Cochlear Implantation in Late-Implanted Prelingually Deafened Adults

Straatman, Louise V.; Huinck, Wendy J.; Langereis, Margreet; Snik, A.F.M.; Mulder, Jef J. S.

doi:10.1097/mao.0b013e3182a4758e

Cited by 48 publications

(53 citation statements)

References 17 publications

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“…A mean Glasgow Benefit Inventory score of 38.9 after CI was reported by one group, comparable to the mean score of 40 reported for "traditional" CI recipients [Peasgood et al, 2003]. Straatman et al [2014] also reported improvement in both disease-specific and generic quality of life questionnaire scores in a group of 28 patients, all of whom had some auditory input in the past and used primarily auraloral communication. Both groups suggest that success is not purely about speech perception, and it is important to differentiate between performance and benefit when reporting outcome in these patients.…”

Section: Discussionsupporting

confidence: 52%

“…They were also the same 2 patients to achieve 0% improvement in open set speech discrimination at 1 year. This would suggest that improvement in speech discrimination certainly has a role to play in perceived success, though no correlation has been found between quality of life measures and speech recognition benefit scores in such candidates [Straatman et al, 2014]. Patient 1 (details in Table 1 ) did not complete the "expectations met" questionnaire at 1 year.…”

Section: Discussionmentioning

confidence: 99%

“…More recent studies report greater improvements in speech perception outcomes, although not to the same extent as conventional cochlear implant recipients [Teoh et al, 2004a;Santarelli et al, 2008]. Nevertheless, NT cochlear implant recipients have been shown to have significant improvement in quality of life [Peasgood et al, 2003;Straatman et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

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Assessment and Outcome in Non-Traditional Cochlear Implant Candidates

et al. 2016

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The objectives of this study were to assess: (i) patient expectations met as a measure of outcome in early-deafened, late-implanted (non-traditional) cochlear implant recipients and (ii) pre-implantation predictive factors for postoperative speech perception. The notes of 13 recipients were retrospectively reviewed. The mean age at onset of profound deafness was 1.5 years (range 0-6). The mean age at implantation was 37 years (range 22-51 years). Patient expectations were assessed pre-operatively and 1 year after implantation. They were met or exceeded in 129/140 (92%) domains overall. A higher Speech Intelligibility Rating and audiovisual City University of New York sentence score before implantation were found to be positive predictive factors for improved speech discrimination after cochlear implantation.

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Section: Discussionsupporting

confidence: 52%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Assessment and Outcome in Non-Traditional Cochlear Implant Candidates

et al. 2016

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“…High user satisfaction rates have consistently been reported in studies on early-deafened CI users, even in subjects with almost negligible gain in auditory performance [Bosco et al, 2013;Caposecco et al, 2012;Hinderink et al, 1995;Kaplan et al, 2003;Peasgood et al, 2003;Zwolan et al, 1996]. A number of studies have evaluated quality of life before and after implantation and found significant postoperative improvements, mainly in hearing-related quality of life questionnaires [Klop et al, 2007;Most et al, 2010;Schramm et al, 2002;Straatman et al, 2014;van Dijkhuizen et al, 2011], but also in hearingrelated domains of general health status questionnaires [Klop et al, 2007;Straatman et al, 2014]. Questionnaires like the Nijmegen Cochlear Implant Questionnaire (NCIQ) [Hinderink et al, 2000] are able to detect postoperative improvements for early-deafened CI users.…”

Section: Introductionmentioning

confidence: 96%

“…Studies investigating this specific relation are scarce, however. In 2011, van Dijkhuizen et al only found a significant correlation between speech perception outcomes and the subdomain "advanced sound perception" of the NCIQ, whereas both Peasgood et al [2003] and Straatman et al [2014] found no significant correlations between auditory outcome measures and scores on the Glasgow Benefit Inventory. Additionally, Straatman et al DOI: 10.1159/000488023 [2014] found no significant correlations between phoneme benefit scores and the generic Health Utilities Index 3 [Feeny et al, 2002] or the postoperative changes on the NCIQ.…”

Section: Introductionmentioning

confidence: 99%

Late Cochlear Implantation in Early-Deafened Adults: A Detailed Analysis of Auditory and Self-Perceived Benefits

2017

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Objectives: It is known that early-deafened cochlear implant (CI) users are a very heterogeneously performing group. To gain more insight into this population, this study investigated (1) postoperative changes in auditory performance over time based on various outcome measures, focusing on poor performers, (2) self-perceived outcomes, (3) relations between auditory and self-perceived outcomes, and (4) preimplantation factors predicting postoperative outcomes. Methods: Outcomes were assessed prospectively in a group of 27 early-deafened, late-implanted CI users, up to 3 years after implantation. Outcome measures included open-set word and sentence recognition, closed-set word recognition, speech tracking and a questionnaire on self-perceived outcomes. Additionally, the relative influence of 8 preimplantation factors on CI outcome was assessed with linear regression analyses. Results: Significant improvements were found for auditory performance measures and most of the questionnaire domains. Significant changes of the closed-set word test, speech tracking and questionnaire were also found for a subgroup of poor performers. Correlations between auditory and self-perceived outcomes were weak and nonsignificant. Preoperative word recognition and preoperative hearing thresholds, both for the implanted ear, were significant predictors of postoperative outcome in the multivariable regression model, explaining 63.5% of the variation. Conclusions: Outcome measurement in this population should be adjusted to the patients’ individual performance level and include self-perceived benefit. There is still a need for more knowledge regarding predictors of CI outcomes in this group, but the current study suggests the importance of the preoperative performance of the ear to be implanted.

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Impact of face masks in public spaces during COVID‐19 pandemic on daily life communication of cochlear implant users

Homans

Vroegop

2021

Laryngoscope Investig Oto

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Objective/Hypothesis Investigate potential problems in the daily life communication of cochlear implant (CI) patients due to the widespread use of face masks in public places during the COVID‐19 pandemic. Study design Prospective survey study. Methods This study used an online questionnaire about the effects of face masks on daily life communication of adult CI users. The questionnaire consists of three parts: (a) A face mask questionnaire, (b) loneliness question (c) three subdomains of the Nijmegen Cochlear Implant Questionnaire to assess quality of life. The questionnaires were send out on October 20, 2020. Four hundred and seven adult CI users were invited to participate in the study. The survey inclusion was closed on November 5, 2020. The study setting was the Rotterdam Cochlear Implant Center, Erasmus MC, a tertiary referral center in The Netherlands. The loneliness question and Nijmegen Cochlear Implant Questionnaire were analyzed for possible differences between the current situation with masks and the situation before, when masks were not commonly used. Results Two hundred and twenty one adult CI users (54% female, mean age 62 years) participated in the study. The face mask questionnaire showed that face masks cause considerable problems in daily life communication of 80% of the participants. Also, CI users tend to feel more lonely and all used subdomains of the Nijmegen Cochlear Implant Questionnaire worsened due to the use of face masks. Conclusion The widespread use of face masks greatly complicates the daily life communication of CI users and reduces quality of life. Level of Evidence 3.

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Cochlear Implantation in Late-Implanted Prelingually Deafened Adults

Cited by 48 publications

References 17 publications

Assessment and Outcome in Non-Traditional Cochlear Implant Candidates

Assessment and Outcome in Non-Traditional Cochlear Implant Candidates

Late Cochlear Implantation in Early-Deafened Adults: A Detailed Analysis of Auditory and Self-Perceived Benefits

Impact of face masks in public spaces during COVID‐19 pandemic on daily life communication of cochlear implant users

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