Background： Currently, there is a significant lack of data concerning long-term outcomes following paediatric cochlear implantation in terms of quality of life. There is a need for a long-term, prospective study in t...Background： Currently, there is a significant lack of data concerning long-term outcomes following paediatric cochlear implantation in terms of quality of life. There is a need for a long-term, prospective study in this regard. This study aims at highlighting the preliminary results, one year post surgery of a five year prospective study. Methods： The CochlearTM Paediatric Implanted Recipient Observational Study （P-IROS） is a prospective, patient outcomes registry for routinely implanted children. The study collects data using questionnaires post-surgery and at regular intervals up to five years. Results： At our Centre, 159 cochlear implant surgery procedures were carried out between January 2014 and December 2014. Category of Auditory Performance II score increased from ‘0＇ to ‘3＇ at six months and to ‘5＇ at 12 months for children aged 0-3 years, although this was not statistically significant. However, the same trend was statistically significant for the age 3-6 year and age 6-10 year brackets. The quality of life of the child improved significantly. Analysis of communication mode revealed a statistically significant overall shift to the auditory-oral mode from total communication. Conclusion： Cochlear implantation is a life-changing intervention. The evidence in support of what it can achieve safely is clear. However, the costs associated with it raise the question if it will remain an effective option for life in all children. The Cochlear P-IROS is an attempt to answer the same over a five year period. Our study in New Delhi, so far concludes that cochlear implantation in a population with limited access to funds is very effective, one year after surgery.展开更多
The bilateral cochlear implant has increased in recent years in due to the search for auditory enhancements. There are many advantages to the users of the bilateral cochlear implant, which may include the location of ...The bilateral cochlear implant has increased in recent years in due to the search for auditory enhancements. There are many advantages to the users of the bilateral cochlear implant, which may include the location of the auditory sign, decreasing the head shadow effect for the contralateral ear and binaural summation of the hearing. In children it is also discussed the issue of auditory deprivation. The aim of this review was to present a reflection on issues related to the bilateral cochlear implant, allowing the reader to do a search and strengthen scientifically with this issue, giving theoretical foundation to better guide and advise their patients.展开更多
Background：Early auditory and speech development in home-based early intervention of infants and toddlers with hearing loss younger than 2 years are still spare in China.This study aimed to observe the development of...Background：Early auditory and speech development in home-based early intervention of infants and toddlers with hearing loss younger than 2 years are still spare in China.This study aimed to observe the development of auditory and speech in deaf infants and toddlers who were fitted with hearing aids and/or received cochlear implantation between the chronological ages of 7-24 months,and analyze the effect of chronological age and recovery time on auditory and speech development in the course of home-based early intervention.Methods：This longitudinal study included 55 hearing impaired children with severe and profound binaural deafness,who were divided into Group A （7-12 months）,Group B （13-18 months） and Group C （19-24 months） based on the chronological age.Categories auditory performance （CAP） and speech intelligibility rating scale （SIR） were used to evaluate auditory and speech development at baseline and 3,6,9,12,18,and 24 months of habilitation.Descriptive statistics were used to describe demographic features and were analyzed by repeated measures analysis of variance.Results：With 24 months of hearing intervention,78% of the patients were able to understand common phrases and conversation without lip-reading,96% of the patients were intelligible to a listener.In three groups,children showed the rapid growth of trend features in each period of habilitation.CAP and SIR scores have developed rapidly within 24 months after fitted auxiliary device in Group A,which performed much better auditory and speech abilities than Group B （P 〈 0.05） and Group C （P 〈 0.05）.Group B achieved better results than Group C,whereas no significant differences were observed between Group B and Group C （P 〉 0.05）.Conclusions：The data suggested the early hearing intervention and home-based habilitation benefit auditory and speech development.Chronological age and recovery time may be major factors for aural verbal outcomes in hearing impaired children.The development of auditory and speech in hearing impaired children may be relatively crucial in the first year＆#39;s habilitation after fitted with the auxiliary device.展开更多
文摘Background： Currently, there is a significant lack of data concerning long-term outcomes following paediatric cochlear implantation in terms of quality of life. There is a need for a long-term, prospective study in this regard. This study aims at highlighting the preliminary results, one year post surgery of a five year prospective study. Methods： The CochlearTM Paediatric Implanted Recipient Observational Study （P-IROS） is a prospective, patient outcomes registry for routinely implanted children. The study collects data using questionnaires post-surgery and at regular intervals up to five years. Results： At our Centre, 159 cochlear implant surgery procedures were carried out between January 2014 and December 2014. Category of Auditory Performance II score increased from ‘0＇ to ‘3＇ at six months and to ‘5＇ at 12 months for children aged 0-3 years, although this was not statistically significant. However, the same trend was statistically significant for the age 3-6 year and age 6-10 year brackets. The quality of life of the child improved significantly. Analysis of communication mode revealed a statistically significant overall shift to the auditory-oral mode from total communication. Conclusion： Cochlear implantation is a life-changing intervention. The evidence in support of what it can achieve safely is clear. However, the costs associated with it raise the question if it will remain an effective option for life in all children. The Cochlear P-IROS is an attempt to answer the same over a five year period. Our study in New Delhi, so far concludes that cochlear implantation in a population with limited access to funds is very effective, one year after surgery.
文摘The bilateral cochlear implant has increased in recent years in due to the search for auditory enhancements. There are many advantages to the users of the bilateral cochlear implant, which may include the location of the auditory sign, decreasing the head shadow effect for the contralateral ear and binaural summation of the hearing. In children it is also discussed the issue of auditory deprivation. The aim of this review was to present a reflection on issues related to the bilateral cochlear implant, allowing the reader to do a search and strengthen scientifically with this issue, giving theoretical foundation to better guide and advise their patients.
文摘Background：Early auditory and speech development in home-based early intervention of infants and toddlers with hearing loss younger than 2 years are still spare in China.This study aimed to observe the development of auditory and speech in deaf infants and toddlers who were fitted with hearing aids and/or received cochlear implantation between the chronological ages of 7-24 months,and analyze the effect of chronological age and recovery time on auditory and speech development in the course of home-based early intervention.Methods：This longitudinal study included 55 hearing impaired children with severe and profound binaural deafness,who were divided into Group A （7-12 months）,Group B （13-18 months） and Group C （19-24 months） based on the chronological age.Categories auditory performance （CAP） and speech intelligibility rating scale （SIR） were used to evaluate auditory and speech development at baseline and 3,6,9,12,18,and 24 months of habilitation.Descriptive statistics were used to describe demographic features and were analyzed by repeated measures analysis of variance.Results：With 24 months of hearing intervention,78% of the patients were able to understand common phrases and conversation without lip-reading,96% of the patients were intelligible to a listener.In three groups,children showed the rapid growth of trend features in each period of habilitation.CAP and SIR scores have developed rapidly within 24 months after fitted auxiliary device in Group A,which performed much better auditory and speech abilities than Group B （P 〈 0.05） and Group C （P 〈 0.05）.Group B achieved better results than Group C,whereas no significant differences were observed between Group B and Group C （P 〉 0.05）.Conclusions：The data suggested the early hearing intervention and home-based habilitation benefit auditory and speech development.Chronological age and recovery time may be major factors for aural verbal outcomes in hearing impaired children.The development of auditory and speech in hearing impaired children may be relatively crucial in the first year＆#39;s habilitation after fitted with the auxiliary device.
