Journal article
Auditory Outcomes Following Cochlear Implantation in Children with Unilateral Hearing Loss
Otology & neurotology, Vol.45(5), pp.513-520
06/2024
DOI: 10.1097/MAO.0000000000004169
PMCID: PMC11087191
PMID: 38511263
Abstract
Unilateral hearing loss (UHL) in children is associated with speech and language delays. Cochlear implantation (CI) is currently the only rehabilitative option that restores binaural hearing. This study aims to describe auditory outcomes in children who underwent CI for UHL and to determine the association between duration of hearing loss and auditory outcomes.
Retrospective case series.
Three tertiary-level, academic institutions.
Children <18 years with UHL who underwent CI between 2018 and 2021.
Cochlear implantation.
Speech perception and Speech, Spatial and Qualities of Hearing Scale (SSQ) were assessed postimplantation. Scores >50% on speech perception and SSQ scores >8 points were considered satisfactory. Associations between duration of UHL and implantation age and outcomes were assessed using Spearman's rank correlation.
Of the 38 children included, mean age at CI was 7.9 ± 3.2 years and mean UHL duration was 5.0 ± 2.8 years. Mean datalogging was 8.1 ± 3.1 hours/day. Mean auditory testing scores were SSQ, 7.9 ± 1.2; BABY BIO, 68.1 ± 30.2%; CNC, 38.4 ± 28.4%; WIPI, 52.5 ± 23.1%. Scores >50% on CNC testing were achieved by 40% of patients. SSQ scores >8 points were reported by 78% (7/9) of patients. There were no significant correlations between UHL duration and auditory outcomes.
Overall, children with UHL who undergo CI can achieve satisfactory speech perception scores and SSQ scores. There were no associations between duration of hearing loss and age at implantation with auditory outcomes. Multiple variables may impact auditory outcomes, including motivation, family support, access to technology, and consistent isolated auditory training postactivation and should be taken into consideration in addition to age at implantation and duration of UHL in determination of CI candidacy.
Details
- Title: Subtitle
- Auditory Outcomes Following Cochlear Implantation in Children with Unilateral Hearing Loss
- Creators
- Shannon S WuCamille Dunn-Johnson - University of IowaDaniel M Zeitler - Virginia Mason Medical CenterSeth Schwartz - Virginia Mason Medical CenterSuzanne Sutliff - Cleveland ClinicSwathi Appachi - Cleveland ClinicCarmen Jamis - Cleveland ClinicKaren Petter - Cleveland ClinicRachel Vovos - Cleveland ClinicDonald Goldberg - Cleveland ClinicSamantha Anne - Cleveland Clinic
- Resource Type
- Journal article
- Publication Details
- Otology & neurotology, Vol.45(5), pp.513-520
- DOI
- 10.1097/MAO.0000000000004169
- PMID
- 38511263
- PMCID
- PMC11087191
- NLM abbreviation
- Otol Neurotol
- eISSN
- 1537-4505
- Language
- English
- Electronic publication date
- 03/21/2024
- Date published
- 06/2024
- Academic Unit
- Communication Sciences and Disorders; Otolaryngology
- Record Identifier
- 9984573827702771
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