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European Archives of Oto-Rhino-Laryngology

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Open Access 01-05-2019 | Cochlear Implant | Otology

Expanding unilateral cochlear implantation criteria for adults with bilateral acquired severe sensorineural hearing loss

Authors: Wendy J. Huinck, Emmanuel A. M. Mylanus, Ad F. M. Snik

Published in: European Archives of Oto-Rhino-Laryngology | Issue 5/2019

Abstract

Objectives

To report on a retrospective cohort study on the effects of expanding inclusion criteria for application of cochlear implants (CIs) on the performance 1-year post-implantation.

Methods

Based on pre-implantation audiometric thresholds and aided speech recognition scores, the data of 164 CI recipients were divided into a group of patients that fulfilled conservative criteria (mean hearing loss at 0.5, 1 and 2 kHz > 85 dB HL and phoneme scores with hearing aids < 30%), and the remaining group of patients that felt outside this conservative criterion. Speech recognition scores (in quiet) and quality of life (using the NCIQ) of both groups, measured at 1-year post-implantation, were compared.

Results

The group that felt outside the conservative criterion showed a higher phoneme score at 1-year post-implantation compared to the conservative group, suggesting that relaxed criteria have a positive influence on the speech recognition results with CI. With respect to quality of life, both groups significantly improved 1-year post-implantation. The conservative group showed a higher benefit on the advanced perception domain of the NCIQ. Based on their worse pre-implantation hearing, this was expected.

Conclusions

The data suggest that relaxation of CI indication positively affects the speech recognition performance of patients with severe hearing loss. Both groups of patients showed a positive effect of CI on the quality of life. This benefit relates to communication skills and the subjective day-to-day functioning in society.

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Title: Expanding unilateral cochlear implantation criteria for adults with bilateral acquired severe sensorineural hearing loss
Authors: Wendy J. Huinck
Emmanuel A. M. Mylanus
Ad F. M. Snik
Publication date: 01-05-2019
Publisher: Springer Berlin Heidelberg
Keyword: Cochlear Implant
Published in: European Archives of Oto-Rhino-Laryngology / Issue 5/2019
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI: https://doi.org/10.1007/s00405-019-05358-z

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Springer Medicine

Expanding unilateral cochlear implantation criteria for adults with bilateral acquired severe sensorineural hearing loss

Abstract

Objectives

Methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Objectives

Methods

Results

Conclusions

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