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Ibraheem OA, Abdelghani M, Hassan EM, El-Nebtity N, Gad NH. Multidisciplinary Cognitive Function Assessment of Good versus Poor Performance in Children with Cochlear Implants: An Observational Cross-Sectional Study. Int Arch Otorhinolaryngol 2023; 27:e445-e454. [PMID: 37564474 PMCID: PMC10411165 DOI: 10.1055/s-0042-1750201] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2021] [Accepted: 04/17/2022] [Indexed: 08/12/2023] Open
Abstract
Introduction Despite the developing technology of cochlear implants (CIs), implanted prelingual hearing-impaired children exhibit variable speech processing outcomes. When these children match in personal and implant-related criteria, the CI outcome variability could be related to higher-order cognitive impairment. Objectives To evaluate different domains of cognitive function in good versus poor CI performers using a multidisciplinary approach and to find the relationship between these functions and different levels of speech processing. Methods This observational, cross-sectional study used the word recognition score (WRS) test to categorize 40 children with CIs into 20 good (WRS/65%) and 20 poor performers (WRS < 65%). All participants were examined for speech processing at different levels (auditory processing and spoken language) and cognitive functioning using (1) verbal tests (verbal component of Stanford-Binet intelligence [SBIS], auditory memory, auditory vigilance, and P300); and (2) performance tasks (performance components of SBIS, and trail making test). Results The outcomes of speech processing at different functional levels and both domains of cognitive function were analyzed and correlated. Speech processing was impaired significantly in poor CI performers. This group also showed a significant cognitive function deficit, in which the verbal abilities were more affected (in 93.5%) than in the good performers (in 69.5%). Moreover, cognitive function revealed a significant correlation and predictive effect on the CI speech outcomes. Conclusion Cognitive function impairment represented an important factor that underlies the variable speech proficiency in cochlear-implanted children. A multidisciplinary evaluation of cognitive function would provide a comprehensive overview to improve training strategies.
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Affiliation(s)
- Ola A Ibraheem
- Audio-Vestibular Medicine Unit, Department of Otolaryngology-Head and Neck Surgery, Faculty of Medicine, Zagazig University, Egypt
| | - Mohamed Abdelghani
- Department of Neuropsychiatry, Faculty of Medicine, Zagazig University, Egypt
| | - Elham M Hassan
- Phoniatrics Unit, Department of Otolaryngology-Head and Neck Surgery, Faculty of Medicine, Zagazig University, Egypt
| | - Nadia El-Nebtity
- Audio-Vestibular Medicine Unit, Department of Otolaryngology-Head and Neck Surgery, Faculty of Medicine, Zagazig University, Egypt
| | - Nahlah H Gad
- Audio-Vestibular Medicine Unit, Department of Otolaryngology-Head and Neck Surgery, Faculty of Medicine, Zagazig University, Egypt
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Amaral MSAD, Zamberlan-Amorin NE, Mendes KDS, Bernal SC, Massuda ET, Hyppolito MA, Reis ACMB. The P300 Auditory Evoked Potential in Cochlear Implant Users: A Scoping Review. Int Arch Otorhinolaryngol 2023; 27:e518-e527. [PMID: 37564465 PMCID: PMC10411132 DOI: 10.1055/s-0042-1744172] [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: 04/11/2021] [Accepted: 01/23/2022] [Indexed: 10/17/2022] Open
Abstract
Introduction The P300 auditory evoked potential is a long-latency cortical potential evoked with auditory stimulation, which provides information on neural mechanisms underlying the central auditory processing. Objectives To identify and gather scientific evidence regarding the P300 in adult cochlear implant (CI) users. Data Synthesis A total of 87 articles, 20 of which were selected for this study, were identified and exported to the Rayyan search software. Those 20 articles did not propose a homogeneous methodology, which made comparison more difficult. Most articles (60%) in this review compare CI users with typical hearing people, showing prolonged P300 latency in CI users. Among the studies, 35% show that CI users present a smaller P300 amplitude. Another variable is the influence of the kind of stimulus used to elicit P300, which was prolonged in 30% of the studies that used pure tone stimuli, 10% of the studies that used pure tone and speech stimuli, and 60% of the studies that used speech stimuli. Conclusion This review has contributed with evidence that shows the importance of applying a controlled P300 protocol to diagnose and monitor CI users. Regardless of the stimuli used to elicit P300, we noticed a pattern in the increase in latency and decrease in amplitude in CI users. The user's experience with the CI speech processor over time and the speech test results seem to be related to the P300 latency and amplitude measurements.
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Affiliation(s)
- Maria Stella Arantes do Amaral
- Department of Ophthalmology, Otorhinolaryngology, and Head and Neck Surgery, Hospital das Clínicas, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, São Paulo, SP, Brazil
| | - Nelma Ellen Zamberlan-Amorin
- Centro Especializado de Otorrinolaringologia e Fonoaudiologia (CEOF), Hospital das Clínicas, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, São Paulo, Brazil
| | - Karina Dal Sasso Mendes
- Department of General and Specialized Nursing, Faculdade de Enfermagem de Ribeirão Preto, Universidade de São Paulo, São Paulo, Brazil
| | - Sarah Carolina Bernal
- Health Sciences Department, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, São Paulo, Brazil
| | - Eduardo Tanaka Massuda
- Department of Ophthalmology, Otorhinolaryngology, and Head and Neck Surgery, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, São Paulo, Brazil
| | - Miguel Angelo Hyppolito
- Department of Ophthalmology, Otorhinolaryngology, and Head and Neck Surgery, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, São Paulo, Brazil
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Amaral MSAD, Calderaro VG, Pauna HF, Massuda ET, Reis ACMB, Hyppolito MA. Is there a change in P300 evoked potential after 6 months in cochlear implant users? Braz J Otorhinolaryngol 2022; 88 Suppl 3:S50-S58. [PMID: 34799269 PMCID: PMC9761001 DOI: 10.1016/j.bjorl.2021.10.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2021] [Revised: 09/03/2021] [Accepted: 10/14/2021] [Indexed: 10/19/2022] Open
Abstract
OBJECTIVE There are few studies on long-latency auditory evoked potential (P300) in people with hearing loss who use a cochlear implant. Central auditory system evaluation with behavioral and electrophysiological tests is believed to help understand the neuroplasticity mechanisms involved in auditory functioning after cochlear implant surgery. This study investigated the electrophysiological processing of cortical level acoustic signals in a group of 21 adult individuals with postlingual bilateral severe-to-profound hearing loss who were submitted to cochlear implant surgery. METHODS Data were collected in three phases: pre-cochlear implant surgery, at cochlear implant activation, and 6 months after surgery. P300 measures were also registered during all phases. Tone-burst and speech stimuli were used to elicit P300 and were presented in free field. RESULTS Mean P3 component latency with tone-burst and speech stimuli were 352.9 and 321.9 ms in the pre-cochlear implant phase, 364.9 and 368.7 ms in the activation phase, 336.2 and 343.6 ms 6 months after the surgery. The P3 component mean latency values using tone-burst at activation were significantly different from those 6 months after cochlear implant. They were also significantly different using speech, between pre-cochlear implant and activation phases. Lower P3 component latency occurred 6 months after cochlear implant activation with tone-burst and pre-cochlear implant with speech stimulus. There was a weak correlation between mean P3 component latency with speech stimulus and time of hearing loss. There was no difference in amplitude between phases or in the comparison with the other variables. CONCLUSION There were changes in P3 component latency during the period assessed, for both speech and pure-tone stimuli, with increased latency in the activation phase and similar lower results in the two other phases, Pre-CI and 6 months after CI use. Mean amplitude measures did not vary in the three phases.
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Affiliation(s)
- Maria Stella Arantes do Amaral
- Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Departamento de Oftalmologia, Otorrinolaringologia e Cirurgia de Cabeça e Pescoço, Ribeirão Preto, SP, Brazil.
| | - Victor G Calderaro
- Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Departamento de Ciências da Saúde, Ribeirão Preto, SP, Brazil
| | - Henrique Furlan Pauna
- Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Departamento de Oftalmologia, Otorrinolaringologia e Cirurgia de Cabeça e Pescoço, Ribeirão Preto, SP, Brazil
| | - Eduardo T Massuda
- Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Hospital das Clínicas, Ribeirão Preto, SP, Brazil
| | - Ana Cláudia M B Reis
- Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Ribeirão Preto, SP, Brazil
| | - Miguel Angelo Hyppolito
- Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Ribeirão Preto, SP, Brazil
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Tao DD, Zhang YM, Liu H, Zhang W, Xu M, Galvin JJ, Zhang D, Liu JS. The P300 Auditory Event-Related Potential May Predict Segregation of Competing Speech by Bimodal Cochlear Implant Listeners. Front Neurosci 2022; 16:888596. [PMID: 35757527 PMCID: PMC9226716 DOI: 10.3389/fnins.2022.888596] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2022] [Accepted: 05/16/2022] [Indexed: 11/13/2022] Open
Abstract
Compared to normal-hearing (NH) listeners, cochlear implant (CI) listeners have greater difficulty segregating competing speech. Neurophysiological studies have largely investigated the neural foundations for CI listeners' speech recognition in quiet, mainly using the P300 component of event-related potentials (ERPs). P300 is closely related to cognitive processes involving auditory discrimination, selective attention, and working memory. Different from speech perception in quiet, little is known about the neurophysiological foundations for segregation of competing speech by CI listeners. In this study, ERPs were measured for a 1 vs. 2 kHz contrast in 11 Mandarin-speaking bimodal CI listeners and 11 NH listeners. Speech reception thresholds (SRTs) for a male target talker were measured in steady noise or with a male or female masker. Results showed that P300 amplitudes were significantly larger and latencies were significantly shorter for the NH than for the CI group. Similarly, SRTs were significantly better for the NH than for the CI group. Across all participants, P300 amplitude was significantly correlated with SRTs in steady noise (r = -0.65, p = 0.001) and with the competing male (r = -0.62, p = 0.002) and female maskers (r = -0.60, p = 0.003). Within the CI group, there was a significant correlation between P300 amplitude and SRTs with the male masker (r = -0.78, p = 0.005), which produced the most informational masking. The results suggest that P300 amplitude may be a clinically useful neural correlate of central auditory processing capabilities (e.g., susceptibility to informational masking) in bimodal CI patients.
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Affiliation(s)
- Duo-Duo Tao
- Department of Ear, Nose, and Throat, Shaanxi Provincial People's Hospital, Xi'An, China
| | - Yun-Mei Zhang
- Department of Ear, Nose, and Throat, The First Affiliated Hospital of Soochow University, Suzhou, China
| | - Hui Liu
- Department of Ear, Nose, and Throat, Shaanxi Provincial People's Hospital, Xi'An, China
| | - Wen Zhang
- Department of Ear, Nose, and Throat, Shaanxi Provincial People's Hospital, Xi'An, China
| | - Min Xu
- Department of Ear, Nose, and Throat, Shaanxi Provincial People's Hospital, Xi'An, China
| | - John J Galvin
- House Institute Foundation, Los Angeles, CA, United States
| | - Dan Zhang
- Department of Ear, Nose, and Throat, The First Affiliated Hospital of Soochow University, Suzhou, China
| | - Ji-Sheng Liu
- Department of Ear, Nose, and Throat, The First Affiliated Hospital of Soochow University, Suzhou, China
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Danieli F, Reis ACMB, Massuda ET, Amaral MSAD, Hoen M, Gnansia D, Hyppolito MÂ. Clinical implications of intraoperative eABRs to the Evo®-CI electrode array recipients. Braz J Otorhinolaryngol 2021; 88 Suppl 1:S108-S117. [PMID: 34034979 PMCID: PMC9734272 DOI: 10.1016/j.bjorl.2021.04.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2021] [Revised: 03/30/2021] [Accepted: 04/26/2021] [Indexed: 12/16/2022] Open
Abstract
INTRODUCTION Electrically evoked auditory brainstem responses provide reliable clinical information to assist professionals in the auditory rehabilitation of cochlear implant users. OBJECTIVE This study aimed to investigate intraoperative evoked auditory brainstem response recordings in Evo®-cochlear implant electrode array recipients and its correlation with their behavioral levels and auditory performance. METHODS This is a retrospectivey study. Intraoperative evoked auditory brainstem responses were recorded in adult Evo®-cochlear implant electrode array recipients. Wave V latencies, amplitudes and interpeak III-V intervals were recorded in three different electrode locations and compared to the sentence recognition scores obtained from subjects after six months of device use. Evoked auditory brainstem responses thresholds were also recorded and compared to the behaviorally determined levels of the subjects in the sound processor activation. RESULTS Evoked auditory brainstem responses thresholds were significantly correlated with both, behavioral T- and C-levels and they were recorded at audible electrical stimulation levels in all subjects. There was a significant correlation between interpeak III-V interval recorded in the apical electrode and sentence recognition scores of the subjects. CONCLUSIONS Intraoperative evoked auditory brainstem responses can be used to establish audible levels for fitting the sound processor in Evo®-cochlear implant recipients and it could help professionals to plan further actions aiming to improve their auditory performance.
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Affiliation(s)
- Fabiana Danieli
- Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Programa de Pós-Graduação do Departamento de Oftalmologia, Otorrinolaringologia, Cirurgia de Cabeça e Pescoço, Ribeirão Preto, SP, Brazil; Oticon Medical, Departamento Clínico, São Paulo, SP, Brazil.
| | | | - Eduardo Tanaka Massuda
- Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Departamento de Oftalmologia, Otorrinolaringologia, Cirurgia de Cabeça e Pescoço, Ribeirão Preto, SP, Brazil
| | - Maria Stella Arantes do Amaral
- Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Departamento de Oftalmologia, Otorrinolaringologia, Cirurgia de Cabeça e Pescoço, Ribeirão Preto, SP, Brazil
| | - Michel Hoen
- Oticon Medical, Department of Scientific and Clinical Research, Vallauris, France
| | - Dan Gnansia
- Oticon Medical, Department of Scientific and Clinical Research, Vallauris, France
| | - Miguel Ângelo Hyppolito
- Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Departamento de Oftalmologia, Otorrinolaringologia, Cirurgia de Cabeça e Pescoço, Ribeirão Preto, SP, Brazil
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Kileny PR. Event-related potentials and cochlear implants: The "inside-the-brain" story. Clin Neurophysiol 2020; 132:212-213. [PMID: 33243616 DOI: 10.1016/j.clinph.2020.11.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2020] [Accepted: 11/03/2020] [Indexed: 10/23/2022]
Affiliation(s)
- Paul R Kileny
- University of Michigan, Michigan Medicine, 1500 E. Medical Center Drive SPC 5312, Ann Arbor, MI 48109-5312, USA.
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