Abstract
We retrospectively review the cases to evaluate the outcome of cochlear implantation (CI) in patients with severe-to-profound hearing loss and visual impairment (VI). Six adults with severe or profound hearing loss and significant VI underwent multichannel CI. Follow-up period ranged from 17 months to 7 years. Case history, etiology of visual and hearing loss, and benefit from CI were evaluated. To measure the outcomes, we selected the pure-tone thresholds with CI, the speech discrimination scores (SDS) using the Japanese video SDS system, the speech perception rates using the Japanese CD SDS system by monosyllable and word, and the open-set and closed sentence score using live voice. All the patients live happily after CI. There was no significant difference between the present six patients and the patients with profound hearing loss without VI in evaluations of hearing and quality of life. CI can play a significant rehabilitative role in patients with severe hearing loss and VI.
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References
El-Kashlan HK, Boerst A, Telian SA (2001) Multichannel cochlear implantation in visually impaired patients. Otol Neurotol 22:53–56
Filipo R, Bosco E, Mancini P, Ballantyne D (2004) Cochlear implants in special cases: deafness in the presence of disabilities and/or associated problems. Acta Otolaryngol Suppl 552:74–80
Fukuda Y, Shiroma M, Funasaka S (1989) Speech discrimination by patients with cochlear implants (Nucleus) through combined use of auditory and visual stimi. Jpn Soc Logop Phoniatr 30:334–339
Hinderlink JB, Brokx JP, Mens LH, van den Broek P (1994) Results from four cochlear implant patients with Usher’s syndrome. Ann Otol Rhinol Laryngol 103:285–293
Kawasaki E, Tomoda K, Iwano T, Kitahara H, Yamashita T (1997) Cochlear implantation in a blind and deaf patient. Adv Otorhinolaryngol 52:89–91
Matuda S, Hirakawa K, Osada R, Furukido K, Yajin K (1999) Multi-cochlear implantation in a deaf-blind patient; a case report. Pract Otol (Kyoto); suppl 102:89–98
Mawman DJ, Bhatt YM, Green KM, O’Driscoll MP, Saeed SR, Ramsden RT (2004) Trends and outcomes in the Manchester adult cochlear implant series. Clin Otolaryngol Allied Sci 29:331–339
Miyamoto I, Kanda Y, Shiromaru M, Kondo T, Shigeno K, Kumagami H, Takano J, Kobayashi T (2002) Cochlear implantation in a patient with type 1 Usher’s syndrome. In: Kubo T, Takahashi T, Iwaki T (eds). Cochlear implants: an update. Kugler Publications, The Hague, pp 507–510
Nikolopoulos TP, Lioumi D, Stamataki S, O’Donoghue GM (2006) Evidence-based overview of ophthalmic disorders in deaf children: a literature update. Otol Neurotol 27 Supp11 S1–24
Notoya M, Okabe Y, Takiguchi T, Suzuki S, Furukawa M, Suwa M, Yamazaki Y (1995) Clinical course of an auditory-visually impaired patient with cochlear implant (in Japanese). Pract Otol (Kyoto) suppl 85:40–45
Saeed SR, Ramsden RT, Axon PR (1998) Cochlear implantation in the deaf-blind. Am J Otol 19:774–777
Ura M, Nakamura Y, Maeda Y, Dairin T, Nou T, Noda H (2001) A case of type III Usher syndrome with satisfactory compensation of hearing loss by cochlear implant. Jibi Inkoka, Tokeibu Geka (Kyoto) 73:627–631
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Takasaki, K., Kanda, Y., Kumagami, H. et al. Cochlear implantations in visually impaired patients. Eur Arch Otorhinolaryngol 264, 363–367 (2007). https://doi.org/10.1007/s00405-006-0188-6
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DOI: https://doi.org/10.1007/s00405-006-0188-6