Is there a deafness duration limit for cochlear implants in post-lingual deaf adults?

Moon, In Seok; Park, Sera; Kim, Heung Dong; Lee, Won Sang; Kim, Sung Huhn; Kim, Jung Ha; Choi, Jae Young

doi:10.3109/00016489.2013.850175

Cited by 20 publications

(23 citation statements)

References 18 publications

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“…We performed multivariable regression analysis using the variables hierarchically proven to be predictive of post‐implant speech perception in earlier studies (e.g. age at implantation, age at onset of deafness, aetiology, duration of deafness, longest duration of deafness of either ear, pre‐implant best‐aided CVC score and PTA, gender and choice of ear) …”

Section: Resultsmentioning

confidence: 99%

“…Due to large amounts of unknown aetiologies in previous studies, a clear pattern has not yet emerged between aetiology of deafness and post‐implant performance . Duration of deafness, or derived factors such as percentage of life deaf or age at onset of deafness, has shown a consistent correlation with post‐implant outcome, as well as pre‐implant speech perception tests . Contradictory results have been reported about the effect of an advanced age on speech perception performance …”

mentioning

confidence: 98%

“…Cochlear implantation is a common treatment for bilateral sensorineural hearing loss (SNHL) in patients who cease to benefit from hearing aids. To determine which patients benefit most from a cochlear implant (CI), multiple studies have evaluated post‐implant CI performance with pre‐implant patient demographics . Literature has consistently shown great differences in outcome between prelingually and postlingually deafened patients .…”

mentioning

confidence: 99%

“…Literature has consistently shown great differences in outcome between prelingually and postlingually deafened patients . Due to large amounts of unknown aetiologies in previous studies, a clear pattern has not yet emerged between aetiology of deafness and post‐implant performance . Duration of deafness, or derived factors such as percentage of life deaf or age at onset of deafness, has shown a consistent correlation with post‐implant outcome, as well as pre‐implant speech perception tests .…”

mentioning

confidence: 99%

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Factors that influence outcomes in cochlear implantation in adults, based on patient‐related characteristics – a retrospective study

Kraaijenga

Smit

Stegeman

et al. 2016

Clinical Otolaryngology

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Section: Resultsmentioning

confidence: 99%

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confidence: 98%

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confidence: 99%

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confidence: 99%

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Factors that influence outcomes in cochlear implantation in adults, based on patient‐related characteristics – a retrospective study

Kraaijenga

Smit

Stegeman

et al. 2016

Clinical Otolaryngology

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“…In the meantime, Blamey et al [10] and Plant et al [11] reported that auditory improvement is inversely proportional to duration of deafness. Yet, Moon et al [12] reported data showing favorable auditory prognosis among patient that developed deafness after youth even with longer periods of sound deprivation.…”

Section: Introductionmentioning

confidence: 99%

The Influence of Sound Deprivation on Audiologic Outcomes after Cochlear Implantation

Amaral¹,

Reis²,

Pauna³

et al. 2018

IJCM

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The cochlear implant is a prosthesis that is capable to replace listening capability among patients with sensorineural hearing loss. Many studies suggest a negative relationship among duration of sound deprivation and audiometric gain (by means of speech perception test) after cochlear implantation. We evaluated surgical and audiologic results among post-lingual deafened adults, in different times of sound deprivation, and correlated with social isolation, presence of vertigo or tinnitus, and the speech therapy yield, between pre-and post-operative stages. A retrospective study was conducted on patients with post-lingual hearing loss, aged over 18 years old who underwent cochlear implant surgery in a public hospital from 2004 to 2014. Audiological, sociodemographic questionnaire, and manifestations of vertigo and tinnitus, during pre-and post-operative stages, were compared and correlating to the different periods of sound deprivation. Two groups were studied. The group A was composed of 38 participants (14 male and 24 female) with sound deprivation of less than 10 years; and group B was composed of 17 participants (8 male and 9 female) with sound deprivation longer than 10 years. We found no differences regarding age, sex, duration of sound deprivation, mean pure-tone audiometric results (pre-and post-surgery), and speech perception tests (pre-operatively). After one year of the surgery, we observed a significant difference between both groups, with a better performance to group A. The results of speech perception test, after cochlear implantation in group B, were worse than the results obtained in group A, although these correlations are not determinant whether to perform cochlear implant surgery or not.

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American Cochlear Implant Alliance Task Force: Recommendations for Determining Cochlear Implant Candidacy in Adults

et al. 2023

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The indications for cochlear implantation have expanded over time due to evidence demonstrating identification and implantation of appropriate cochlear implant (CI) candidates lead to significant improvements in speech recognition and quality of life (QoL). However, clinical practice is variable, with some providers using outdated criteria and others exceeding current labeled indications. As a results, only a fraction of those persons who could benefit from CI technology receive it. This document summarizes the current evidence for determining appropriate referrals for adults with bilateral hearing loss into CI centers for formal evaluation by stressing the importance of treating each ear individually and a “revised 60/60 rule”. By mirroring contemporary clinical practice and available evidence, these recommendations will also provide a standardized testing protocol for CI candidates using a team‐based approach that prioritizes individualized patient care. This manuscript was developed by the Adult Cochlear Implantation Candidacy Task Force of the American Cochlear Implant Alliance using review of the existing literature and clinical consensus.Level of EvidenceN/A Laryngoscope, 2023

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Is there a deafness duration limit for cochlear implants in post-lingual deaf adults?

Cited by 20 publications

References 18 publications

Factors that influence outcomes in cochlear implantation in adults, based on patient‐related characteristics – a retrospective study

Factors that influence outcomes in cochlear implantation in adults, based on patient‐related characteristics – a retrospective study

The Influence of Sound Deprivation on Audiologic Outcomes after Cochlear Implantation

American Cochlear Implant Alliance Task Force: Recommendations for Determining Cochlear Implant Candidacy in Adults

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