Introduction. The first cochlear implant surgery was performed at the Center for Cochlear Implantation of the Department of Ear, Nose and Throat Diseases, Clinical Center of Vojvodina in 2002 after long preparations and that was the first successful cochlear implantation in Serbia. Material and Methods. Over the period from November 2002 to November 2013, 99 patients underwent surgical procedures and 100 cochlear implants were placed. Results. The analysis encompassed 99 patients, the youngest and the oldest one being 1 year and 61 years old, respectively. Prelingual and postlingual deafness developed in 84 (84.9%) and in 15 (15.1%), respectively. Postlingual deafness was observed in all 11 adult patients. The prelingual deafness was diagnosed in 84 (95.4%) children, whereas in four (4.6%) children it occurred after the development of speech between 6 and 8 years of age. Progressive hearing loss was observed in 11 patients - seven adults and four children. The majority of our patients, i.e. 74 (74.75%) manifested idiopathic deafness of unknown cause. A range of usually reported hearing loss etiologies included ototoxic medications in seven (7.07%), hereditary factor in six (6.06%), and bacterial meningitis in four (4.04%) patients. Somewhat less common causes were perinatal hypoxia in three (3.03%), premature birth in three (3.03%), Down syndrome in one (1.01%), and chronic otitis media in one (1.01%) patient. Conclusion. Both intraoperative and postoperative complications were analyzed in the investigated patient population. The complications developed in 11 patients, i.e. in 10.5% of 105 surgical procedures. The majority of procedures (89.5%) were not accompanied by any post-surgical complications. Unsuccessful implantation in a single-step procedure and transient facial nerve paralysis can be considered most frequent among our patients, whereas cochlear ossification and transient ataxia occurred more rarely. Stimulation of facial nerve, intraoperative perilymph liquid gusher, device failure and late infections were recorded extremely rarely.
Introduction. The focus of this study was the analysis of objective acoustic characteristics of voice in children with cochlear implants. The objective of this study was to compare acoustic parameters of voice in children with cochlear implants and normal hearing children of the same age, and to determine differences, if there were any. Material and Methods. There were 60 children (aged from 6 to 13) included in this prospective study. They were divided into 2 groups: children with cochlear implants (30) and normal hearing children with normal speech development (30). The most stable voice sample was analyzed using a software program Dr Speech: Vocal Assessment. Objective acoustic analysis of voice included 13 acoustic parameters. Results. Standard deviation of fundamental frequency was significantly (p=0.000) higher in children with cochlear implants, as well as the values of harmonic to noise ratio (p=0.003) and signal to noise ratio (p=0.000) parameters. Values of jitter %, shimmer %, normalized noise energy, fundamental frequency tremor and amplitude tremor showed no significant differences between the two groups. However, the values of parameters that refer to voice frequency (habitual fundamental frequency, mean fundamental frequency, min fundamental frequency and max fundamental frequency) and the mean value of voice intensity (p=0.004), were significantly higher in the boys and the girls with cochlear implants than in the normal hearing children. Conclusion. Gender non-related parameters of hoarseness did not show significant differences between the children with cochlear implants and the normal hearing children; the results of cochlear implantation and voice and speech education were therefore positive. However, the children with cochlear implants of both gender showed significantly higher values of voice intensity, voice pitch and insufficient control of voice pitch variation.
New, more sophisticated audiological evaluation is essential to shorten the time for diagnosing hearing impairment. The results of the investigation performed at the Cochlear Implantation Center of the ENT Clinic in Novi Sad show that cochlear implantation is an effective procedure which should be continued.
Background: There is speculation that an immature vestibular system may be associated with breech presentation at delivery. Our aim was to determine whether syndromes with congenital inner ear malformations were accompanied by a higher frequency of breech presentation/malpresentations than in the general population (2%À3%). Methods: A review was conducted for published literature using PubMed/MEDLINE , to determine frequency of breech presentation and transverse lie in cases with congenital deafness (Michel aplasia, Wildervanck syndrome, Mondini-Alexander dysplasia, Waardenburg syndrome, CHARGE syndrome, Large vestibular aqueductal syndrome, Pendred syndrome, Oculo-aurico-vertebral spectrum, Jervel and Lange-Nielsen syndrome, Usher syndrome, and Scheibe dysplasia) and vestibular nerve aplasia. Results: Identified were total of 122 cases. The frequency of breech presentation was 1.64%, and of transverse lie 1.64%, giving a total of 3.28% malpresentations. Conclusion: The results of the study suggest that congenital malformations of the vestibular apparatus are not associated with the increased risk of breech presentation at delivery.
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