Management of Children with Severe, Severe-profound, and Profound Sensorineural Hearing Loss

Iseli, Claire; Buchman, Craig A.

doi:10.1016/j.otc.2015.06.004

Cited by 7 publications

(4 citation statements)

References 66 publications

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“…In patients with severe to profound hearing loss who are unable to benefit from hearing aids, a cochlear implant may provide significant benefit . Cochlear implants are surgically placed devices that directly stimulate auditory neural pathways in the cochlea.…”

Section: Introductionmentioning

confidence: 99%

Ototoxicity and cancer therapy

Landier

2016

Cancer

154

129

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Ototoxicity is a well-established toxicity associated with a subgroup of antineoplastic therapies that includes platinum chemotherapy, radiation or surgery involving the ear and auditory nerve, and supportive care agents such as aminoglycoside antibiotics and loop diuretics. The reported prevalence of ototoxicity in patients who have received potentially ototoxic therapy ranges from 4% to 90% depending on factors such as age of the patient population, agent(s) used, cumulative dose, and administration techniques. The impact of ototoxicity on subsequent health-related and psychosocial outcomes in these patients can be substantial, and the burden of morbidity related to ototoxic agents is particularly high in very young children. Considerable interindividual variability in the prevalence and severity of ototoxicity has been observed among patients receiving similar treatment, suggesting genetic susceptibility as a risk factor. The development and testing of otoprotective agents is ongoing; however, to the author's knowledge, no US Food and Drug Administration-approved otoprotectants are currently available. Prospective monitoring for ototoxicity allows for comparison of auditory outcomes across clinical trials, as well as for early detection, potential alterations in therapy, and auditory intervention and rehabilitation to ameliorate the adverse consequences of hearing loss.

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Section: Introductionmentioning

confidence: 99%

Ototoxicity and cancer therapy

Landier

2016

Cancer

154

129

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“…Caregivers' commitment to rehabilitation is another important factor to be highlighted in the post-surgical process. Regular visits to the therapist associated with family engagement are essential points for the best possible performance to be achieved (13) . The caregivers of the children presented here have shown an appropriate engagement, with 100% attendance at rehabilitation sessions.…”

Section: Discussionmentioning

confidence: 99%

Desempenho de audição e linguagem pós implante coclear em crianças com síndrome de Waardenburg

Polanski

Kochen²,

Oliveira

2020

CoDAS

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RESUMO A Síndrome de Waardenburg (SW) é uma condição genética rara de padrão autossômico dominante e que pode cursar com perda auditiva neurossensorial. Nesse relato, apresentamos o desempenho da audição e linguagem de três crianças com SW, com zero, três, nove, doze e sessenta meses de seguimento após implante coclear (IC). As crianças foram avaliadas através dos questionários Escala de Integração Auditiva IT-MAIS (até 5 anos), MAIS (maiores de 5 anos), Escala de Utilização da Fala (MUSS) e categorizados quanto à audição e linguagem. Os resultados demonstraram uma melhora no desempenho da audição e linguagem ao longo do tempo, sendo que os dois pacientes que usaram o IC por 5 anos alcançaram 100% no IT-MAIS, MAIS e MUSS. Além disso, ambos foram capazes de compreender sentenças em conjunto aberto e possuem fala fluente, considerando-se as categorias de audição e linguagem. O terceiro paciente, com 50 meses de seguimento, encontra-se, na avaliação aos 48 meses, na categoria 5 de audição e 3 de linguagem. Conclui-se assim que as crianças da pesquisa, que apresentavam níveis baixos de audição e linguagem antes do implante coclear, passaram a apresentar melhores respostas auditivas e linguísticas após a implantação e reabilitação.

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“…As a result of the UNHS, diagnosis before three months of age and intervention before 6 months can be achieved for pediatric hearing loss (Expert Group on Universal Newborns Hearing Screening of the National et al 2018). To maximize the opportunity for spoken language, cochlear implant (CI) surgery is the most effective method of hearing rehabilitation for children with severe to profound sensorineural hearing loss (SNHL) (Brookhouser et al 1990; Iseli & Buchman 2015). The Food and Drug Administration candidacy criteria have expanded to include profound SNHL in children as young as 9 months old in 2020 (FDA (U.S. Food & Drug Administration) 2020).…”

Section: Introductionmentioning

confidence: 99%

Simultaneous Bilateral Cochlear Implantation in Very Young Children Improves Adaptability and Social Skills: A Prospective Cohort Study

Chen

Jia

et al. 2022

Ear &Amp; Hearing

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Objectives: To investigate the value of using the Gesell Development Diagnosis Scale (GDDS) to predict developmental outcomes in very young children who undergo simultaneous bilateral cochlear implantation. Design: In this prospective cohort study, a repeated-measures investigation was conducted in a tertiary referral hospital. A total of 62 children receiving simultaneous bilateral cochlear implantations were enrolled from April 2017 to August 2018. They were divided into 2 groups depending on the operative age: “Infants” group (6 to 12 months, N = 38) or “Children” group (12 to 36 months, N = 24). Data on the surgical outcomes, auditory development, speech production, and developmental indicators were collected until 2 years after the initial fitting. The primary outcome measure was the GDDS, a neuropsychological development examination. Secondary outcomes included the following: complication rate, aided pure-tone average, Infant-Toddler Meaningful Auditory Integration Scale, Categories of Auditory Performance-II, Meaningful Use of Speech Scale, Speech Intelligibility Rating, and the LittlEARS Auditory Questionnaire. Results: The mean ages at implantation in infants and children groups were 9.2 ± 1.17 and 16.6 ± 3.60 months, respectively. Significant differences were found in the social skills (p = 0.001) and adaptability (p = 0.031) domains of GDDS. The younger the age of bilateral cochlear implants surgery, the higher developmental quotient of language, social skills, and adaptability the child could achieve after 2 years. The complication rates in the infants and children groups were 0% versus 2.1% (p = 0.57). There was no surgical complication in the infants group. In the children group, 1 case with enlarged vestibular aqueduct and Mondini malformation had a receiver-implant misplacement on the right side (2%, 1/48). In the two groups, auditory performance and speech production had improved similarly. In the infants group, social skills developmental quotient at baseline had a significant positive relationship with Meaningful Use of Speech Scale after 2 years. Conclusions: Simultaneous bilateral cochlear implantation in younger children improves adaptability and social skills. GDDS is a sensitive tool of evaluating short-term effect of bilateral cochlear implants in neuropsychological development and constitutes a reliable predictor of speech production for the very younger pediatric cochlear implant users.

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Management of Children with Severe, Severe-profound, and Profound Sensorineural Hearing Loss

Cited by 7 publications

References 66 publications

Ototoxicity and cancer therapy

Ototoxicity and cancer therapy

Desempenho de audição e linguagem pós implante coclear em crianças com síndrome de Waardenburg

Simultaneous Bilateral Cochlear Implantation in Very Young Children Improves Adaptability and Social Skills: A Prospective Cohort Study

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