A Study to Determine Various Factors Influencing Auditory Outcomes in Paediatric Cochlear Implantation
- PDF / 240,280 Bytes
- 4 Pages / 595.276 x 790.866 pts Page_size
- 2 Downloads / 180 Views
IGINAL ARTICLE
A Study to Determine Various Factors Influencing Auditory Outcomes in Paediatric Cochlear Implantation Brajendra Baser1
•
Murli Patidar1 • Praveen Surana1
Received: 10 February 2020 / Accepted: 8 June 2020 / Published online: 15 June 2020 Ó Association of Otolaryngologists of India 2020
Abstract To evaluate various factors that affects the auditory outcomes in pediatric patients with bilateral profound sensorineural hearing loss who underwent unilateral cochlear implantation. 50 prelingually deaf pediatric patients aged between 1 and 6 years with bilateral profound sensorineural hearing loss who underwent unilateral cochlear implantation between January 2016 and June 2018 at our tertiary centre were included in this study. Auditory performance was measured using revised categories of auditory performance score at 1 year post cochlear implantation. A Statistical analysis of several factors was performed to reveal any significant relation with outcomes of cochlear implantation. The results of the study showed that patients with younger age at implantation, patient who used hearing aid prior to surgery and patients with normal cochlear morphology had better auditory outcomes post cochlear implantation than their counter group and are the factors which have positive effect on the cochlear implantation outcomes, whereas factors which did not showed any significant relation with the auditory outcomes of cochlear implantation are gender, consanguinity and birth hypoxia. Age at implantation, use of hearing aid prior to surgery and cochlear morphology are the factors with direct impact on the outcomes of cochlear implant. Keywords Pediatric cochlear implant Categories of auditory performance score Auditory outcomes
Introduction Cochlear implantation is an established procedure for treatment of persons with profound deafness since the mid 1980s and are among the great success stories of modern medicine.Cochlear implantation has evolved to become an effective and widely performed procedure for the restoration of sound and to gain the ability to hear, and to achieve age appropriate communication skills in severe and profound hearing-impaired individuals. Thorough Evaluation of development of speech, auditory, language skills and the personality of implanted child is useful for the teacher, the teacher, the therapist, and the subsequent rehabilitation progress. Several number of factors, either alone or in combination will decide the outcome of cochlear implantation, hence the ultimate outcome is not entirely predictable. Categorizing these determinants will increase the flexibility of clinicians to supply educated surgical prognosis and would possibly probably provide manipulation of variables in a shot to realize the most effective attainable outcome [1]. The range of receptive communication is wide even among users of the same cochlear implant system with similar otologic histories. This variability raises a number of questions concerning the outcomes of cochlear implantation, and therefore the factors
Data Loading...
