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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Talbot, K. N. Hartley, D. E. H. |
| Description | Country affiliation: United kingdom Author Affiliation: Talbot KN ( Department of Physiology, Anatomy and Genetics, University of Oxford, Oxford, UK. katherine.talbot@keble.ox.ac.uk) |
| Abstract | BACKGROUND: The most pressing problem facing cochlear implant research is no longer making artificial hearing a reality. Instead, it is to develop devices that can more clearly reflect the capabilities of the human auditory system. Current cochlear implants rarely provide adequate pitch perception. As hearing loss commonly affects higher, more than lower frequencies, a possible solution is to preserve acoustic hearing at low frequencies by inserting a short electrode array and thus deliver combined electro-acoustic stimulation (EAS). OBJECTIVE OF REVIEW: To determine whether individuals with severe-to-profound high-frequency hearing loss have realised this predicted benefit of combined EAS, over conventional cochlear implants, with respect to pitch. TYPE OF REVIEW: A systematic review of publications pertaining to the benefits of combined EAS over conventional cochlear implantation, with specific reference to pitch perception. SEARCH STRATEGY: A systematic literature search was conducted across multiple databases and supplemented by searching the reference lists of relevant trials and identified reviews. RESULTS: The included studies suggest an overall benefit of combined EAS, over conventional cochlear implants, with respect to pitch. In addition, (i) 13% sustained a total loss of low-frequency hearing post-implantation of the short electrode array and, (ii) 24% had >20 dB hearing loss across all frequencies and/or total hearing loss. CONCLUSIONS: For patients with severe-to-profound high-frequency hearing loss combined EAS appears to offer a significant, everyday, long-term benefit. However, further clinical trials with larger numbers of candidates are necessary to confirm this finding. The risks involved cannot be ignored, but there is potential for a variety of strategies to improve the safety margin. |
| File Format | HTM / HTML |
| ISSN | 17494478 |
| e-ISSN | 17494486 |
| DOI | 10.1111/j.1749-4486.2008.01822.x |
| Journal | Clinical Otolaryngology |
| Issue Number | 6 |
| Volume Number | 33 |
| Language | English |
| Publisher | Wiley-Blackwell |
| Publisher Date | 2008-12-01 |
| Publisher Place | Great Britain (UK) |
| Access Restriction | Open |
| Subject Keyword | Discipline Otolaryngology Acoustic Stimulation Electric Stimulation Therapy Hearing Loss Surgery Pitch Perception Instrumentation Cochlear Implantation Cochlear Implants Electrodes, Implanted Physiopathology Hearing Loss, High-frequency Speech Perception Research Support, Non-u.s. Gov't |
| Content Type | Text |
| Resource Type | Article |
| Subject | Otorhinolaryngology |
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