Journal article
Evaluation of a revised indication for determining adult cochlear implant candidacy
The Laryngoscope, Vol.127(10), pp.2368-2374
10/2017
DOI: 10.1002/lary.26513
PMCID: PMC6145808
PMID: 28233910
Abstract
To evaluate the use of monosyllabic word recognition versus sentence recognition to determine candidacy and long-term benefit for cochlear implantation.
Prospective multi-center single-subject design.
A total of 21 adults aged 18 years and older with bilateral moderate to profound sensorineural hearing loss and low monosyllabic word scores received unilateral cochlear implantation. The consonant-nucleus-consonant (CNC) word test was the central measure of pre- and postoperative performance. Additional speech understanding tests included the Hearing in Noise Test sentences in quiet and AzBio sentences in +5 dB signal-to-noise ratio (SNR). Quality of life (QoL) was measured using the Abbreviated Profile of Hearing Aid Benefit and Health Utilities Index.
Performance on sentence recognition reached the ceiling of the test after only 3 months of implant use. In contrast, none of the participants in this study reached a score of 80% on CNC word recognition, even at the 12-month postoperative test interval. Measures of QoL related to hearing were also significantly improved following implantation.
Results of this study demonstrate that monosyllabic words are appropriate for determining preoperative candidate and measuring long-term postoperative speech recognition performance.
2c. Laryngoscope, 127:2368-2374, 2017.
Details
- Title: Subtitle
- Evaluation of a revised indication for determining adult cochlear implant candidacy
- Creators
- Douglas P Sladen - Department of Otolaryngology, Mayo Clinic, Rochester, Minnesota, U.S.ARené H Gifford - Department of Hearing and Speech Sciences, Vanderbilt University, Nashville, Tennessee, U.S.ADavid Haynes - Department of Otolaryngology, Vanderbilt University Medical Center, Nashville, TennesseeDavid Kelsall - Rocky Mountain Ear Center, Englewood, Colorado, U.S.AAaron Benson - Department of Otolaryngology, The Ohio State University Wexner Medical Center, Ohio, U.S.AKristen Lewis - Midwest Ear Institute, Kansas City, Missouri, U.S.ATeresa Zwolan - University of Michigan Cochlear Implant Program, Ann Arbor, Michigan, U.S.AQian-Jie Fu - Department of Head and Neck Surgery, University of California, Los Angeles, California, U.S.ABruce Gantz - Department of Otolaryngology, University of Iowa, Iowa City, Iowa, U.S.AJan Gilden - Houston Ear Research Foundation, Houston, TexasBrian Westerberg - Department of Otolaryngology - Head and Neck Surgery, Vancouver Children's Hospital, Vancouver, British Columbia, CanadaCindy Gustin - Department of Otolaryngology, Vancouver Children's Hospital, Vancouver, British Columbia, CanadaLori O'Neil - Cochlear Americas, Centennial, Colorado, U.S.AColin L Driscoll - Department of Otolaryngology, Mayo Clinic, Rochester, Minnesota, U.S.A
- Resource Type
- Journal article
- Publication Details
- The Laryngoscope, Vol.127(10), pp.2368-2374
- Publisher
- United States
- DOI
- 10.1002/lary.26513
- PMID
- 28233910
- PMCID
- PMC6145808
- ISSN
- 0023-852X
- eISSN
- 1531-4995
- Grant note
- name: Cochlear Corporation
- Language
- English
- Date published
- 10/2017
- Academic Unit
- Neurosurgery; Otolaryngology
- Record Identifier
- 9984006337202771
Metrics
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