest shortcomings are found in the most emergency indications for a CI. Among otorhinolaryngology professionals, the greatest knowledge about CI is found in those who work in tertiary hospitals in the areas of otology and otoneurology, either in the public or private sector. This study suggests that training on CI should be increased for otorhinolaryngology professionals, especially for general otorhinolaryngologists.
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Affiliation(s)
| | - Ángel Ramos
- Hospital Universitario Materno-Infantil de Las Palmas de Gran Canaria, Las Palmas de Gran Canaria, España
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Huarte A, Martínez-López M, Manrique-Huarte R, Erviti S, Calavia D, Alonso C, Manrique M. Actividad laboral en pacientes tratados con implantes cocleares. ACTA OTORRINOLARINGOLOGICA ESPANOLA 2017; 68:92-97. [DOI: 10.1016/j.otorri.2016.05.003] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2016] [Revised: 05/13/2016] [Accepted: 05/19/2016] [Indexed: 11/28/2022]
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Huarte A, Martínez-López M, Manrique-Huarte R, Erviti S, Calavia D, Alonso C, Manrique M. Work Activity in Patients Treated With Cochlear Implants. ACTA OTORRINOLARINGOLOGICA ESPANOLA 2017. [DOI: 10.1016/j.otoeng.2017.02.004] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Escorihuela García V, Pitarch Ribas MI, Llópez Carratalá I, Latorre Monteagudo E, Morant Ventura A, Marco Algarra J. Comparative Study Between Unilateral and Bilateral Cochlear Implantation in Children of 1 and 2 Years of Age. ACTA ACUST UNITED AC 2016. [DOI: 10.1016/j.otoeng.2016.04.011] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Escorihuela García V, Pitarch Ribas MI, Llópez Carratalá I, Latorre Monteagudo E, Morant Ventura A, Marco Algarra J. Estudio comparativo entre implantación coclear uni y bilateral en niños de 1 y 2 años de edad. ACTA OTORRINOLARINGOLOGICA ESPANOLA 2016; 67:148-55. [DOI: 10.1016/j.otorri.2015.07.001] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2015] [Revised: 07/14/2015] [Accepted: 07/21/2015] [Indexed: 11/30/2022]
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Razafimahefa-Raoelina T, Farinetti A, Nicollas R, Triglia JM, Roman S, Anderson L. Self- and parental assessment of quality of life in child cochlear implant bearers. Eur Ann Otorhinolaryngol Head Neck Dis 2016; 133:31-5. [DOI: 10.1016/j.anorl.2015.10.002] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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López-Torrijo M, Mengual-Andrés S, Estellés-Ferrer R. Clinical and logopaedic results of simultaneous and sequential bilateral implants in children with severe and/or profound bilateral sensorineural hearing loss: A literature review. Int J Pediatr Otorhinolaryngol 2015; 79:786-792. [PMID: 25912629 DOI: 10.1016/j.ijporl.2015.03.030] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/29/2014] [Revised: 03/27/2015] [Accepted: 03/31/2015] [Indexed: 01/07/2023]
Abstract
This article carries out a literature review of the advantages and limitations of the simultaneous bilateral cochlear implantation (SCI) compared to those of the sequential bilateral cochlear implantation (SBCI) and the unilateral cochlear implantation (UCI). The variables analysed in said comparison are: safety and surgical technique, SCI incidence, effectiveness, impact of the inter-implant interval, costs and financing, impact on brain plasticity, impact on speech and language development, main benefits, main disadvantages and concerns, and predictive factors of prognosis. Although the results are not conclusive, all variables analysed seem to point towards observable benefits of SCI in comparison with SBCI or UCI. This tendency should be studied in more depth in multicentre studies with higher methodological rigour, more comprehensive samples and periods and other determining variables (age at the time of implantation, duration and degree of the hearing loss, rehabilitation methodologies used, family involvement, etc.).
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Affiliation(s)
- Manuel López-Torrijo
- Department of Comparative Education & History of Education, University of Valencia, Faculty of Philosophy and Educational Sciences, Avda. Blasco Ibáñez 30, 46010 Valencia, Spain.
| | - Santiago Mengual-Andrés
- Department of Comparative Education & History of Education, University of Valencia, Faculty of Philosophy and Educational Sciences, Avda. Blasco Ibáñez 30, 46010 Valencia, Spain.
| | - Remedios Estellés-Ferrer
- Department of Comparative Education & History of Education, University of Valencia, Faculty of Philosophy and Educational Sciences, Avda. Blasco Ibáñez 30, 46010 Valencia, Spain.
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Mohammed AA, Sarwat SA. The side of cochlear implantation and speech intelligibility in pediatric and adult cochlear implantees. THE EGYPTIAN JOURNAL OF OTOLARYNGOLOGY 2014. [DOI: 10.4103/1012-5574.144977] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Buarque LFSFP, Brazorotto JS, Cavalcanti HG, Lima Júnior LRP, Lima DDVSP, Ferreira MÂF. Satisfação dos usuários do implante coclear com perda auditiva pós-lingual. REVISTA CEFAC 2014. [DOI: 10.1590/1982-021620144513] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Objetivo avaliar a satisfação dos usuários de Implante Coclear com perda auditiva pós-lingual. Métodos estudo seccional com 51 implantados, pacientes de um centro de referência em saúde auditiva na cidade do Natal-RN. Foram utilizados dois questionários de satisfação adaptados para usuários de implante coclear. Resultados houve um alto índice de satisfação entre os pesquisados, detectado pelo InternationalOutcomeInventory –CochlearImplant(100,0%) e pelo SatisfactionwithAmplification in Daily Life (98,0%).A insatisfação foi observada em relação à imagem pessoal (13,7%),serviços e custos (27,5%), e na presençado ruído competitivo(9,8%). Conclusão o implante coclear é uma intervenção com alto índice de satisfação entre os usuários pesquisados.
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Vaca M, Gutiérrez A, Polo R, Alonso A, Álvarez F. Long-term results of the transattical approach: an alternative technique for cochlear implantation. Eur Arch Otorhinolaryngol 2013; 272:35-41. [DOI: 10.1007/s00405-013-2831-3] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2013] [Accepted: 11/18/2013] [Indexed: 10/26/2022]
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Buarque LFSFP, Brazorotto JS, Cavalcanti HG, Lima Júnior LRP, Lima DDVSP, Ferreira MÂF. Desempenho auditivo ao longo do tempo em usuários de implante coclear com perda auditiva pós-lingual. AUDIOLOGY - COMMUNICATION RESEARCH 2013. [DOI: 10.1590/s2317-64312013000200010] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
OBJETIVO: Avaliar o desempenho auditivo ao longo do tempo e investigar os fatores prognósticos relacionados. MÉTODOS: Estudo de coorte retrospectivo realizado por meio da análise dos prontuários de 57 indivíduos com perda auditiva pós-lingual e usuários de implante coclear há pelo menos 12 meses. Utilizou-se o estimador de Kaplan-Meier e o teste de Logrank para análise da percepção da fala ao longo do tempo e da possível interferência de fatores como gênero, escolaridade, tempo de privação auditiva, idade ao implante, marca do dispositivo e etiologia, sobre o desfecho estudado. RESULTADOS: Em apenas 12 meses após a ativação do implante, mais da metade da coorte já apresentava escores satisfatórios no teste de percepção da fala. O teste de Logrank não indicou diferença entre as covariáveis testadas. Houve diferença significativa entre os resultados auditivos pré e pós- implante coclear. CONCLUSÃO: O desempenho auditivo, após 12 meses de uso do IC, superou o critério de indicação na maioria dos indivíduos com perda auditiva pós-lingual, independentemente dos fatores prognósticos avaliados, porém não em todos os indivíduos pesquisados.
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Cochlear implantation in patients with neurofibromatosis type 2 and patients with vestibular schwannoma in the only hearing ear. Int J Otolaryngol 2012; 2012:157497. [PMID: 22518152 PMCID: PMC3299335 DOI: 10.1155/2012/157497] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2011] [Accepted: 12/02/2011] [Indexed: 11/17/2022] Open
Abstract
Cochlear implants are a new surgical option in the hearing rehabilitation of patients with neurofibromatosis type 2 (NF2) and patients with vestibular schwannoma (VS) in the only hearing ear. Auditory brainstem implant (ABI) has been the standard surgical treatment for these patients. We performed a literature review of patients with NF2 and patients with VS in the only hearing ear. Cochlear implantation (CI) provided some auditory benefit in all patients. Preservation of cochlear nerve integrity is crucial after VS resection. Results ranged from environmental sound awareness to excellent benefit with telephone use. Promontory stimulation is recommended although not crucial. MRI can be performed safely in cochlear implanted patients.
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Achiques MT, Morant A, Muñoz N, Marco J, Llópez I, Latorre E, Pitarch I. Complicaciones y fallos de la implantación coclear. ACTA OTORRINOLARINGOLOGICA ESPANOLA 2010; 61:412-7. [DOI: 10.1016/j.otorri.2010.07.005] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2010] [Revised: 07/15/2010] [Accepted: 07/19/2010] [Indexed: 10/19/2022]
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Gérard JM, Deggouj N, Hupin C, Buisson AL, Monteyne V, Lavis C, Dahan K, Gersdorff M. Evolution of communication abilities after cochlear implantation in prelingually deaf children. Int J Pediatr Otorhinolaryngol 2010; 74:642-8. [PMID: 20347162 DOI: 10.1016/j.ijporl.2010.03.010] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/17/2010] [Accepted: 03/02/2010] [Indexed: 10/19/2022]
Abstract
OBJECTIVE This study tries to evaluate different factors on communication ability outcomes in cochlear implanted children. METHODS Communication abilities are studied using the validated APCEI-scale based on five components of the language: cochlear implant acceptance, perceptive language performance, comprehension of the oral orders, expressive language and speech intelligibility. APCEI-scores were calculated every 6 months for the first 2 years, then yearly. The studied variables were: gender, social origin, preoperative residual hearing, age, aetiology of hearing loss, and associated disabilities. RESULTS Communication ability scores increased with high socioeconomic level, presence of residual hearing, younger patients when no residual hearing, connexin mutation related deafness, and absence of associated disabilities. No significant difference has been noted between both sexes. CONCLUSION Many different factors influence the evolution of communication abilities of cochlear implanted children. Investigating the cause of hearing loss, presence of associated disabilities and residual hearing before surgery may help to predict outcome and plan appropriate care to those children with negative predictive factors.
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Affiliation(s)
- Jean-Marc Gérard
- Department of Oto-Rhino-Laryngology and Head and Neck Surgery, Catholic University of Louvain, University Hospital Saint-Luc, Av hippocrate 10, 1200 Brussels, Belgium.
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[Cochlear reimplantation in the same ear: Findings, peculiarities of the surgical technique and complications]. ACTA OTORRINOLARINGOLOGICA ESPANOLA 2010; 61:106-17. [PMID: 20138249 DOI: 10.1016/j.otorri.2009.10.014] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2009] [Accepted: 10/16/2009] [Indexed: 11/24/2022]
Abstract
INTRODUCTION Cochlear implants are, for many reasons, expirable electronic devices and occasionally may have to be replaced. The surgical cochlear reimplantation technique is not substantially different from the initial implantation but does have some peculiarities. These peculiarities are analyzed in this paper not only from the point of view of surgical technique but also with respect to the complications involved and the functional auditive outcome obtained. OBJECTIVES An accurate description of the surgical findings, peculiarities of the surgical technique and complications found during the process of cochlear reimplantation. An evaluation of the audiometric functional outcome of the reimplantation. MATERIAL AND METHOD A descriptive retrospective review of 34 reimplantations in the same ear, carried out at our department during the period between 1993 and 2008, in 27 patients in a tertiary hospital by the same team of seniors surgeons. The cochlear implants replaced were 2 Ineraid (Smith & Nephew Richards, TN), 23 Laura (Philips Hearing Implants), 8 nucleus 24K (Cochlear Corp., Englewood, CO), 1 Clarion (r) (Advanced Bionics, Sylmar, CA). RESULTS The rate of reimplantation in the same ear was 18.5% per patient. The most frequent reason in our series was internal failure of the device (14 cases). Other causes were substitution for a technological update (7 cases), misplacement of electrodes (8 cases), necrosis/infection of the skin flap with exposure of the implant (3 cases) and external injuries (2 cases). The most important surgical findings were partial mastoidectomy reossification, absence of ossification in the posterior tympanostomy and the permeability of the basal turn of the cochlea when it housed the electrodes. A complete reintroduction of the electrodes was achieved in 25 patients and a partial one in 2 patients. The rate of complications generated was similar in reimplantation and in virgin ear implantation, except for when the original implant was an Ineraid device. CONCLUSIONS The surgical technique of reimplantation and multireimplantation technique has characteristic peculiarities at each step, but in general terms, its complexity is similar to that of implantation in virgin ears and the rate of complications is also similar. The introduction of the new electrodes is simple and complete in the immense majority of cases, given that the cochlea remains permeable, as long as it houses the electrodes; otherwise it tends to become reossified. The functional auditory outcome of the new implant is in relation with its capacities. If they are equal to those of the initial implant then the auditory outcome will be similar and if they are better, then so will the outcome be, with the exception of ears with long periods of auditive deprivation.
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Cochlear implant complications and failures. ACTA OTORRINOLARINGOLOGICA ESPANOLA 2010. [DOI: 10.1016/s2173-5735(10)70076-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
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Orús Dotú C, Venegas Pizarro MDP, Juan Beltrán JD, Juan Delago MD. Cochlear reimplantation in the same ear: Findings, peculiarities of the surgical technique and complications. ACTA OTORRINOLARINGOLOGICA ESPANOLA 2010. [DOI: 10.1016/s2173-5735(10)70018-1] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Manrique M, Huarte A, Valdivieso A, Pérez B. Bilateral sequential implantation in children. ACTA ACUST UNITED AC 2009. [DOI: 10.1080/16513860701705173] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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