Cochlear implantation outcome in straightforward cases: can we do more for adults who cannot understand speech using hearing aids alone?

Luntz, Michał; Khuri, Mahir; Khayr, Ranin; Khuri, Wadeah Gedaon; Yehudai, Noam; Shpak, Talma

doi:10.1080/00016489.2018.1516298

Cited by 3 publications

(4 citation statements)

References 17 publications

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“…To this end, audiologists and otolaryngologists should be aware of the irreversible consequences of poor speech perception. Poor speech perception leads to poor communication, which has a devastating effect on an individual’s quality of life [ 8 ].…”

Section: Discussionmentioning

confidence: 99%

“…It remains debatable what the exact criteria should be to justify both residual hearing on the one side and need for improved hearing on the other side. Based on the literature [ 3 , 7 , 8 , 16 ] and on our clinical experience, the selection of candidates for cochlear implantation is a multi-factorial process and thus needs a multidisciplinary approach. The audiological criterion might be considered as a general guideline that should be applied more or less strict, depending on the accompanying medical, social, and personal characteristics of an individual.…”

Section: Discussionmentioning

confidence: 99%

“…Whereas CI initially was meant to be a solution for patients with total deafness, it gradually evolved in a solution for patients with severe to profound hearing loss as well as for patients with a partial (high frequency) deafness [ 6 , 7 ]. Luntz et al [ 8 ] describes the initially stiff process of accepting cochlear implantation as a safe hearing solution in the early days. Today, unless the enormous amount of research showing the benefit of cochlear implantation, the indication procedure remains hard and inconvenient for many CI candidates [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

“…Luntz et al [ 8 ] describes the initially stiff process of accepting cochlear implantation as a safe hearing solution in the early days. Today, unless the enormous amount of research showing the benefit of cochlear implantation, the indication procedure remains hard and inconvenient for many CI candidates [ 8 ]. Several studies have shown that the degree of functional residual hearing, pre-implantation, is correlated with CI performance [ 9 – 11 ].…”

Section: Introductionmentioning

confidence: 99%

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Expanding unilateral cochlear implantation criteria for adults with bilateral acquired severe sensorineural hearing loss

Huinck

Mylanus

Snik

2019

Eur Arch Otorhinolaryngol

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Objectives To report on a retrospective cohort study on the effects of expanding inclusion criteria for application of cochlear implants (CIs) on the performance 1-year post-implantation. Methods Based on pre-implantation audiometric thresholds and aided speech recognition scores, the data of 164 CI recipients were divided into a group of patients that fulfilled conservative criteria (mean hearing loss at 0.5, 1 and 2 kHz > 85 dB HL and phoneme scores with hearing aids < 30%), and the remaining group of patients that felt outside this conservative criterion. Speech recognition scores (in quiet) and quality of life (using the NCIQ) of both groups, measured at 1-year post-implantation, were compared. Results The group that felt outside the conservative criterion showed a higher phoneme score at 1-year post-implantation compared to the conservative group, suggesting that relaxed criteria have a positive influence on the speech recognition results with CI. With respect to quality of life, both groups significantly improved 1-year post-implantation. The conservative group showed a higher benefit on the advanced perception domain of the NCIQ. Based on their worse pre-implantation hearing, this was expected. Conclusions The data suggest that relaxation of CI indication positively affects the speech recognition performance of patients with severe hearing loss. Both groups of patients showed a positive effect of CI on the quality of life. This benefit relates to communication skills and the subjective day-to-day functioning in society.

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Section: Discussionmentioning

confidence: 99%