Effects of residual speech and auditory deprivation on speech perception of adult cochlear implant recipients

Derinsu, Ufuk; Yüksel, Mustafa; Geçici, Cennet Reyyan; Çiprut, Ayça; Akdeniz, Esra

doi:10.1016/j.anl.2018.06.006

Cited by 12 publications

(19 citation statements)

References 28 publications

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“…Twenty‐two studies with 1167 patients presented data on vowel/consonant and monosyllabic word perception scores, namely the best monosyllabic discrimination (BMD) score, 41 the Consonant‐Nucleus‐Consonant (CNC) words, 4,35,38,45‐47 Consonant‐Vowel tests, 31,32,37,48 the Northwestern University Auditory Test No.6 (NU‐6), 29,35,49 Freiburg monosyllabic word test, 34,40 vowel identification score 30,39,50 , a word perception test 15,51,52 and different tests 24 …”

Section: Resultsmentioning

confidence: 99%

“…For the meta‐analysis, we included studies presenting Pearson or Spearman correlation coefficients on DoD and postoperative speech perception tests at the latest follow‐up visit. For better comparability, we converted Spearman rho into Pearson's correlation coefficient using Rupinski's equation 36 from eligible studies 8,15,26,29,35,37‐43 …”

Section: Methodsmentioning

confidence: 99%

“…Cochlear implantees who have used acoustic hearing aids before cochlear implantation tend to have better hearing results than those who have not used a hearing aid preoperatively 11‐14 . These discussions address preoperative considerations regarding which ear is most suitable for cochlear implantation 15,16 …”

Section: Introductionmentioning

confidence: 99%

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Duration of deafness impacts auditory performance after cochlear implantation: A meta‐analysis

Bernhard

Gauger

Ventura

et al. 2021

Laryngoscope Investig Oto

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Objective Hearing loss is a highly disabling condition. Cochlear implantation is an established remedy if conventional hearing aids have failed to alleviate the level of disability. Unfortunately, cochlear implant (CI) performance varies dramatically. This study aims to examine the effects of duration of deafness (DoD) prior to cochlear implantation and the postoperative duration of implant experience with resulting hearing performance in postlingually deaf patients. Methods A systematic literature review and two meta‐analyses were conducted using the search terms cochlear implant AND duration deafness. Included studies evaluate the correlation between the DoD and auditory performance after cochlear implantation using monosyllabic and sentence tests. Correlation coefficients were determined using Pearson's correlation and Spearman rho. Results A total of 36 studies were identified and included data on cochlear implantations following postlingual deafness and postoperative speech testing of hearing outcomes for 1802 patients. The mean age ranged from 44 to 68 years with a DoD of 0.1 to 77 years. Cochlear implant use varied from 3 months to 14 years of age. Speech perception, which was assessed by sentence and monosyllabic word perception, was negatively correlated with DoD. Subgroup analyses revealed worse outcomes for longer DoD and shorter postoperative follow‐up. Conclusion DoD is one of the most important factors to predict speech perception after cochlear implantation in postlingually deaf patients. The meta‐analyses revealed a negative correlation between length of auditory deprivation and postoperative sentence and monosyllabic speech perception. Longer DoD seems to lead to worse CI performance, whereas more experience with CI mitigates the effect.

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Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Duration of deafness impacts auditory performance after cochlear implantation: A meta‐analysis

Bernhard

Gauger

Ventura

et al. 2021

Laryngoscope Investig Oto

View full text Add to dashboard Cite

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“…9 Some considerations should be taken among the duration of hearing deprivation, and/or the period of inadequate stimulation, as these are reported to negatively influence the outcome of hearing rehabilitation by several authors, as expected. [18][19][20][21][22][23][24][25][26][27][28] In fact, for adults affected by severe to profound sensorineural hearing loss, it is often difficult to investigate and to estimate with precision the length of hearing deprivation or of improper hearing stimulation. [18][19][20][21][22][23][24][25][26][27][28] Unfortunately, we could not retrieve these information in the present studied group.…”

Section: Discussionmentioning

confidence: 99%

“…[18][19][20][21][22][23][24][25][26][27][28] In fact, for adults affected by severe to profound sensorineural hearing loss, it is often difficult to investigate and to estimate with precision the length of hearing deprivation or of improper hearing stimulation. [18][19][20][21][22][23][24][25][26][27][28] Unfortunately, we could not retrieve these information in the present studied group.…”

Section: Discussionmentioning

confidence: 99%

Rehabilitation of Severe to Profound Sensorineural Hearing Loss in Adults: Audiological Outcomes

et al. 2019

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The aim of this article is to describe the audiological patterns of 71 adult patients presenting severe to profound sensorineural hearing loss, who were rehabilitated by cochlear implants (CIs) and hearing aids. This is a retrospective study in a university setting, where the clinical records of 71 adult patients were reviewed and processed. Speech intelligibility was evaluated at one aided ear (CI) or at both aided ears (double CI or a combination of CI and hearing aid [HA]). Patients with a bilateral CI or with a bimodal hearing setup (CI and HA) performed better than those with a single CI; data from the phonetic matrices test showed that there was a statistically significant difference among patients aided by a single CI versus binaural setup (double CI or CI + HA). In particular, patients aided by a bilateral CI, or by a CI and HA, showed an improvement in the functional results of the speech tests, compared to patients using a single CI. Binaural hearing (either with a bilateral CI or bimodal) allows an improvement in the functional results at the speech tests, compared to the use of a CI only.

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Association of Patient-Related Factors With Adult Cochlear Implant Speech Recognition Outcomes

Zhao

Dornhoffer

Loftus

et al. 2020

JAMA Otolaryngol Head Neck Surg

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IMPORTANCE Multiple studies have evaluated associations between post-cochlear implant (CI) speech recognition outcomes and patient-related factors. Current literature often appears equivocal or contradictory, so little is known about the factors that contribute to successful speech recognition outcomes with CIs.OBJECTIVE To use a meta-analysis to pool data from the extant literature and provide an objective summary of existing evidence on associations of patient-related factors and CI speech recognition outcomes.DATA SOURCES A literature search was performed using PubMed, Scopus, and CINAHL databases in January 2019 using the following search terms: cochlear implant or cochlear implants or cochlear implantation and speech recognition or word recognition or sentence recognition. Studies of postlingually deafened adult CI recipients that reported word or sentence recognition scores were included.STUDY SELECTION Inclusion criteria were postlingual adult CI recipients 18 years or older with word or sentence recognition scores at minimum 6-month postimplantation. Studies that included patients undergoing revision or reimplantation surgery were excluded. DATA EXTRACTION AND SYNTHESIS Following the Preferred Reporting Items for SystemicReviews and Meta-analyses (PRISMA) guidelines, 1809 unique articles underwent review by abstract, and 121 articles underwent full-text review, resulting in 13 articles of 1095 patients for a meta-analysis of correlations. Random-effects model was used when the heterogeneity test yielded a low P value (P < .05). MAIN OUTCOMES AND MEASURESThe planned primary outcome was the pooled correlation values between postimplant speech recognition scores and patient-related factors. RESULTSOf the 1095 patients included from the 13 studies, the mean age at implantation ranged from 51.2 to 63.7 years and the mean duration of hearing loss ranged from 9.5 to 31.8 years; for the 825 patients for whom sex was reported, 421 (51.0%) were women. A weak negative correlation was observed between age at implantation and postimplant sentence recognition in quiet (r = −0.31 [95% CI, −0.41 to −0.20]). Other correlations between patient-related factors and postimplant word or sentence recognition were statistically significant, but all correlations were absent to negligible (r = 0.02-0.27). CONCLUSIONS AND RELEVANCEGiven that most associations were weak, negligible, or absent, patient-related factors often thought to affect CI speech recognition ability offer limited assistance in clinical decision-making in cochlear implantation. Additional research is needed to identify patient-related and other factors that predict CI outcomes, including speech recognition and other important variables related to success with CIs.

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Effects of residual speech and auditory deprivation on speech perception of adult cochlear implant recipients

Cited by 12 publications

References 28 publications

Duration of deafness impacts auditory performance after cochlear implantation: A meta‐analysis

Duration of deafness impacts auditory performance after cochlear implantation: A meta‐analysis

Rehabilitation of Severe to Profound Sensorineural Hearing Loss in Adults: Audiological Outcomes

Association of Patient-Related Factors With Adult Cochlear Implant Speech Recognition Outcomes

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