Effect of age at cochlear implantation on speech and auditory performance

Authors

  • Mohammed Iftekharul Alam Department of ENT and HNS, Combined Military Hospital, Dhaka Cantonment http://orcid.org/0000-0002-0373-5526
  • A. K. M. Asaduzzaman Department of ENT and HNS, Combined Military Hospital, Dhaka Cantonment
  • Mohammad K. Hossain Department of ENT and HNS, Combined Military Hospital, Dhaka Cantonment
  • M. Belal Hossain Department of ENT and HNS, Combined Military Hospital, Dhaka Cantonment
  • Tasnia Mahmud Department of ENT and HNS, Combined Military Hospital, Dhaka Cantonment

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20210152

Keywords:

Early cochlear implantation, CAP, SIR

Abstract

Background: Cochlear implants (CI) are currently widely accepted as treatment for patients with severe bilateral hearing loss. The outcomes of cochlear implantation among post lingual and crossover patients measuring surgical and functional outcomes and identifying areas which require further attention or improvement.

Methods: This is retrospective clinical study was performed in a total of 80 children purposively screened from the patients who attended the outpatient clinic with complaints of hearing, speech or language impairment. The study group consisted those children who fit into the candidacy norms for cochlear implantation at the Department of ENT and Head-Neck Surgery, Combined Military Hospital, Dhaka from January 2017 to June 2019. Children with bilateral severe to profound sensori-neural hearing loss, age less than 5 years and prelingual deafness was included in this study.  

Results: Mean categorical auditory performance (CAP) and speech intelligibility rating (SIR) at 6 month and 12 month were statistically significant (p<0.05) compare with at 3 month. The mean post-operative CAP score was found significantly increased at 6, 12 and 24 month follow up age ≤3 years than >3 years (p<0.05). The mean post-operative SIR score was found significantly increased at 6, 12 and 24 month follow up in children age ≤3 years than >3 years (p<0.05).

Conclusions: The majority of implanted have significantly gained auditory improvement as shown by the CAP and SIR scores in both group. Comparison between age group CAP and SIR score was significantly increased when children age <3 years than >3 years.

Author Biographies

Mohammed Iftekharul Alam, Department of ENT and HNS, Combined Military Hospital, Dhaka Cantonment

Classified Specialist in ENT, HNS & Implantation Otologist, 

Combined Military Hospital (CMH), Dhaka-1206

Bangladesh

A. K. M. Asaduzzaman, Department of ENT and HNS, Combined Military Hospital, Dhaka Cantonment

Classified Specialist in ENT & Head of Department, 

Combined Military Hospital (CMH), Dhaka, 

Bangladesh

Mohammad K. Hossain, Department of ENT and HNS, Combined Military Hospital, Dhaka Cantonment

Classified Specialist in ENT, HNS & Implantation Otologist

Combined Military Hospital (CMH), Dhaka-1206

Bangladesh

M. Belal Hossain, Department of ENT and HNS, Combined Military Hospital, Dhaka Cantonment

Graded Specialist in ENT & HNS, Combined Military Hospital (CMH), Dhaka, Bangladesh

Tasnia Mahmud, Department of ENT and HNS, Combined Military Hospital, Dhaka Cantonment

Graded Specialist in ENT & HNS, Combined Military Hospital (CMH), Dhaka, Bangladesh

References

Gautschi-Mills K, Khoza-Shangase K, Pillay D. Preservation of residual hearing after cochlear implant surgery: an exploration of residual hearing function in a group of recipients at cochlear implant units. Braz J Otorhinolaryngol. 2019;85:310-8.

Lundin K, Stillesjo F, Rask-Andersen H. Experiences and Results from Cochlear Implantation in Patients with Long Duration of Deafness. Audiol Neurotol Extra. 2014;4:46-55.

Bittencourt AG, Ikari LS, Della Torre AA, Bento RF, Tsuji RK, BritoNeto RV. Post-lingual deafness: benefits of cochlear implants vs. conventional hearing aids. Braz J Otorhinolaryngol. 2012;78(2):124-7.

De Sousa AF, Couto MI, Martinho-Carvalho AC. Quality of life and cochlear implant: results in adults with post lingual hearing loss. Braz J Otorhinolaryngol. 2018;84:494-9.

Cunningham LL, Tucci DL. Hearing Loss in Adults. N Engl J Med. 2017;377:2465-73.

Kral A, O’Donoghue GM. Profound deafness in childhood. N Engl J Med. 2010;363,1438-50.

Pacala JT, Yueh B. Hearing deficits in the older patient: “I didn’t notice anything”. JAMA. 2012;307:1185-94.

Lazard DS, Vincent C, Venail F, Van de Heyning P, Truy E, Sterkers O, et al. Pre-, per- and postoperative factors affecting performance of postlinguistically deaf adults using cochlear implants: a new conceptual model over time. PLoS One. 2012;7:48739.

Holden LK, Finley CC, Firszt JB, Holden TA, Brenner C, Potts LG, et al. Factors affecting open- set word recognition in adults with cochlear implants. Ear Hear. 2013;34:342-60.

Beyea JA, McMullen KP, Harris MS, Houston DM, Martin JM, Bolster VA, et al. Cochlear Implants in Adults: Effects of Age and Duration of Deafness on Speech Recognition. Otol Neurotol. 2016;37:1238-45.

Gupta D. A predictive model for outcome of cochlear implantation in children below the age of 5 years: A multivariate analysis in Indian scenario. Indian J Otol. 2012;18:129-35.

Gabr TA, Hassaan MR. Speech processing in children with cochlear implant. Int J Pediatr Otorhinolaryngol. 2015:1-7.

Martines F, Martines E, Ballacchino A, Salvago P. Speech perception outcomes aftercochlear implantation in prelingually deaf infants: The Western Sicily experience. Int J Pediatr Otorhinolaryngol. 2013;77:707-13.

Shakrawal N, Sonkhya N, Agarwal S, Grover M. The Effect of age at Cochlear Implantation on Speech and Auditory Performances in Prelingually Deaf Children. Indian J Otolaryngol Head Neck Surg. 2020;1-10.

Devesahayam PR, Hashim SSM, Salahuddin Z, Kamalden TMIT, Vijayan KV, Hailani I, et al. Surgical and functional outcomes of cochlear implantation in post-lingual and cross-over patients: First 5-year review of the National Ministry of Health Malaysia cochlear implant programme. Med J Malaysia. 2018;73(6):393-6.

Archbold S, Lutman ME, Nikolopoulos T. Categories of auditory performance: inter-user reliability. Br J Audiol. 1998;32(1):7-12.

Fryauf-Bertschy H, Tyler RS, Kelsay DM, Gantz BJ. Performance over time of congenitally deaf and postlingually deafened children using a multichannel cochlear implant. J Speech Hear Res. 1992;35(4):913-20.

Gomaa NA, Rubinstein JT, Lowder MW, Tyler RS, Gantz BJ. Residual speech perception and cochlear implant performance in postlingually deafened adults. Ear Hear. 2003;24(6):539-44.

Govaerts PJ, De Beukelaer C, Daemers K, De Ceulaer G, Yperman M, Somers T, et al. Outcome of cochlear implantation at different ages from 0 to 6 years, Otol. Neurotol. 2002;23(6):885-90.

O'Donoghue GM, Nikolopoulos TP, Archbold SM, Tait Z. Speech perception in children after cochlear implantation. Am J Otol. 1998;19(6):762-7.

O'Donoghue GM, Nikolopoulos TP, Archbold SM. Determinants of speech perception in children after cochlear implantation. Lancet. 2000;356(9228):466-8.

Downloads

Published

2021-01-25

Issue

Section

Original Research Articles