Evaluation of pediatric cochlear implant care throughout Europe: Is European pediatric cochlear implant care performed according to guidelines?

Bruijnzeel, Hanneke; Bezdjian, Aren; Lesinski‐Schiedat, Anke; Illg, Angelika; Tzifa, Konstance; Monteiro, Luísa; Volpe, Antonio Della; Grolman, Wilko; Topsakal, Vedat

doi:10.1080/14670100.2017.1375238

Cited by 18 publications

(10 citation statements)

References 18 publications

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“…The present study findings indicated a significant trend towards earlier identification of HL, amplification and initiation of education across the years after implementation of NHSP. This finding was consistent with previous studies (Al-Sayed & Al-Sanosi, 2017;Aras-Öztürk et al, 2018;Bruijnzeel et al, 2017;Wasser, Roth, Herzberg, Lerner-Geva & Rubin, 2019). Comparison of the year periods demonstrated significant decreases in the whole group, GR1 and GR2.…”

Section: Discussionsupporting

confidence: 93%

Evaluation of the effectiveness of newborn hearing screening program: A center in Turkey.

Turan

BAŞ

2019

INT-JECSE

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The present study aimed to analyze the effects of newborn hearing screening program in Turkey based on the age of diagnosis, amplification and initiation of education between 2000 and 2017. The study was designed as a retrospective study. The files of 997 children registered with a research and education center for children with hearing loss were analyzed. The findings indicated that the age of diagnosis, amplification and initiation of education significantly decreased after the national newborn hearing screening program was introduced throughout the years. However, the recommended universal standards were achieved only for a minority of children in terms of timely diagnosis and early intervention. Delay in amplification mostly observed in children with mild-moderate loses and late diagnosis, was found as related to the testing in more than two different clinics. The findings on late initiation of education were discussed based on the reports in relevant literature and monitoring problems after the diagnosis and the problems observed in early education system in Turkey.

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Section: Discussionsupporting

confidence: 93%

Evaluation of the effectiveness of newborn hearing screening program: A center in Turkey.

Turan

BAŞ

2019

INT-JECSE

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“…As a result of the findings in this line of research, children who are congenitally deaf are receiving implants at an increasingly younger age, with many countries aiming for an implantation within the first 2 years of life ( Bruijnzeel et al 2017 ; Ramsden et al 2012 ).…”

Section: Language Development In Children With Early Cochlear Implantmentioning

confidence: 99%

Long-Term Language Development in Children With Early Simultaneous Bilateral Cochlear Implants

et al. 2020

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Objectives: This longitudinal study followed the language development of children who received the combination of early (5 to 18 months) and simultaneous bilateral cochlear implants (CIs) throughout the first 6 years after implantation. It examined the trajectories of their language development and identified factors associated with language outcomes. Design: Participants were 21 Norwegian children who received bilateral CIs between the ages of 5 and 18 mo and 21 children with normal hearing (NH) who were matched to the children with CIs on age, sex, and maternal education. The language skills of these two groups were compared at 10 time points (3, 6, 9, 12, 18, 24, 36, 48, 60, and 72 months after implantation) using parent reports and standardized measures of general language skills, vocabulary, and grammar. In addition, assessments were made of the effects of age at CI activation, speech recognition abilities, and mothers’ education on language outcomes 6 years after implantation. Results: During the first 4 years after implantation, the gap in general expressive and receptive language abilities between children with CIs and children with NH gradually closed. While at the initial five to six assessments (3 to 36 months after implantation), significant differences between children with CIs and children with NH were observed; at 4 years after implantation, there were no longer any significant group differences in general language skills and most children with CIs achieved scores within 1 SD of the tests’ normative means. From 2 to 3 years after implantation onward, expressive vocabulary and receptive grammar skills of children with CIs were similar to those of the reference group. However, from 4 years after implantation until the end of the observation period, 6 years after implantation, expressive grammar skills of children with CIs were lower than those of children with NH. In addition, a gap in receptive vocabulary appeared and grew increasingly larger from 4 to 6 years postimplantation. At the final assessment, the children with CIs had an average receptive vocabulary score around 1 SD below the normative mean. Regression analysis indicated that the children’s language outcomes at 6 years after implantation were related to their speech recognition skills, age at CI activation, and maternal education. Conclusions: In the first 4 years after implantation, the language performance of children with CIs became increasingly similar to that of their NH peers. However, between 4 and 6 years after implantation, there were indications of challenges with certain aspects of language, specifically receptive vocabulary and expressive grammar. Because these challenges first appeared after the 4-year assessment, the findings underline the importance of long-term language intervention to increase the chances of a continued language development comparable to that of NH peers. They also indicate that there is a need for com...

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“…Ustalenie odpowiednich kryteriów kwalifikacyjnych do implantacji ślimakowej jest zawsze przedmiotem niezwykłej troski, szczególnie w odniesieniu do dzieci [25,26]. Nawet nieznaczny ubytek słuchu może być przyczyną opóźnionego rozwoju mowy oraz gorszych osiągnięć szkolnych [27].…”

Section: Wstępunclassified

Electro-Natural Stimulation in Partial Deafness Treatment

Skarżyńśki¹,

Skarżyński²,

Dziendziel³

et al. 2020

Now Audiofonol

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Wstęp: Obserwowane bardzo dobre wyniki zachowania słuchu w leczeniu częściowej głuchoty u ponad 3,5 tysiąca pacjentów oraz stały postęp w zakresie rozwoju nowych technologii przyczyniły się w ciągu kilkunastu lat do zdecydowanego rozszerzenia wskazań w leczeniu różnych uszkodzeń słuchu z zastosowaniem odpowiednich implantów ślimakowych. Cel pracy: Celem pracy była retrospektywna, wieloletnia analiza wyników zachowania słuchu w odniesieniu do dzieci z prawidłowym słuchem w zakresie częstotliwości 125-1500 Hz oraz znacznym do głębokiego niedosłuchem lub głuchotą dla częstotliwości powyżej 1500 Hz, które jako pierwsze w świecie zostały poddane operacji wszczepienia implantu ślimakowego z odpowiednio dobranymi elektrodami. Materiał i metoda: Zgodnie z kryteriami włączenia analizie poddano wyniki dwojga pacjentów pediatrycznych w wieku 9 i 16 lat, u których zastosowano stymulację elektro-naturalną. Audiometryczne badanie słuchu wykonano przed operacją i po zabiegu wszczepienia implantu ślimakowego po 1, 12, 36, 60 i 84 miesiącach. U starszego dziecka wykonano badanie dyskryminacji mowy w polu swobodnym przed zabiegiem i po operacji wszczepienia implantu ślimakowego. Zachowanie słuchu oceniono na podstawie nowego systemu klasyfikacji zachowania słuchu (ang. Hearing Preservation Classification System) autorstwa Skarżyńskiego, opracowanego w ramach międzynarodowego konsensusu grupy HEARRING. Wyniki: W obserwacji 12-miesięcznej u obu pacjentów stwierdzono całkowite zachowanie słuchu po operacji wszczepienia implantu ślimakowego. W długiej obserwacji (60-i 84-miesięcznej) zachowanie słuchu przekraczało 70%. W badaniu audiometrii słownej w polu swobodnym u starszego dziecka stopień dyskryminacji mowy z zastosowaniem procesora mowy implantu ślimakowego wzrósł z 65% do 90% w warunkach ciszy i z 30% do 75% w warunkach szumu (w obserwacji 84-miesięcznej). Wnioski: Implant ślimakowy wydaje się jedyną skuteczną możliwością kompensacji niedosłuchu u pacjentów z częściową głuchotą typu PDT -ENS, u których obserwuje się niewystarczające korzyści słuchowe z aparatów słuchowych. Jego zastosowanie w takich sytuacjach pokazało nowe, pierwsze w świecie, docelowe grupy pacjentów w różnym wieku. Słowa kluczowe: implant ślimakowy • dzieci • leczenie częściowej głuchoty • słuch elektryczno-naturalny • stymulacja elektryczno-akustyczna

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Evaluation of pediatric cochlear implant care throughout Europe: Is European pediatric cochlear implant care performed according to guidelines?

Abstract: Regardless of the great heterogeneity in European practice, reasons for latency should be identified on a national level and possibilities to prevent avoidable future implantation delays should be explored to provide national recommendations.

Cited by 18 publications

References 18 publications

Evaluation of the effectiveness of newborn hearing screening program: A center in Turkey.

Evaluation of the effectiveness of newborn hearing screening program: A center in Turkey.

Long-Term Language Development in Children With Early Simultaneous Bilateral Cochlear Implants

Electro-Natural Stimulation in Partial Deafness Treatment

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