Postlingually Deaf Adults of All Ages Derive Equal Benefits from Unilateral Multichannel Cochlear Implant

Park, Edward; Shipp, David; Chen, Joseph M.; Nedzelski, Julian M.; Lin, Vincent

doi:10.3766/jaaa.22.10.2

Cited by 51 publications

(62 citation statements)

References 13 publications

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“…The benefits of improved audibility and speech recognition are expected to cascade into other areas of life such as the patient's social, psychological, and overall physical health. In fact, studies unanimously demonstrate significantly higher health-related quality of life (HRQoL) scores among older CI users at postoperative compared with preoperative intervals (Djalilian et al, 2002;Noble, Tyler, Dunn, & Bhullar, 2009;Orabi, Mawman, Al-Zoubi, Saeed, & Ramsden, 2006;Park, Shipp, Chen, Nedzelski, & Lin, 2011;Poissant, Beaudoin, Huang, Brodsky, & Lee, 2008;Vermeire et al, 2005).…”

Section: Existing Studies Of Older CI Listenersmentioning

confidence: 99%

“…Many studies report that older and younger implanted adults do equally well on tests using single words or sentences in quiet listening conditions (Budenz et al, 2011;Haensel et al, 2005;Labadie et al, 2000;Migirov et al, 2010;Noble et al, 2009;Orabi et al, 2006;Park et al, 2011;Pasanisi et al, 2003;Poissant et al, 2008;Sterkers et al, 2004), yet others demonstrate significantly lower performance for older compared with younger CI listeners (Chan et al, 2007;Friedland, RungeSamuelson, Baig, & Jensen, 2010;Noble et al, 2009;Roberts, Lin, Herrmann, & Lee, 2013;Vermeire et al, 2005). Perhaps even more surprising is that studies also disagree about the presence of age-related speech-in-noise (SIN) performance differences between older and younger implanted adults.…”

Section: Age-related Performance Differences Among Adults With Cismentioning

confidence: 99%

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Older and Younger Adult Cochlear Implant Users: Speech Recognition in Quiet and Noise, Quality of Life, and Music Perception

Sladen

Zappler

2015

Am J Audiol

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Purpose: To determine whether older cochlear implant (CI) listeners differ from younger CI listeners on measures of speech understanding, music perception, and health-related quality of life (HRQoL). In the study, the authors hypothesized that speech recognition would be more difficult for older adults, especially in noisy conditions. Performance on music perception was expected to be lower for older implanted listeners. No differences between age groups were expected on HRQoL. Method: Twenty older (>60 years) and 20 younger (<60 years) implanted adults participated. Speech understanding was assessed using words and sentences presented in quiet, and sentences presented at +15, +10, and +5 dB signal-to-noise ratio conditions. Music perception was tested using the University of Washington Clinical Assessment of Music, and HRQoL was measured using the Njimegen CI survey. Results: Speech understanding was significantly lower for the older compared with the younger group in all conditions. Older implanted adults showed lower performance on music perception compared with younger implanted adults on 1 of 3 subtests. Older adults reported lower HRQoL benefit than younger adults on 3 of 6 subdomains. Conclusion: Data indicate that older CI listeners performed more poorly than younger CI listeners, although group differences appear to be task specific.

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Section: Existing Studies Of Older CI Listenersmentioning

confidence: 99%

Section: Age-related Performance Differences Among Adults With Cismentioning

confidence: 99%

Older and Younger Adult Cochlear Implant Users: Speech Recognition in Quiet and Noise, Quality of Life, and Music Perception

Sladen

Zappler

2015

Am J Audiol

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“…Studies discussing the outcome of cochlear implantation in postlingual adults show similar results [15,16] . Our outcomes for prelingual pediatric cases showed a median of 18 months and an interquartile range of 12 months for both expressive and receptive language age.…”

Section: Discussionmentioning

confidence: 58%

Statistical Analysis of Various Factors Affecting the Results of Cochlear Implantation

Zohdi¹,

AbdelMessih²,

Maged³

et al. 2014

Int Adv Otol

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OBJECTIVE:Evaluation of several factors that affected the outcome in patients who underwent cochlear implant surgery. MATERIALS and METHODS:Retrospective study on 8 postlingual adults and 52 prelingual children with severe to profound hearing loss who underwent cochlear implantation at the Otolaryngology-Head and Neck surgery department, Kasr-Al Aini Hospital, Cairo University. A statistical analysis of several factors was performed to reveal any significant effect of the outcome of the procedure. RESULTS:The duration of deafness in adults showed a significant linear yet non-monotonic correlation with the postoperative average auditory thresholds as revealed by Pearson's correlation coefficient (r=0.839, p=0.009) and a linear regression model (f=14.211, p=0.009), which showed that the increase in the duration of deafness led to an increase in hearing thresholds and accounted for 70.3% of the variance in the outcome (β=0.839, t=3.770, and p=0.009). Age at implantation in children showed a positive linear, monotonic relation with the postoperative receptive (r=0.725, p<0.001, r S =0.354, p=0.010) and was a significant predictor of outcome (β=0.440, t=2.961; p=0.005) according to multiple linear regression. Mann-Whitney U-test was performed to evaluate the difference in medians of outcomes in relation to the regularity of attendance to speech rehabilitation. We found a significant effect over the auditory hearing thresholds (the mean ranks of regulars and irregulars were 21. 48 and 31.92, respectively; u=202.00, z=2.48, p<0.05) CONCLUSION: An increase in the duration of deafness leads to less favorable results of postoperative auditory thresholds in postlingual adults. Additionally, an increase in age at implantation may be associated with increased expressive language age in the first year postimplantation, and regular attendance to a speech rehabilitation program is associated with better postoperative auditory thresholds and a higher receptive language age.

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“…The patient must be informed that the device will not restore normal hearing, but it will support the acquisition of more acoustic information and that the hearing rehabilitation activities should be introduced at the same time as the use of the device starts. The positive impact of the use of cochlear implants in the life of hearing impaired people is demonstrated in several studies and satisfaction questionnaires have been included as one of the variables to be considered [9][10][11][12][13][14].…”

Section: Introductionmentioning

confidence: 99%

Stylomastoid Foramen Osteoma Unique Challenges for Appropriate Management

Haidar¹

2015

JOENTR

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Introduction: Satisfaction questionnaires are efficient means to assess whether the device dispensed to the patient met their expectations and improved their quality of life. They reveal what is beyond the hearing aid performance. They reveal what is beyond the hearing aid performance showing the patient's perceptions of the device use in everyday communication situations, social life return, self-esteem improvement and overall health.

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Postlingually Deaf Adults of All Ages Derive Equal Benefits from Unilateral Multichannel Cochlear Implant

Cited by 51 publications

References 13 publications

Older and Younger Adult Cochlear Implant Users: Speech Recognition in Quiet and Noise, Quality of Life, and Music Perception

Older and Younger Adult Cochlear Implant Users: Speech Recognition in Quiet and Noise, Quality of Life, and Music Perception

Statistical Analysis of Various Factors Affecting the Results of Cochlear Implantation

Stylomastoid Foramen Osteoma Unique Challenges for Appropriate Management

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