Early pediatric Cochlear implantation: An update

Naik, Akash N.; Varadarajan, Varun V.; Malhotra, Prashant S.

doi:10.1002/lio2.574

Cited by 22 publications

(13 citation statements)

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“…Early implantation may alleviate auditory deprivation, improve language development, and attain better vocabulary and linguistic outcomes. [43][44][45][46][47][48] The correlation between speech reception and age at implant for children with CI have been a controversial issue in past decades. [49][50][51][52][53] For example, Dettman et al [48] reported a significant relationship between age of implantation and speech perception.…”

Section: Discussionmentioning

confidence: 99%

The effect of lexical tone experience on English intonation perception in Mandarin-speaking cochlear-implanted children

Lin

et al. 2022

Medicine

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To examine the effect of lexical tone experience on English intonation perception in Mandarin-speaking cochlear-implanted children during second language acquisition in Taiwan. A retrospective cohort study. A tertiary referred center. Fourteen children with cochlear implant (CI) in the experimental group, and 9 normal hearing children in the control group were enrolled in this study. Cochlear implantation and hearing rehabilitation. Two speech recognition accuracies were examined: (1) Lexical tone recognition (4-alternative forced choice, AFC), (2) English Sentence Intonation (2AFC). The overall accuracies for tone perception are 61.13% (standard deviation, SD = 10.84%) for CI group and 93.82% (SD = 1.80%) for normal hearing group. Tone 4 and Tone 1 were more easily to be recognized than tone 2 and tone 3 in the pediatric CI recipients (cCI) group. In English intonation perception, the overall accuracies are 61.82% (SD = 16.85%) for CI group, and 97.59% (SD = 4.73%) for normal hearing group. Significant high correlation (R = .919, P ≦ .000) between lexical tone perception and English intonation perception is noted. There is no significant difference for English intonation perception accuracies between Mandarin-speaking cCI (61.82%) and English-speaking cCI (70.13%, P = .11). Mandarin-speaking cochlear-implanted children showed significant deficits in perception of lexical tone and English intonation relative to normal hearing children. There was no tonal language benefit in Mandarin-speaking cochlear-implanted children’s English intonation perception, compared to the English-speaking cochlear-implanted peers. For cochlear-implanted children, better lexical tone perception comes with better English intonation perception. Enhancing Mandarin prosodic perception for cochlear-implanted children may benefit their command of intonation in English.

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Section: Discussionmentioning

confidence: 99%

The effect of lexical tone experience on English intonation perception in Mandarin-speaking cochlear-implanted children

Lin

et al. 2022

Medicine

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“…There is consensus that cochlear implants are largely safe across all age groups with congenital and acquired hearing loss, even for very young children ( Rajan et al, 2018 ; Uecker et al, 2019 ; Sharma et al, 2020 ; Deep et al, 2021 ; Naik et al, 2021 ; Purcell et al, 2021 ). The survival rates for cochlear implants are as follows [ Lane et al (2019) : 10-year cumulative survival rates 97.2%; Chen et al (2022) : 10-year rate 96.8%, 20-year rate 96.7%].…”

Section: Perspective: Cochlear Implant-specific Risks Can Be a Burden...mentioning

confidence: 99%

“…Numerous studies indicate that children and adolescents with congenital or early onset severe and profound hearing loss benefit from CI: it provides a clear benefit in the development of brain regions associated with hearing ( Sharma et al, 2002 ; Kral and Sharma, 2012 ; Kral et al, 2016 ; Cardon and Sharma, 2019 ; Lee et al, 2020 ; Wang et al, 2021 ) and supports auditory development ( Purcell et al, 2021 ) as well as the development of spoken language ( Percy-Smith et al, 2008 ; Peters et al, 2010 ; Geers et al, 2016 ). In particular, very early implantation ( Dettman et al, 2016 ; Ruben, 2018 ; Sharma et al, 2020 ; Naik et al, 2021 ) and bilateral implantations ( Lieu et al, 2020 ; Sharma et al, 2020 ) benefit the development of verbal language. For example, 64% of children who were implanted before the age of 12 months showed receptive and expressive language skills in the normative range at school entry ( Dettman et al, 2016 ).…”

Section: Introductionmentioning

confidence: 99%

Cochlear implant-specific risks should be considered, when assessing the quality of life of children and adolescents with hearing loss and cochlear implants–not just cochlear implant-specific benefits–Perspective

Huber

2022

Front. Neurosci.

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Cochlear implants (CIs) are electronic medical devices that enable hearing in cases where traditional hearing aids are of minimal or no use. Quality of life (QoL) studies of children and adolescents with a CI have so far focused on the CI-specific benefits. However, the CI-specific risks listed by the U.S. Food and Drug Administration have not yet been considered. From this list, medical and device-related complications, lifelong dependency on the implanted device, and neurosecurity risks (CI technology is an interface technology) may be particularly relevant for young CI users. Medical and device-related complications can cause physical discomfort (e.g., fever, pain), as well as functioning problems (e.g., in speech discrimination, social behavior, and mood). In the worst case, reimplantation is required. Clinical experience shows that these complications are perceived as a burden for young CI users. Furthermore, many young patients are worried about possible complications. Additionally, CIs can be at least a temporary burden when children, typically at the age of 8–9 years, realize that they need the CI for life, or when they become peer victims because of their CI. Concerning neurosecurity risks, it is still unknown how young CI recipients perceive them. In summary, CI-specific risks can be perceived as a burden by young CI users that impairs their QoL. Therefore, they should not be ignored. There is an urgent need for studies on this topic, which would not only be important for professionals and parents, but also for the design of CI-specific QoL instruments.

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“…It prevents children from enjoying satisfactory social lives and can contribute to poor mental health and social isolation. Delayed management of the problem may result in degeneration of the central auditory system, leading to missed opportunities for education,, employment, and a lower quality of life [ 1 , 2 ]. The prevalence of neonatal permanent sensorineural HL ranges from 0.1% to 0.6%, with an overall prevalence of 0.2% [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

“…The cochlear implant has significantly improved the treatment outcome for many children with severe to deep hearing disability. The criteria for candidacy and age of the surgery was driven by technological advancement [ 2 , 6 ]. Parents of children with cochlear implant expect positive changes in language development, communication skills, academic progress, social life, and children’s future [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

Perceived benefits of cochlear implants by parents: expectations, decision-making process, and barriers to care

Ibrahim

El‐Gilany

Mohamed

et al. 2023

J. Egypt. Public. Health. Assoc.

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Background Identifying predictive factors of the cochlear implant outcomes in pediatric patients is critical in guiding tailored rehabilitation programs. The study aimed to assess cochlear implant outcomes, identify predictors, and highlight decision-making factors and barriers to quality care. Methods This cross-sectional study included parents of children who received unilateral cochlear implants for bilateral severe- to- deep sensorineural hearing loss. Inclusion criteria were age ≤ 5 years and intelligence quotient (IQ) Scores ≥ 85, A pre-designed structured questionnaire was used to collect data from parents/guardians of the children attending follow-up. The Arabic validated Glasgow Children Benefit Inventory score was used to assess the health-related quality of life (QOL) after intervention. Results The quality of life (QOL) score (outcome) after surgery was positive in all cases. Multivariate analysis showed that the site of operation (Bahtim hospital and Ain Shams Hospital [AOR(95% confidence interval CI), 5.7 (1.4–23), 5 (1.4–17.9), p = 0.015, 0.013, respectively]), education of the father (university/postgraduate [AOR (95% CI): 5 (1.4–17.9), p = 0.013]), the parents’ expectation that their child would be able to participate in regular classroom activities [AOR (95% CI): 8.9 (3.7–21.3), p < 0.001], and history of Attention deficit/hyperactivity disorder (ADHD), perinatal hypoxia, and low birth weight [AOR (95% CI): 2.5 (1.2–5.1), 3.7 (1.7–8.1), 4.7 (2.1–10.5), p = 0.013, 0.001, ≤ 0.001, respectively] are significant independent predictors of good outcome. Conclusion All parents expressed a positive change in their child’s QOL. Almost all parents of children with cochlear implants face many barriers in obtaining quality healthcare services for their children. Parents, especially those with lower schooling, should receive good counselling to increase their confidence in their children’s capabilities and maximize benefits of regular follow-up. Improving the quality of healthcare centers is recommended.

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Early pediatric Cochlear implantation: An update

Cited by 22 publications

References 88 publications

The effect of lexical tone experience on English intonation perception in Mandarin-speaking cochlear-implanted children

The effect of lexical tone experience on English intonation perception in Mandarin-speaking cochlear-implanted children

Cochlear implant-specific risks should be considered, when assessing the quality of life of children and adolescents with hearing loss and cochlear implants–not just cochlear implant-specific benefits–Perspective

Perceived benefits of cochlear implants by parents: expectations, decision-making process, and barriers to care

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