[en] INTRODUCTION: Cochlear implantation has been mentioned as the most effective therapeutic intervention in deaf patients and especially those with post-lingual deafness. We aimed to assess hearing improvement of post-lingually deaf patients after cochlear implantation.
MATERIALS AND METHODS: in this cross-sectional study all the post-lingually deaf patients who had undergone cochlear implantation (CI) surgery between December 2010 and February 2016 were assessed. Patients were recalled and after explaining the study process and signing an informed consent form, an audiometry was done by a single audiologist. In addition, demographic information, cause of hearing loss, age of onset, history of hearing aid use and surgical complications were recorded in a pre-designed checklist.
RESULTS: Twenty-nine male and 21 female with a mean age of 22.52±19.45 years underwent analysis. Most of patients (80%) had progressed condition since childhood. Sudden sensorineural hearing loss (SSNHL) was the most prevalent (10%) known etiology of deafness followed by meningitis (6%), Trauma (2%) and ototoxic drugs (2%) in the remaining 20% of the patients. Patients had the highest mean (37.1±12.61 dB) in 4000 Hz frequency and the lowest mean of hearing threshold level (32.6±8.37 dB) was for 1000 Hz frequency. Mean hearing threshold level was significantly lower in patients with lower ages of cochlear implantation (p=0.435). Patients with higher ages of deafness onset showed lower degree of hearing improvement (p=0.462).
CONCLUSION: The results of our study suggest that cochlear implantation significantly improves hearing function of post-lingual patients and can be considered as a certain cure for these patients in Iran.
Disciplines :
Otolaryngology
Author, co-author :
Saeedi, M; Department of Otorhinolaryngology, Head and Neck Surgery, Faculty of Medicine, Baqiyatallah University of Medical Sciences, Tehran, Iran ; Department of Otorhinolaryngology Research, Universal Scientific Education and Research Network (USERN), Tehran, Iran
Amirsalari, S; Department of Cochlear Implantation Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran
Dadgar, S; Department of Otorhinolaryngology Research, Universal Scientific Education and Research Network (USERN), Tehran, Iran
Khosravi, Mohammad Hossein ; Université de Liège - ULiège ; Department of Otolaryngology, Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran
Language :
English
Title :
Outcomes of Cochlear Implantation in Post-lingually Deaf Patients.
Pourabdian S. The prevalence and correlates of hearing loss in drivers in Isfahan, Iran. Archives of Iranian medicine. 2009;12(2):128-34
Schley S, Walter GG, Weathers RR, Hemmeter J, Hennessey JC, Burkhauser RV. Effect of postsecondary education on the economic status of persons who are deaf or hard of hearing. Journal of deaf studies and deaf education. 2011;16(4):524-36
Lazard D, Lee H, Gaebler M, Kell C, Truy E, Giraud A-L. Phonological processing in post-lingual deafness and cochlear implant outcome. Neuroimage. 2010;49(4):3443-51
Mehra S, Eavey RD, Keamy DG. The epidemiology of hearing impairment in the United States: newborns, children, and adolescents. Otolaryngology-Head and Neck Surgery. 2009;140(4):461-72
Bubbico L, Rosano A, Spagnolo A. Prevalence of prelingual deafness in Italy. Acta otorhinolaryngologica italica. 2007;27(1):17
Mlynski R, Plontke S. Cochlear implants in children and adolescents. 2013;61(5):388-98
Moon IS, Park S, Kim H-N, Lee W-S, Kim SH, Kim J-H, et al. Is there a deafness duration limit for cochlear implants in postlingual deaf adults, Acta oto-laryngologica. 2014;134(2):173-80
Kobosko J, Jedrzejczak WW, Pilka E, Pankowska A, Skarzynski H. Satisfaction With Cochlear Implants in Postlingually Deaf Adults and Its Nonaudiological Predictors: Psychological Distress, Coping Strategies, and Self-Esteem. Ear and hearing. 2015;36(5):605-18
Lassaletta L, Castro A, Bastarrica M, de Sarria MJ, Gavilán J. Quality of life in postlingually deaf patients following cochlear implantation. European Archives of Oto-Rhino-Laryngology and Head & Neck. 2006;263(3):267-70
Hoffman HJ, Dobie RA, Losonczy KG, Themann CL, Flamme GA. Declining Prevalence of Hearing Loss in US Adults Aged 20 to 69 Years. JAMA Otolaryngology Head & Neck Surgery. 2016
Hajloo N, Ansari S. Prevalence and causes of hearing handicap in Ardabil province, Western Iran. Bimonthly Audiology-Tehran University of Medical Sciences. 2011;20(1):116-27
Akhavanfar S. DA. Comparison of auditory performance and speech production skills after cochlear implantation in deaf children with & without inner ear anomalies Audiology journal. 2004;18(3):427-38
Ringdahl A, Grimby A. Severe-profound hearing impairment and health-related quality of life among post-lingual deafened Swedish adults. Scandinavian audiology. 2000;29(4):266-75
Angeli SI, Yan D, Telischi F, Balkany TJ, Ouyang XM, Du LL, et al. Etiologic diagnosis of sensorineural hearing loss in adults. Otolaryngology-Head and Neck Surgery. 2005;132(6):890-5
Ahmad FI, DeMason CE, Teagle HF, Henderson L, Adunka OF, Buchman CA. Cochlear implantation in children with postlingual hearing loss. The Laryngoscope. 2012;122(8):1852-7
Tanamati LF, Bevilacqua MC, Costa OA. Cochlear implant in postlingual children: functional results 10 years after the surgery. Brazilian journal of otorhinolaryngology. 2012;78(2):103-10
Manrique M, Espinosa J, Huarte A, Molina M, Garcia-Tapia R, Artieda J. [Cochlear implants in post-lingual persons: results during the first five years of the clinical course]. Acta otorrinolaringologica espanola. 1997;49(1):19-24
Hamzavi J, Baumgartner W-d, Pok SM, Franz P, Gstoettner W. Variables affecting speech perception in postlingually deaf adults following cochlear implantation. Acta otolaryngologica. 2003;123(4):493-8
Kraaijenga V, Smit A, Stegeman I, Smilde J, van Zanten G, Grolman W. Factors that influence outcomes in cochlear implantation in adults, based on patientrelated characteristics a retrospective study. Clinical Otolaryngology. 2016
Cao K, Wei C, Jin X, Chen X, Wang Y. Clinical review of cochlear implant in 533 cases. Zhonghua er bi yan hou ke za zhi. 2004;39(10):579-83
Damen GW, Beynon AJ, Krabbe PF, Mulder JJ, Mylanus EA. Cochlear implantation and quality of life in postlingually deaf adults: long-Term follow-up. Otolaryngology-Head and Neck Surgery. 2007;136(4):597-604
Bittencourt AG, Ikari LS, Torre AAGD, Bento RF, Tsuji RK, Brito Neto RVd. Post-lingual deafness: benefits of cochlear implants vs. conventional hearing aids. Brazilian journal of otorhinolaryngology. 2012;78(2):124-7
de Brito R, Bittencourt AG, Goffi-Gomez MV, Magalhães AT, Samuel P, Tsuji RK, et al. Cochlear implants and bacterial meningitis: A speech recognition study in paired samples. International archives of otorhinolaryngology. 2013;17(01):057-61
Portmann D, Felix F, Negrevergne M, Bourdin M, Lagourgue P, Coulomb-Faye F, et al. Bilateral cochlear implantation in a patient with long-Term deafness. Revue de laryngologieotologie-rhinologie. 2006;128(1-2):65-8.