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Cochlear Implants: Evaluation of Effects of Various Parameters on Outcomes in Pediatric Patients at a Tertiary Care Centre for Unilateral Ear Implantation

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Indian Journal of Otolaryngology and Head & Neck Surgery Aims and scope Submit manuscript

Abstract

To determine whether variables such as Age, Gender, Demographic background of the patient and Pre-operative usage of hearing aids affect the outcomes of pediatric cochlear implant surgery when modified; in terms of speech and hearing gain. A hospital based retrospective-prospective type of cohort study was conducted over a period of 5 years at a Tertiary care Teaching hospital and referral centre covering a population of about 68.9 million. Candidates selected were 1–5 years of age with bilateral congenital severe-profound sensori-neural hearing loss. 50 patients were selected and were operated using VERIA technique of Cochlear Implant Surgery. Intraoperative testing of electrode functioning was done in all patients using NRT technique. The switching on of implant was done after 1 month, following which patients underwent 100 sessions of auditory verbal therapy and training. Outcomes were evaluated in terms of hearing and speech gain by using Revised CAP scores, ITMAIS scores and PEACH scores in the loco-regional language. Those implanted at a younger age and with at least 3 months of hearing aid usage pre-operatively had better outcomes measures. There was no effect on outcomes when the gender and demographic origin of the patient were compared. Candidates implanted before 3 years age give better results and they should be encouraged to use hearing aid regularly and continuously before the surgery and should be advised trial and fitting as soon as CI planning begins. Also, gender and demographic background should not be considered when planning CI as these have no significant effect on outcomes.

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References

  1. Addressing the rising prevalence of hearing loss. Geneva: World Health Organization; 2018. Available from: http://www.who.int/pbd/deafness/estimates/en/ Accessed on 02.04.2020

  2. Waltzmann S, Roland JT (2006) Cochlear Implants, 2nd edn. Thieme Publishers, New York

    Google Scholar 

  3. http://adipcochlearimplant.in/ADIP_PDF/CAP%20and%20ISD%20scales.pdf as Accessed on 12.05.2020

  4. https://advancedbionics.com/content/dam/advancedbionics/Documents/Regional/BR/AB_IT-MAIS_Resource.pdf - as Accessed on 12.05.2020

  5. Zimmerman-Phillips S, Robbins AM, Osberger MJ (2000) Assessing cochlear implant benefit in very young children. Ann Otol Rhinol Laryngol 109(12):42–43

    Article  Google Scholar 

  6. Robbins AM, Renshaw JJ, Berry SW (1991) Evaluating meaningful auditory integration in profoundly hearing impaired children. Am J Otol 2(Suppl):144–150

    Google Scholar 

  7. https://www.grapevineaudiology.com/wp-content/uploads/sites/84/2016/07/PEACH-Questionnaire.pdfas Accessed on 12.05.2020

  8. Boudreau D (2005) Use of a parent questionnaire in emergent and early literacy assessment of preschool children. Lang Speech Hear Serv Sch 36(1):33–47

    Article  Google Scholar 

  9. American Academy of Audiology. (2003) Pediatric amplification protocol. http://www.audiology.org/NR/rdonlyres/53D26792-E321-41AF-850F-CC253310F9DB/0/pedamp.pdf

  10. Joint Committee on Infant Hearing (2000) Year 2000 position statement: principles and guidelines for early hearing detection and intervention programs. Am J Audiol 9:9–29

    Article  Google Scholar 

  11. Hans JM, Prasad R (2015) Cochlear implant surgery by the veria technique: how and why? experience from 1400 cases. Indian J Otolaryngol Head Neck Surg. 67(2):107–109. https://doi.org/10.1007/s12070-015-0863-2

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  12. Anderson I, Weichbold V, D’Haese PS, Szuchnik J, Quevedo MS, Martin J, Martin J, Dieler WS, Phillips L (2004) Cochlear implantation in children under the age of two—what do the outcomes show us? Int J Pediatr Otorhinolaryngol 68:425–431. https://doi.org/10.1016/j.ijporl.2003.11.013

    Article  PubMed  Google Scholar 

  13. Kameswaran M, Raghunandhan S, Natarajan K, Basheeth N (2006) Clinical audit of outcomes in Cochlear Implantation an Indian experience. Indian J Otolaryngol Head Neck Surg. 58(1):69–73

    Article  Google Scholar 

  14. Suh MW, Cho EK, Kim BJ, Chang SO, Kim CS, Oh SH (2009) Long term outcomes of early cochlear implantation in Korea. Clin Exp Otorhinolaryngol. 2(3):120–125

    Article  Google Scholar 

  15. Kumar S, Rout N, Kumar N, Chatterjee I, Selvakumaran H (2013) Performance of indian children with cochlear Implant on PEACH Scale. ISRN Otolaryngol. 2013:565096

    Article  Google Scholar 

  16. Nicholas JG, Geers A (2007) Will they catch up? The role of age at cochlear implantation in the spoken language development of children with severe to profound hearing loss. J Speech Lang Hear Res 50:1048–1062

    Article  Google Scholar 

  17. Geers A (2004) Speech, language and reading skills after early cochlear implantation. Arch Otolaryngol Head Neck Surg 130:634–638

    Article  Google Scholar 

  18. Sharma A, Dorman M, Spahr A (2002) A sensitive period for the development of the central auditory system in children with cochlear implants: implications for age of implantation. Ear Hear 23:532–539

    Article  Google Scholar 

  19. Geers A, Nicholas J, Sedey A (2003) Language skills of children with early cochlear implantation. Ear Hear 24(1Suppl):46S–58S

    Article  Google Scholar 

  20. Geers AE, Nicholas JG, Moog JS (2007) Estimating the influence of cochlear implantation on language development in children. Audiol Med. 5(4):262–273

    Article  Google Scholar 

  21. Mendes JCDP, Pandolfi MM, Carabetta Júnior V, Novo NF, Colombo-Souza P (2012) Fatores associados a alteração da linguagem em crianças pré-escolares. Rev Soc Bras Fonoaudiol 17(2):177–181

    Article  Google Scholar 

  22. Ramos D, Jorge JX, Teixeira A, Ribeiro C, Paiva A (2015) Development of language skills in children with cochlear implants: does the gender have any influence? Rev. CEFAC. 17(2):535–541

    Article  Google Scholar 

  23. Bush ML, Burton M, Loan A, Shinn JB (2013) Timing discrepancies of early intervention hearing services in urban and rural cochlear implant recipients. Otol Neurotol. 34(9):1630–1635

    Article  Google Scholar 

  24. Nicholas JG, Geers AE (2006) Effects of early auditory experience on the spoken language of deaf children at 3 years of age. Ear Hear 27:286–298

    Article  Google Scholar 

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Funding

This research did not receive any specific grant from funding agencies in the public, commercial, or not for profit sectors.

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Authors and Affiliations

  1. Department of Otorhinolaryngology and Head Neck Surgery, Dr. S. N. Medical College and M.D.M.Hospital, Jodhpur, Rajasthan, 342003, India

    Shivam Sharma, Bharti Solanki, Yogesh Solanki & Yogesh Kaurani

  2. Jaipur, India

    Shivam Sharma

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  1. Shivam Sharma
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  2. Bharti Solanki
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  3. Yogesh Solanki
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  4. Yogesh Kaurani
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Correspondence to Shivam Sharma.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Sharma, S., Solanki, B., Solanki, Y. et al. Cochlear Implants: Evaluation of Effects of Various Parameters on Outcomes in Pediatric Patients at a Tertiary Care Centre for Unilateral Ear Implantation. Indian J Otolaryngol Head Neck Surg 74 (Suppl 1), 360–367 (2022). https://doi.org/10.1007/s12070-020-02129-9

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  • DOI: https://doi.org/10.1007/s12070-020-02129-9

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