The French National Cochlear Implant Registry (EPIIC): Cochlear implantation in adults over 65 years old

Mosnier, Isabelle; Ferrary, Évelyne; Aubry, Karine; Bordure, Philippe; Bozorg-Grayeli, Alexis; Déguine, Olivier; Eyermann, C.; Franco-Vidal, V.; Godey, Benoît; Guevara, N.; Karkas, Alexandre; Klopp, Norman; Labrousse, M.; Lebreton, J.-P.; Lerosey, Y.; Lescanne, E.; Loundon, Natalie; Marianowski, R.; Merklen, F P; Mezouaghi, K.; Mom, T.; Moreau, S.; Noël-Pétroff, N.; Parietti‐Winkler, Cécile; Piller, P.; Poncet, C.; Radafy, E.; Roman, S.; Roux-Vaillard, S.; Schmerber, S.; Tavernier, L; Truy, Éric; Vincent, C.; Sterkers, Olivier

doi:10.1016/j.anorl.2020.07.011

Cited by 9 publications

(18 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

Section: Discussionsupporting

confidence: 56%

“…In this series, 44% of patients experienced a dramatic increase in auditory performance with a mean speech intelligibility in silence of 65 ± 4.1% (GP), similar to post-lingually implanted profoundly deaf adult scores (67% to 76% depending on the test used [ 1 , 29 , 30 ]). Accordingly, the speech intelligibility for disyllabic words in quiet of all the patients in the French cohort recently implanted at adult age reached 67% [ 30 ]. Having such good performance after a delayed cochlear implantation is a surprising fact, as it is commonly accepted that auditory performance after cochlear implantation in adults is significantly lower in patients with prelingual hearing loss compared to post-lingually acquired hearing loss, and that the duration of auditory deprivation is a major prognostic factor [ 8 , 9 , 31 ].…”

Section: Discussionsupporting

confidence: 56%

“…Prelingually deaf adults have a long history of coping with their hearing handicap and have developed communication strategies so that they are not as dramatically affected in their social communication as post-lingually deaf adults. In this study, they obtained better scores in the APHAB questionnaire compared to post-lingual hearing-impaired adults before implantation [ 30 ]. Therefore, this questionnaire is probably insufficient to highlight the benefit of cochlear implantation in the particular cases of prelingual poor performers.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Candidacy for Cochlear Implantation in Prelingual Profoundly Deaf Adult Patients

Lahlou

Daoudi

Ferrary

et al. 2022

JCM

View full text Add to dashboard Cite

Cochlear implantation is usually not recommended for prelingual profoundly deaf adults, although some of these patients might benefit from it. This study aims to define the candidates for cochlear implantation in this population. This retrospective study reviewed 34 prelingual profoundly deaf patients who had received a cochlear implant at 32 ± 1.7 years old (16–55), with at least 1 year of follow-up. Speech perception and quality of life were assessed before and 3, 6, and 12 months after cochlear implantation, then every year thereafter. According to the word speech intelligibility in quiet (WSI) 1 year after implantation, two groups were identified: good performer (GP) with WSI ≥ 50% (n = 15), and poor performer (PP) with WSI ≤ 40% (n = 19). At the 1 year mark, mean WSI improved by 28 ± 4.6% (−20–100) (p < 0.0001). In GP, the intelligibility for words and sentences, communication and quality of life scales improved. In PP, the communication scale improved, but not auditory performance or quality of life. GP and PP differed pre-operatively in speech production, communication abilities, and WSI in best-aided conditions. In prelingual profoundly deaf adults, a dramatic auditory performance benefit could be expected after cochlear implantation if the patients have some degree of speech intelligibility in aided conditions and have developed oral communication and speech production.

show abstract

Section: Discussionsupporting

confidence: 56%

Section: Discussionsupporting

confidence: 56%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Candidacy for Cochlear Implantation in Prelingual Profoundly Deaf Adult Patients

Lahlou

Daoudi

Ferrary

et al. 2022

JCM

View full text Add to dashboard Cite

show abstract

“…Se levarmos em consideração o aumento da expectativa de vida e o consequente envelhecimento da população, encontrou-se poucos pacientes idosos implantados neste trabalho. Estudos recentes encorajam a realização de IC nesta faixa etária, visto que seus benefícios em relação à audição e comunicação podem ser comparáveis aos obtidos em pacientes mais jovens, com melhora importante na qualidade de vida (KANAI et al, 2021;LALLY;ADAMS;WILKERSON, 2019;MOSNIER et al, 2020;YANG;COSETTI, 2016).…”

Section: Discussionunclassified

“…A etiologia idiopática da perda auditiva figurou como o achado mais frequente neste estudo, concordando com a literatura nacional (CALHÁU et al, 2011;CLARO, 2018;SIMÕES, 2018). Tal achado também foi encontrado por Mosnier et al (2020), na França, em um estudo com mais de mil idosos implantados. A revisão sistemática de Petersen, Jørgensen e Ovesen (2015) corrobora com este resultado, porém ressalta uma diminuição estatisticamente significativa na etiologia "desconhecida" nos artigos mais recentes, atribuindo esta modificação à realização de uma investigação mais minuciosa das causas de perda auditiva.…”

Section: Discussionunclassified

Perfil clínico-epidemiológico dos pacientes submetidos ao implante coclear em um Hospital Universitário / Clinical-epidemiological profile of patients undergoing cochlear implant in a University Hospital

Anjos¹,

Gomes²,

Freire³

et al. 2022

Braz. J. Hea. Rev.

View full text Add to dashboard Cite

show abstract

Facial nerve stimulation in adult cochlear implant recipients with far advanced otosclerosis

Tuset

Baptiste²,

Gorse³

et al. 2022

Laryngoscope Investig Oto

View full text Add to dashboard Cite

Objectives: The objective of this study was to predict occurrence of facial nerve stimulation (FNS) in cochlear implanted patients for far-advanced otosclerosis (FAO) by correlating preoperative computed tomography (CT)-scan data to FNS and to evaluate FNS impact on hearing outcomes.Methods: Retrospective analysis on 91 ears (76 patients) implanted for FAO. Electrodes were straight (50%) or perimodiolar (50%). Demographic data, extension of otosclerosis on preoperative CT scan, occurrence of FNS, and speech performance were analyzed.Results: Prevalence of FNS was 21% (19 ears). FNS appeared during the first month (21%), 1-6 months (26%), 6-12 months (21%), and over 1 year (32%) postimplantation.Cumulative incidence of FNS at 15 years was 33% (95% CI = [14-47%]). Extension of otosclerotic lesions on preimplantation CT-scan was more severe in FNS ears compared to No-FNS (p < .05): for Stage III, 13/19 (68%) and 18/72 (25%) ears for FNS and No-FNS groups, respectively (p < .05). Location of otosclerotic lesions relative to the facial nerve canal was similar whatever the presence or not of FNS. Electrode array had no impact on FNS occurrence. At 1 year post-implantation, duration of profound hearing loss (≥5 years) and previous stapedotomy were negatively associated with speech performance. FNS did not impact hearing outcomes, despite a lower percentage of activated electrodes (p < .01) in the FNS group. Nevertheless, FNS were associated with a decrease of speech performance both in quiet (p < .001) and in noise (p < .05). Conclusion:Cochlear implanted patients for FAO are at greater risk of developing FNS affecting speech performance over time, probably due to a higher percentage of deactivated electrodes. High resolution CT-scan is an essential tool allowing FNS prediction but not time of onset.

show abstract

The French National Cochlear Implant Registry (EPIIC): Cochlear implantation in adults over 65 years old

Cited by 9 publications

References 24 publications

Candidacy for Cochlear Implantation in Prelingual Profoundly Deaf Adult Patients

Candidacy for Cochlear Implantation in Prelingual Profoundly Deaf Adult Patients

Perfil clínico-epidemiológico dos pacientes submetidos ao implante coclear em um Hospital Universitário / Clinical-epidemiological profile of patients undergoing cochlear implant in a University Hospital

Facial nerve stimulation in adult cochlear implant recipients with far advanced otosclerosis

Contact Info

Product

Resources

About