Programming characteristics of cochlear implants in children: effects of aetiology and age at implantation

Incerti, Paola; Ching, Teresa Y. C.; Hou, Sanna; Buynder, Patricia Van; Flynn, Christopher; Cowan, Robert

doi:10.1080/14992027.2017.1370139

Cited by 25 publications

(21 citation statements)

References 42 publications

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“…There could be confounding factors which affected the educational status of enrolled patients even though the participants are highly homogeneous in the type of deafness and age at implantation. The most important variable is the age at the operation, with evidence from numerous studies [7-9]. In this study, age at the operation was controlled by enrollment criteria of under 48 months.…”

Section: Discussionmentioning

confidence: 99%

Educational Status in Bilateral Prelingual Deaf Children with Cochlear Implantation

et al. 2019

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Background and Objectives This study was undertaken to investigate the educational status in bilateral prelingual deaf children with a cochlear implant (CI), also known as early cochlear implantees (CIs). Type of schooling and enrollment rate of tertiary education were analyzed as primary results. Subjects and Methods Participants in this study comprised a highly homogeneous group of deaf patients who underwent cochlear implantation at a similar age. Sixty-four Korean patients were enrolled. Statistical data for disabled populations and the general population were obtained from the National Statistics Korea. Results Among 64 patients, 46, 8, and 10 attended mainstream, integrated, and special schools, respectively. Notably, there was a significant difference in the type of school between hearing-impaired and CI groups ( p =0.007). Ten of 13 patients enrolled in tertiary education. Conclusions CI users were more likely than hearing impaired students to attend mainstream school. The enrollment rate of CI users in tertiary education was the same as that of the general population.

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Section: Discussionmentioning

confidence: 99%

Educational Status in Bilateral Prelingual Deaf Children with Cochlear Implantation

et al. 2019

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“…We found that: Clinical practice is consistent across sites, with most CIs being programmed according to default values recommended by the manufacturer. The proportion of non-default settings in pulse width, stimulation rate, number of active electrodes and number of maxima was higher in children with auditory nerve deficiency or cochlear lesions, compared to children without those conditions (Incerti et al, this issue). Children with cochlear structural and/or neural lesions required significantly higher current levels for threshold and comfortable levels (T- and C-levels), as compared to children without those conditions.…”

Section: Summary Of Findingsmentioning

confidence: 96%

Learning from the Longitudinal Outcomes of Children with Hearing Impairment (LOCHI) study: summary of 5-year findings and implications

Ching

Dillon

Leigh

et al. 2017

International Journal of Audiology

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150

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“…In first studies, the automatic fitting is equivalent to the original fitting. Thus the results are very promising for a future AI-based fitting of an audio processor [102].…”

Section: ▪ Fitting Based On Electrophysiological Measurementsmentioning

confidence: 80%

“…Fitting in pediatric patients is usually much more time-consuming than in adults and further encompasses numerous social and treatment-related aspects. In addition, electrophysiological fitting methods play a crucial role, in particular the intraoperative measurement of the stapedius reflex threshold and the ECAP measurement [102]. The parameter setting of the audio processor in children is a highly responsible activity that can only be performed with vast experience because it influences decisively the entire development of hearing and speaking of a child.…”

Section: Fitting In Pediatric Patientsmentioning

confidence: 99%

“…It is evident that the fitting phase is a complex and time-consuming process that is currently based on the interaction of psychophysical and electrophysical measurements. Approaches to automate the fitting process by means of AI-based algorithms seem to be promising with the background of the increasing use of E-learning and artificial intelligence, but until now they are not comprehensively applied [102].…”

Section: Summary: Fitting Phase (Basic Therapy)mentioning

confidence: 99%

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Welche Qualität macht den Unterschied in der Cochlea-Implantat-Versorgung?

2020

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ZusammenfassungDie Cochlea-Implantat (CI)-Versorgung hat seit ihrer Einführung eine nicht zu erwartende Entwicklung und Verbreitung erfahren. Neben den technischen Möglichkeiten hat sich auch die Indikationsstellung deutlich gewandelt. Beispiele hierfür sind die Versorgung sehr junger oder sehr alter Menschen, die bilaterale Versorgung oder auch die Nutzung des Restgehörs für eine kombiniert elektrisch-akustische Stimulation (EAS). Diese Entwicklung ist weiterhin sehr dynamisch und bietet enorme Möglichkeiten für die Hörrehabilitation betroffener Patienten. Sie stellt aber gleichzeitig auch erhebliche Ansprüche an die Sicherstellung einer qualitativ am Optimum orientierten Versorgung der Leistungserbringer. In den letzten Jahren hat eine intensive Diskussion stattgefunden, die die Zielsetzung hatte, Qualitätsparameter zu definieren, die als Eckpunkte einer CI-Versorgung dienen sollten. Diese orientierten sich zunächst an der Beschreibung eines festgelegten Ablaufs einer CI-Versorgung und damit an den Teilaspekten einer Prozess-, Struktur- und Ergebnisqualität zur Qualitätssicherung. Praktische Umsetzung erfuhren diese Erwägungen u. a. in dem „Weißbuch CI-Versorgung“ und dem Konzept eines „Nationalen CI-Registers“ der DGHNO-KHC. Neben einer inhaltlich orientierten, innerhalb der Fachgesellschaft DGNHNO-KHC geführten Diskussion, zeigen inzwischen auch Kostenträger Ansätze, auf den Prozess einer CI-Versorgung Einfluss zu nehmen (QuInCI-Initiative der Techniker Krankenkasse). Auch von Seiten des Gesetzgebers sind hierzu Maßnahmen in Vorbereitung, die die CI-Versorgung unmittelbar betreffen werden („Implantateregister-Gesetz“). Die hier vorgelegte Arbeit soll den derzeitigen Wissensstand der Qualitätssicherung in der CI-Versorgung darstellen und eine Standortbestimmung für Deutschland im Vergleich zu anderen Ländern vornehmen.

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Programming characteristics of cochlear implants in children: effects of aetiology and age at implantation

Abstract: Aetiology and age at implantation had significant effects on T-levels and C-levels.

Cited by 25 publications

References 42 publications

Educational Status in Bilateral Prelingual Deaf Children with Cochlear Implantation

Educational Status in Bilateral Prelingual Deaf Children with Cochlear Implantation

Learning from the Longitudinal Outcomes of Children with Hearing Impairment (LOCHI) study: summary of 5-year findings and implications

Welche Qualität macht den Unterschied in der Cochlea-Implantat-Versorgung?

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