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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Cusumano, Cristen Friedmann, David R. Fang, Yixin Wang, Binhuan Roland, J. Thomas Waltzman, Susan B. |
| Description | Author Affiliation: Cusumano C ( *Department of Otorhinolaryngology-Head and Neck Surgery, Albert Einstein College of Medicine, Bronx Department of Otolaryngology-Head and Neck Surgery Department of Population Health, NYU School of Medicine, New York, New York.) |
| Abstract | OBJECTIVE: To characterize the performance plateau after unilateral cochlear implantation (CI) in prelingually and postlingually deafened adults and to compare their relative progress. STUDY DESIGN: Retrospective chart review. SETTING: Tertiary referral center. PATIENTS: Prelingually and postlingually deaf adults who received a unilateral CI and completed a minimum of 2 years of follow-up at our center. INTERVENTION: Unilateral CI. MAIN OUTCOME MEASURES:: Standard speech perception testing (consonant-nucleus-consonant [CNC] monosyllabic word test and hearing in noise test [HINT] or AzBio sentence test) were performed preoperatively and 3 and 12 months postoperatively, and annually thereafter. RESULTS: In postlingually deaf patients (nâ=â102), there was a significant improvement in word scores for 3 years postimplantation (pâ<â0.01). Beyond the 3 years postoperative time point, word scores continued to improve, albeit at a flatter rate. In prelingually deaf patients (nâ=â16) word scores improved significantly for 5 years postimplantation (pâ=â0.03). CONCLUSIONS: Adults with postlingual deafness undergoing unilateral CI show significant improvement in speech perception for 3 years postimplantation, at which point their performance continues to improve, albeit at a flatter rate. The performance of adults with prelingual deafness improves significantly as late as 5 years postimplantation. These time intervals reflect a change to the currently reported 6 to 12 months period and should impact on counseling, especially in the prelingual CI candidate. |
| File Format | HTM / HTML |
| ISSN | 15317129 |
| Issue Number | 3 |
| Journal | Otology & Neurotology |
| Volume Number | 38 |
| e-ISSN | 15374505 |
| Language | English |
| Publisher | Lippincott Williams & Wilkins |
| Publisher Date | 2017-03-01 |
| Publisher Place | United States |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Discipline Otolaryngology |
| Content Type | Text |
| Resource Type | Article |
| Subject | Otorhinolaryngology Sensory Systems Neurology (clinical) |
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