Meta-Analysis of Pediatric Cochlear Implant Literature

Cheng, Andre; Grant, Ginger; Niparko, John K.

doi:10.1177/00034894991080s425

Cited by 37 publications

(3 citation statements)

References 13 publications

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“…In this study, current age and age at implantation were negatively correlated with CIQOL-10 Global score (older age associated with a lower score), which is expected given that speech perception outcomes are known to be improved when patients are implanted at a younger age (23)(24)(25). Similar age-related associations with QOL outcomes have been demonstrated in the English-speaking population (26).…”

Section: Discussionsupporting

confidence: 71%

Impact of Cochlear Implantation on Quality of Life in Chinese Americans

Fan,

Mavrommatis,

Wanna

et al. 2024

Otol Neurotol

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Objectives To investigate the quality of life (QOL) of adult Mandarin-speaking Chinese Americans after cochlear implantation (CI) using the cross-culturally adapted Chinese Cochlear Implant Quality of Life-10 (CIQOL-10) Global. Study Design Cross-sectional. Setting Tertiary care neurotology practice in New York City. Patients Thirty adult Mandarin-speaking Chinese Americans (22.8–89.4 yr, mean 48.9 yr) with prelingual (12) or postlingual (18) deafness who underwent CI between 1995 and 2020. All patients were at least 1 year from CI activation. Intervention CI. Main Outcomes Measures Chinese CIQOL-10 Global score. Results There were no detectable differences in mean Chinese CIQOL-10 Global scores between the prelingual (mean 51.9, SD 11.0) and postlingual (mean 44.0, SD 16.4) cohorts (p = 0.1; 95% CI, −2.3 to 18.1; Hedges' g = 0.5). Comparison of the overall cohort (mean 47.1, SD 14.8) with previously published CIQOL-10 Global scores of English-speaking American CI users (mean 51.5, SD 10.4) demonstrated a significant difference (p = 0.02; 95% CI, 0.4–8.4; Hedges' g = 0.4). For the overall cohort, multivariable analysis demonstrated that combined household income (p = 0.007, β = 7.4; 95% CI, 0.7–14.0) was positively associated with Chinese CIQOL-10 Global scores. Conclusions This study is the first to evaluate QOL after CI in Mandarin-speaking Chinese American adults. The CIQOL-10 Global scores of Mandarin-speaking Chinese Americans CI users are significantly worse than those of English-speaking American CI users. Combined household income may be positively associated with QOL in the Mandarin-speaking Chinese American CI population. More resources are needed to assess outcomes and support rehabilitation in this population.

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Section: Discussionsupporting

confidence: 71%

Impact of Cochlear Implantation on Quality of Life in Chinese Americans

Fan,

Mavrommatis,

Wanna

et al. 2024

Otol Neurotol

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“…habilitative, rehabilitative, or educational programmes as soon as possible while they are still within the most sensitive time period for optimal language and communication development. Children need over 20,000 hours of parent-infant interactions and listening experience in the first 5 years of life to create a neural framework for both spoken language and literacy of the child [85].…”

Section: Caring For Children With Hearing Loss Requires a Multidisciplinary Approachmentioning

confidence: 99%

Childhood Hearing Loss in Developing Countries: From Multidisciplinary Team Work to Public Health

Banda¹,

Nakstad²

2021

Hearing Loss - From Multidisciplinary Teamwork to Public Health

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This chapter will highlight the common causes of hearing loss in children and emphasize on the fact that most of the hearing loss is due to causes that are preventable. We know that hearing loss in childhood not only impacts on the child’s learning and social interaction with the child’s peers and society, but also has economic implications when the child grows into an adult. Public health awareness is therefore paramount in preventing a large chunk of the hearing gloss and therefore greatly contributes to making sure that the child grows into a productive citizen of the society that the child grows or lives in.

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“…Therefore, the usual practice of trying to limit OM management in the general pediatric population to conservative care may not be advisable in OM-prone CI candidates because the deferral might reduce the potential for maximal benefit from the implant. 11 Improvement in our understanding of CI adverse events is critical to preventing or, at the very least, minimizing the economic and emotional costs of these events. 8 This study aims to examine the prevalence of OM in children after CI and its impact on the device integrity with reporting the different management policies and results.…”

Section: Introductionmentioning

confidence: 99%

Pediatric otitis media post cochlear implant retrospective cohort study

Deghadey

Elzayat²,

Mekhimar³

et al. 2023

Int J Otorhinolaryngol Head Neck Surg

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Background: A cochlear implant (CI) is a greatly effective therapy for severe to profound deafness. This study aims to examine the prevalence of otitis media (OM) in children after CI and its impact on the device’s integrity with reporting the various management policies and results. Methods: This retrospective cohort study included 307 children, aged one to five years, who had CIs performed by the surgical team between January 2016 and December 2019. A detailed pre, intra, and postoperative data collected from these patients’ medical records was reviewed retrospectively by the same surgical team. Results: There is a statistically significant difference in the distribution of OM in the operated ears; the p value was <0.001. There is a statistically significant association between post-implant OM and getting implantation, as the p value was <0.001. Multivariate analysis showed significant associations between post-implant OM and a history of receiving vaccination (no), a perioperative history of otitis media with effusion (yes), and a history of recurrent tonsillitis and enlarged adenoids (yes) (p value< 0.05). Conclusions: In children, the prevalence of developing post-implant OM in the implanted ears does not rise, but rather falls, contradicting the theory that foreign bodies may aggravate the infection. Our findings supported the safety of CI in children with a history of post-implant OM, as all cases of post-implant OM were managed medically, with no additional surgical intervention required. Furthermore, no case had any significant complications, such as meningitis, or had a negative impact on the device's integrity.

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Meta-Analysis of Pediatric Cochlear Implant Literature

Cited by 37 publications

References 13 publications

Impact of Cochlear Implantation on Quality of Life in Chinese Americans

Impact of Cochlear Implantation on Quality of Life in Chinese Americans

Childhood Hearing Loss in Developing Countries: From Multidisciplinary Team Work to Public Health

Pediatric otitis media post cochlear implant retrospective cohort study

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