Clinical and Social Outcomes of Cochlear Implantation in Older Prelinguals

Tyagi Pragya; Chauhan Divya; Singh Anup; Bhutada Mayank; Sikka Kapil; Chaudhary Tanvi; Sharma Sonam; Agarwal Shivani; Verma Hitesh; Sagar Prem; Kumar Rakesh; Thakar Alok

doi:10.7874/jao.2022.00262

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저자정보: Tyagi Pragya (Department of Otorhinolaryngology and Head & Neck Surgery All India Institute of Medical Sciences New Delhi India) Chauhan Divya (Department of Otorhinolaryngology and Head & Neck Surgery All India Institute of Medical Sciences New Delhi India) Singh Anup (Department of Otorhinolaryngology and Head & Neck Surgery All India Institute of Medical Sciences New Delhi India) Bhutada Mayank (Department of Otorhinolaryngology and Head & Neck Surgery All India Institute of Medical Sciences New Delhi India) Sikka Kapil (Department of Otorhinolaryngology and Head & Neck Surgery All India Institute of Medical Sciences New Delhi India) Chaudhary Tanvi (Department of Otorhinolaryngology and Head & Neck Surgery All India Institute of Medical Sciences New Delhi India) Sharma Sonam (Department of Otorhinolaryngology and Head & Neck Surgery All India Institute of Medical Sciences New Delhi India) Agarwal Shivani (Department of Otorhinolaryngology and Head & Neck Surgery All India Institute of Medical Sciences New Delhi India) Verma Hitesh (Department of Otorhinolaryngology and Head & Neck Surgery All India Institute of Medical Sciences New Delhi India) Sagar Prem (Department of Otorhinolaryngology and Head & Neck Surgery All India Institute of Medical Sciences New Delhi India) Kumar Rakesh (Department of Otorhinolaryngology and Head & Neck Surgery All India Institute of Medical Sciences New Delhi India) Thakar Alok (Department of Otorhinolaryngology and Head & Neck Surgery All India Institute of Medical Sciences New Delhi India)

저널정보: 대한청각학회 Journal of Audiology & Otology Journal of Audiology & Otology Vol.27 No.2

발행연도: 2023.4

수록면: 63 - 70 (8page)

DOI: 10.7874/jao.2022.00262

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Background and Objectives: Cochlear implantation in late implanted prelinguals necessitates a complex decision-making process for clinicians and patients due to the uncertainty of achieving adequate benefit in auditory and speech perception. This study longitudinally evaluated clinical and social outcomes of prelingually deaf children with implantation in their late childhood.Subjects and Methods: A total of 113 (49 females and 64 males) participants, with an age range of 5-15 years, were assessed for the pre-implant parameters such as hearing loss etiology, aided responses, anatomical aspects, and psychological evaluation. The Category of Auditory Performance, Speech Awareness Threshold, Speech Reception Threshold, and Speech Discrimination Score were administered to assess the patient’s auditory skills. Further, the Speech Intelligibility Rating scale was administered to evaluate the patient’s speech intelligibility at 3, 6, 9, 12, 18, and 24 months post-surgery. Subjectively perceived benefits were evaluated using the satisfaction rating scale and a questionnaire.Results: The statistical results showed a significant impact of cochlear implantation in all domains. Positive impact and improvement post-implantation were noted in all the spheres, including auditory, linguistic, social, and educational.Conclusions: The study highlighted that the outcomes of a cochlear implant at a later age might not parallel with the implantation at a younger age. However, this still provides measurable benefits even after a longer period of auditory deprivation.

#Cochlear implantation #Surveys and questionnaires #Outcome assessment #Speech #Education

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Tyagi Pragya

소속기관 Department of Otorhinolaryngology and Head & Neck Surgery All India Institute of Medical Sciences New Delhi India