Comprehensive Evaluation of a Child With an Auditory Brainstem Implant

Eisenberg, Laurie S.; Johnson, Karen C.; Martinez, Amy S.; DesJardin, Jean L.; Stika, Carren J.; Dzubak, Danielle; Mahalak, Mandy Lutz; Rector, Emily P.

doi:10.1097/mao.0b013e31815a352d

Cited by 39 publications

(25 citation statements)

References 27 publications

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“…Their word identification scores changed due to their chronological age, duration of ABI use, and cognitive development. Results of speech recognition skills are also similar to those of other studies [14,[16][17][18][19] . Open-set sentence recognition is improved in 12 of the children.…”

Section: Discussionsupporting

confidence: 79%

Recent Rehabilitation Experience with Pediatric ABI Users

Yücel

Aslan²,

Özkan³

et al. 2015

Int Adv Otol

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OBJECTIVE:The aim of this study is to describe the rehabilitative outcomes of pediatric auditory brainstem implant (ABI) users in the Department of Otolaryngology in the Hacettepe University. It was a retrospective study, and all patients' files were reviewed. MATERIALS and METHODS:The data was collected from 41 children who were fitted with ABI between 2005 and 2013. Inclusion criteria for children in our study are profound, congenital bilateral sensory-neural hearing loss with anomalies (such as cochlear, labyrinthine, and cochlear nerve aplasia) and more than one year of auditory experience with ABI. Post-meningitis patients and neurofibromatosis type 2 (NF2) patients were excluded. Auditory perception was evaluated using the Meaningful Auditory Integration Scale (MAIS), Functioning after Pediatric Cochlear Implantation (FAPCI) instrument, Categories of Auditory Performance (CAP), and Children's Auditory Perception Skills Test in Turkish (CIAT). Speech intelligibility was categorized with speech intelligibility rating (SIR), and language development was assessed using the Test of Early Language Development-Third Edition (TELD-3) and Manchester Spoken Language Development Scale (MSLD). RESULTS:All patients gained basic audiological functions and were able to recognize and discriminate sounds by the third month of ABI surgery. According to the duration of ABI use and learning skills, patients revealed development from word identification to sentence recognition level in a wide spectrum. CONCLUSION:Preliminary results indicate that all children have gained basic auditory perception skills. On the other hand, language and speech development data were varying among children. Additional handicaps seemed to slow down progression. Secondary improvement was seen at psychosocial areas with respect to behavioral and social adjustment as well as eagerness to start communication.

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Section: Discussionsupporting

confidence: 79%

Recent Rehabilitation Experience with Pediatric ABI Users

Yücel

Aslan²,

Özkan³

et al. 2015

Int Adv Otol

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“…Colletti 2011 3 3 Cochlear Retrosigmoid Nucleus SPEAK 3 (100%) good environmental sound 3 (100%) et al [6] nerve aplasia 24 ABI® awareness and moderate speech rudimentary detection (65% of 7 fundamental speaking ability phonetic sounds, a, e, i, o, u, s, sh, listed in 10 items; 40% of onomatopoeic sounds) Choi 2011 6 6 Non-tumoural Suboccipital Pulsar -6 (100%) clear responses on initial -et al [5] diseases of cochlear CI100 stimulation; awareness of pure tones nerve and cochlea ABI® at a threshold of 30 to 50 dB HL [24] nerve aplasia discrimination between continuous by vocalising and pointing and interrupted speech [9] ossification 24 ABI® 90% recognition of bisyllable words, and 100% sentences recognition, Colletti et al [1] consider the retrosigmoid surgical technique as the preferred technique. The translabyrinthine approach is the only one allowed by the FDA, [15,22] as it is considered by some authors as the most straightforward way to the foramen of Luschka, but experimental evidence suggests the necessity for more manipulation in order to observe the lateral recess, increasing the risks [22] .…”

Section: Commentmentioning

confidence: 99%

“…Colletti et al [1,6,9,22] and Kalamarides et al [15] tested hearing using the following tests: (1) recognition of environmental sound or sound detection test; (2) closed-set vowel confusion test; (3) closed-set consonant confusion test; (4) closed-set word recognition in the vision-only mode (lip-reading), sound-only mode, and "sound plus-vision mode"; (5) open-set sentence recognition in the vision-only mode, sound-only mode, and sound-plus-vision mode; and (6) speech-tracking test [9,18] . Goffi-Gomez et al [13] and Eisenberg et al [24] used the "Infant Toddler Meaningful Auditory Integration Scale" (IT-MAIS) to evaluate hearing capacity and the "Meaningful Use of Speech Scale" (MUSS) to evaluate speech performance. Other authors [10,21] used the "Categories of Auditory Performance" (CAP) scale, using a graduation from 0-7 to [13] 3 Cochlear/cochlear 2 (50%) no auditory responses or sign language nerve malformation at activation Tan 2012 1 1 Cochlear ---1 (100%): improved hearing -et al [17] ossification outcomes; speech discrimination of 15% (audition only) and 60% (audition with lip reading).…”

Section: Commentmentioning

confidence: 99%

“…Hearing loss is recognized as one of the most common deficiencies in humans [24] . The number of Americans with hearing loss has evidentially doubled during the past 30 years [26,27] .…”

Section: Commentmentioning

confidence: 99%

“…Regarding the surgical procedure, 4 patients [13] were fitted with ABIs with the retrolabyrinthine approach, 8 with the suboccipital approach [14] , 49 with the retrosigmoid approach, [10,18,21] and 2 with the translabyrinthine approach [1,3,6,7,9,[13][14][15][22][23][24] . Both patients with bilateral schwannomas and tumors caused by NF2 received the retrosigmoid and transmeatal combined approaches for tumor removal.…”

Section: Review Of the Literaturementioning

confidence: 99%

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Auditory Brainstem Implants in Children: Results Based on a Review of the Literature

Monsanto¹,

Bittencourt

Neto³

et al. 2015

Int Adv Otol

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The objective of this study is to review the literature regarding Auditory Brainstem Implant (ABI) indications, surgical techniques, activation methods, and post-surgery follow-up in children. A search was performed in the LILACS, MEDLINE, SciELO, and PubMed databases in June 2014, and the key words used in the search were (("auditory brain stem implant" OR "auditory brainstem implants") OR ("auditory" AND "brainstem" AND ("implants" OR "implant")). Forty-two studies that met the criteria described in "Study Selection" were read in full; 24 studies referred to the ABI fitting process in children, and were selected for appraisal. The studies showed 120 children (younger than 18 years old) fitted with ABIs. Evaluation after surgery showed that 112 (93.3%) of the patients improved in their ability to recognize environmental sounds and speech perception. Patients with tumors or those with cochlear or cochlear nerve malformations had good outcomes as well. Two of the children did not achieve any sound perception upon ABI activation. The results obtained in 120 children fitted with an ABI showed that the patients globally improved in their ability to detect sounds and communication skills. The phenomenon could be seen both in patients with tumoral diseases of the inner ear and those with malformations of the cochlea or cochlear nerve, although patients with non-tumoral issues achieved better results than patients with schwannomas. We propose that the Food and Drug Administration (FDA) ABI indications should be extended to patients younger than 12 years old with NT diseases of the cochlea and cochlear nerve.

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Adventures in Bionic Hearing

Shannon

2014

Perspectives on Auditory Research

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Comprehensive Evaluation of a Child With an Auditory Brainstem Implant

Abstract: Pediatric ABI assessment with a group of well-selected children is needed to examine risk versus benefit in this population and to analyze whether open-set speech recognition is achievable.

Cited by 39 publications

References 27 publications

Recent Rehabilitation Experience with Pediatric ABI Users

Recent Rehabilitation Experience with Pediatric ABI Users

Auditory Brainstem Implants in Children: Results Based on a Review of the Literature

Adventures in Bionic Hearing

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