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Clinical and Social Outcomes of Cochlear Implantation in Older Prelinguals

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 ou...

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Autores principales: Tyagi, Pragya, Chauhan, Divya, Singh, Anup, Bhutada, Mayank, Sikka, Kapil, Chaudhary, Tanvi, Sharma, Sonam, Agarwal, Shivani, Verma, Hitesh, Sagar, Prem, Kumar, Rakesh, Thakar, Alok
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Audiological Society and Korean Otological Society 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10126583/
https://www.ncbi.nlm.nih.gov/pubmed/36791798
http://dx.doi.org/10.7874/jao.2022.00262
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author Tyagi, Pragya
Chauhan, Divya
Singh, Anup
Bhutada, Mayank
Sikka, Kapil
Chaudhary, Tanvi
Sharma, Sonam
Agarwal, Shivani
Verma, Hitesh
Sagar, Prem
Kumar, Rakesh
Thakar, Alok
author_facet Tyagi, Pragya
Chauhan, Divya
Singh, Anup
Bhutada, Mayank
Sikka, Kapil
Chaudhary, Tanvi
Sharma, Sonam
Agarwal, Shivani
Verma, Hitesh
Sagar, Prem
Kumar, Rakesh
Thakar, Alok
author_sort Tyagi, Pragya
collection PubMed
description 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.
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spelling pubmed-101265832023-04-26 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 J Audiol Otol Original Article 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. The Korean Audiological Society and Korean Otological Society 2023-04 2023-02-16 /pmc/articles/PMC10126583/ /pubmed/36791798 http://dx.doi.org/10.7874/jao.2022.00262 Text en Copyright © 2023 The Korean Audiological Society and Korean Otological Society https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Tyagi, Pragya
Chauhan, Divya
Singh, Anup
Bhutada, Mayank
Sikka, Kapil
Chaudhary, Tanvi
Sharma, Sonam
Agarwal, Shivani
Verma, Hitesh
Sagar, Prem
Kumar, Rakesh
Thakar, Alok
Clinical and Social Outcomes of Cochlear Implantation in Older Prelinguals
title Clinical and Social Outcomes of Cochlear Implantation in Older Prelinguals
title_full Clinical and Social Outcomes of Cochlear Implantation in Older Prelinguals
title_fullStr Clinical and Social Outcomes of Cochlear Implantation in Older Prelinguals
title_full_unstemmed Clinical and Social Outcomes of Cochlear Implantation in Older Prelinguals
title_short Clinical and Social Outcomes of Cochlear Implantation in Older Prelinguals
title_sort clinical and social outcomes of cochlear implantation in older prelinguals
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10126583/
https://www.ncbi.nlm.nih.gov/pubmed/36791798
http://dx.doi.org/10.7874/jao.2022.00262
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