Abstract
The objective of the study was to compare the performance of cochlear implantation between post-meningitic and non-meningitic patients, and to evaluate the impact on hearing outcome of technical advances in cochlear implant technology. Retrospective chart review was used as the study design. Twenty adults with post-meningitic profound hearing loss receiving unilateral or bilateral cochlear implants between 1990 and 2008 were tested. Results were compared to a control group of 46 adults implanted for a non-meningitic hearing loss, with the same pre-operative speech scores. Speech scores were poorer in post-meningitic patients compared to those of control group, whatever the duration after implantation (p < 0.0001). Speech scores of subjects implanted and fitted before 2001 were compared to those of subjects implanted after 2001, with the same duration of hearing loss. Performance improved with implants and processors available after 2001, with a magnitude of improvement higher in post-meningitic patients (p < 0.0001 and p < 0.05 in post-meningitic and control groups, respectively, two-way ANOVA). Consequently, speech scores of post-meningitic patients implanted after 2001 achieved those of control subjects (two-way ANOVA). Advances in cochlear implant technology and coding strategy improve hearing outcome in post-meningitic adult patients, who now achieve similar performance as those of non-meningitic patients.
Similar content being viewed by others
References
Thomas J, Cheshire IM (1999) Evaluation of cochlear implantation in post-meningitic adults. J Laryngol Otol 113:27–33
Proops DW, Stoddart RL, Donaldson I (1999) Medical, surgical and audiological complications of the first 100 adult cochlear implant patients in Birmingham. J Laryngol Otol 113:14–17
MacAndie C, Singh RS (2000) Meningitis and cochlear implantation in Scotland. Cochear Implants Int 1:108–113
Koomen I, Grobbee DE, Roord JJ, Donders R, Jennekens-Schinkel A, van Furth AM (2003) Hearing loss at school age in survivors of bacterial meningitis: assessment, incidence and prediction. Pediatrics 112:1049–1053
Woolley AL, Kirk KA, Neumann AM, McWilliams SM, Murray J, Friend D, Wiatrak BJ (1999) Risk factors for hearing loss from meningitis in children. Arch Otolaryngol Head Neck Surg 125:509–514
Wellman MB, Sommer DD, McKenna J (2003) Sensorineural hearing loss in postmeningitic children. Otol Neurotol 24:907–912
Kutz JW, Mariano Simon L, Chennupati SK, Giannoni CM, Manolidis S (2006) Clinical predictors for hearing loss in children with bacterial meningitis. Arch Otolaryngol Head Neck Surg 132:941–945
Philippon D, Bergeron F, Ferron P, Bussières R (2009) Cochlear implantation in postmeningitic deafness. Otol Neurotol 31:83–87
Battmer RD, Gupta SD, Allum-Mecklenburg DJ, Lenarz T (1995) Factors influencing cochlear implant perceptual performance in 132 adults. Ann Otol Rhinol Laryngol Suppl 166:185–187
Waltzman SB, Fisher SG, Niparko JK, Cohen NL (1995) Predictors of postoperative performance with cochlear implants. Ann Otol Rhinol Laryngol Suppl 165:15–18
Blamey P, Arndt P, Bergeron F, Bredberg G, Brimacombe J, Facer G, Larky J, Lindström B, Nedzelski J, Peterson A, Shipp D, Staller S, Whitford L (1996) Factors affecting auditory performance of postlinguistically deaf adults using cochlear implants. Audiol Neurotol 1:293–306
Douglas SA, Sanli H, Gibson WPR (2008) Meningitis resulting in hearing loss and labyrinthitis ossificans: does the causative organism matter? Cochlear Implants Int 9:90–96
Beijen J, Casselman J, Joosten F, Stover T, Aschendorff A, Zarowski A, Becker H, Mylanus E (2009) Magnetic resonance imaging in patients with meningitis induced hearing loss. Eur Arch Otolaryngol Head Neck Surg 266:1229–1236
Rauch S, Herrmann B, Lynne D, Nadol J (1997) Nucleus 22 cochlear implantation results in postmeningitic deafness. Laryngoscope 107:1606–1609
Nadol JB Jr (1997) Patterns of neural degeneration in the human cochlea and auditory nerve: implications for cochlear implantation. Otolaryngol Head Neck Surg 117:220–228
Bozorg Grayeli A, Kalamarides M, Bouccara D, Gamra LB, Ambert-Dahan E, Sterkers O (2007) Auditory brainstem implantation to rehabilitate profound hearing loss with totally ossified cochlea induced by pneumococcal meningitis. Audiol Neurotol 12:27–30
Bozorg Grayeli A, Kalamarides M, Bouccara D, Ambert-Dahan E, Sterkers O (2008) Auditory brainstem implant in neurofibromatosis type 2 and non-neurofibromatosis type 2 patients. Otol Neurotol 29:1140–1146
El-Kashlan HK, Ashbaugh C, Zwolan T, Telian SA (2003) Cochlear implantation in prelingually deaf children with ossified cochlea. Otol Neurotol 24:596–600
Nikolopoulos TP, Archbold SM, O’Donoghue GM (2006) Does cause of deafness influence outcome after cochlear implantation in children? Pediatrics 118:1350–1356
Eshraghi AA, Telischi FF, Hodges AV, Odabasi O, Balkany TJ (2004) Changes in programming over time in postmeningitis cochlear implant users. Otolaryngol Head Neck Surg 131:885–889
Mitchell TE, Psarros C, Pegg P, Rennie M, Gibson WPR (2000) Performance after cochlear implantation: comparison of children deafened by meningitis and congenitally deaf children. J Laryngol Otol 114:33–37
Francis HW, Pulsifer MB, Chinnici J, Nutt R, Venick HS, Yeagle JD, Niparko JK (2004) Effect of central nervous system residua on cochlear implant results in children deafened by meningitis. Arch Otolaryngol Head Neck Surg 130:604–611
Dursin M, Arnoldner C, Stöver T, Lenarz T, Lesinski-Schiedat A (2008) Audiological performance in cochlear implanted patients deafened by meningitis depending on duration of deafness. Eur Arch Otorhinolaryngol 265:381–388
Mosnier I, Sterkers O, Bebear JP, Godey B, Robier A, Deguine O, Fraysse B, Bordure P, Mondain M, Bouccara D, Bozorg-Grayeli A, Borel S, Ambert-Dahan E, Ferrary E (2009) Speech performance and sound localization in complex noisy environment in bilaterally implanted adult patients. Audiol Neurotol 14:106–114
Donatelli Lassig A, Zwolan TA, Telian SA (2005) Cochlear implant failures and revision. Otol Neurotol 26:624–634
Conflict of interest
None.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Mosnier, I., Felice, A., Esquia, G. et al. New cochlear implant technologies improve performance in post-meningitic deaf patients. Eur Arch Otorhinolaryngol 270, 53–59 (2013). https://doi.org/10.1007/s00405-011-1918-y
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00405-011-1918-y