Bilateral paediatric cochlear implants: A critical review

Johnston, J Cyne; Durieux‐Smith, Andrée; Angus, Douglas E; O’Connor, Annette; Fitzpatrick, Elizabeth

doi:10.1080/14992020802665967

Cited by 68 publications

(56 citation statements)

References 41 publications

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“…Also recently confirmed, children with bilateral CIs have significantly better language outcomes compared to children with unilateral CIs [45,53]. However, there is still a lack of evidence regarding the effect of bilateral cochlear implantation on broader outcomes such as literacy, academic skills and overall quality of life, particularly concerning long-term outcomes [45,48,54].…”

Section: Introductionmentioning

confidence: 98%

Predictors of pediatric cochlear implantation outcomes in South Africa

Roux

Vinck

Butler

et al. 2016

International Journal of Pediatric Otorhinolaryngology

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Objective: To identify and describe predictors of pediatric cochlear implantation outcomes in a South African population. Methods:A retrospective study of 301 pediatric CI recipients from five cochlear implant programs was conducted and cross-sectional outcome data were added at the time of data collection. Twenty potential prognostic factors were identified from the retrospective dataset, including biographical, cochlear implant (CI), family and risk factors. Multiple regression analyses was performed to identify predictor variables that influence outcomes in terms of auditory performance (CAP scores), speech production (SIR scores), communication mode and educational placement.Results: Although implanted children within this sample did not have equal opportunity to access a second implant, bilateral implantation was strongly predictive of better auditory performance and speech production scores, an oral mode of communication and mainstream education. NICU admittance/ prematurity were associated with poorer auditory performance and speech production scores, together with a higher probability for non-oral communication and non-mainstream education. The presence of one or more additional developmental 2 condition was predictive of poorer outcomes in terms of speech production and educational placement, while a delay between diagnosis and implantation of more than one year was also related to non-mainstream education. Ethnicities other than Caucasian were predictive of poorer auditory performance scores and a lower probability for mainstream education.Conclusion: An extensive range of prognostic indicators were identified for pediatric CI outcomes in South Africa. These predictive factors of better and poorer outcomes should guide pediatric CI services to promote optimal outcomes and assist professionals in providing evidence-based informational counselling.

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Section: Introductionmentioning

confidence: 98%

Predictors of pediatric cochlear implantation outcomes in South Africa

Roux

Vinck

Butler

et al. 2016

International Journal of Pediatric Otorhinolaryngology

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“…One of the main, if not the main target of auditory rehabilitation of the cochlear implant is the development of language (ie, the ability to abstract and symbolize linguistic signs in a meaningful and contextualized way, allowing interaction and communication between people of the same linguistic community 7 ) in oral modality, especially when it comes to children with pre-lingual auditory hearing loss [7][8][9][10] .Following this concern, researchers have obtained important findings about what variables and processes are related to the language development of these children 10 , conditions that could improve auditory skills 5 and possible relations that these establish with the development of expressive skills, such as speech production 6,11 .…”

Section: Methodsmentioning

confidence: 99%

“…In general, these research groups have sought to endorse the effectiveness of this technology (and the consequent subsidy by the government and/or health plans) and provide evidence for changes in current policies, as the implementation of bilateral cochlear implant by groupsin the United States, Germany, England 6,9 and more recently in Brazil 18 .…”

Section: Analysis By Journalmentioning

confidence: 99%

“…Some of these projections refer primarily to the phenomena of interest, such as bilateral cochlear implants 9,10,19 , scientific and technological innovation for cochlear implants (like breakthroughs in speech processors and the possibilities of totally implantable cochlear implants) 5,10,19 and strategies in auditory rehabilitation evidence-based 10,19 .…”

Section: Final Considerationsmentioning

confidence: 99%

“…It was composed of research about binaural hearing by cochlear implants, with an interest in investigating whether this condition interferes with the acquisition of auditory skills, the time of auditory rehabilitation, academic performance and quality of life 9,35 .…”

Section: Analysis By Phenomenamentioning

confidence: 99%

See 2 more Smart Citations

As implicações do implante coclear para desenvolvimento das habilidades de linguagem: uma revisão da literatura

et al. 2015

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Resumo: A reabilitação auditiva por meio do implante coclear tem constituído um campo de atuação e de pesquisa interdisciplinar, cujos interesses têm incidido na investigação das variáveis e processos relacionados às habilidades de linguagem dessa população. O presente estudo teve como objetivo apresentar uma revisão sistemática das pesquisas que investigaram as relações entre o uso do implante coclear e o desenvolvimento da linguagem. Para isso, foi realizada uma busca nas bases científicas Web of Science(r), Scielo(r) e LILACS(r), de 2003 a 2013, de estudos sob escopo da Audiologia (e de áreas correlatas), Educação, Reabilitação e Ciências do Comportamento; aplicando os unitermos "cochlear implant", "auditory recognition", "recognition", "speech", "speech production" e "language". Após um tratamento inicial dos resultados, foram selecionados para análise 86 artigos que foram classificados de acordo com os seguintes critérios: ano de publicação, periódico, área de pesquisa, tipo de estudo, habilidade investigada e a temática. Os resultados indicaram crescente avanço nesses estudos e uma ênfase em avaliar e/ou identificar possíveis fatores que interferem nos processos de linguagem de implantados cocleares, sendo essas pesquisas conduzidas majoritariamente pela Audiologia e áreas correlatas. Os estudos comparativos e explicativos foram os mais frequentes e têm destacado as habilidades auditivas, especificamente os fatores que afetam a percepção auditiva. Enquanto perspectivas futuras, poderão ser vislumbrados maior envolvimento científico de áreas interdisciplinares à Audiologia, ampliação de pesquisas sobre habilidades expressivas (como a produção oral) e fomento à estudos que investiguem intervenções (práticas baseadas em evidências) em linguagem para esse público.

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