- Email: [email protected]
B067 Early surgical results of auditory brainstem implant in nontumor patients
22
Abstracts, ESPCI 2011 / International Journal of Pediatric Otorhinolaryngology 75 (2011) 10–32
implanted, prelingually deaf persons: mild and moderate mental retardation; LD; AD/HD; CP; congenital blindness; and autism. We also aimed to document the development of auditory perception in these patients. Material and Methods: We examined the records of 915 cochlearimplanted, prelingually deaf patients who had received a cochlear implant at least one year previously. Results: A total of 125 cochlear-implanted, prelingually deaf patients were diagnosed with additional disabilities. All patients showed significant development in speech perception, except for autistic and congenitally deaf-blind patients. Conclusion: Although cochlear implantation is not contraindicated in prelingually deaf persons with additional disabilities, congenitally deaf-blind and autistic patients showed limited development in auditory perception as a main outcome of cochlear implantation. B065 Revision surgery in cochlear implant Sh. Mohammadi, M. Farhadi, A. Daneshi, M. Mohseni, H. Emamdjomeh. Iran Cochlear implant Center; Tehran university of medical sciences, Iran Aim: Revision cochlear implant surgery is an unusual but not uncommon occurrence following CI surgery. The aim of this study is to evaluate the etiology of CI failure in our patients and the results of reimplant surgery. Material and Methods: Operative records were reviewed for all cases of CI surgery focusing on revision surgeries from 1992 to 2009. The causes for reimplantation were classified and the results and complication were studied. Results: 1486 CI surgery were performed during the study period including 74 (5.9%) revision procedures. The most common reasons for revision surgery were device failure (67 cases) followed by flap necrosis and infection/inflammation. Conclusions: Failure of CI surgery is an infrequent occurrence the surgeon has to assess the etiology of failure and whether to leave the device in palace, to remove it temporarily or to remove it permanently. The most common cause of revision CI is device failure. B066 Cochlear implant surgery in patients with cerebral palsy and other mental disorders: Current status R. Hamerschmidt, M. Mocellin, G. Wiemes. Hospital do Instituto Paranaense de Otorrinolaringologia, Curitiba, Paran´ a, Brazil Aim: This paper shows the possibility of performing a cochlear implant in children with cerebral palsy and what to expect in terms of results in these children. Material and Methods: We describe four children submitted to cochlear implantation with cerebral palsy and one with Dandy Walker Syndrome. Results: All the children accepted well the implant, eith no complications during the surgery. The activation of the implant had some differences from children with no mental impairment, regarding the agitation of the children with cerebral palsy. After activation, these children are conditioned to communication by the channel of hearing, with music and other audiological tools, to facilitate activities such as eating. Conclusions: It is perfectly feasible to operate these children, and the indications are other than just develop language. The parents must be concerned of what to expect and the audiologist must have experience with these kind of children.
B067 Early surgical results of auditory brainstem implant in nontumor patients J.Y. Choi, M.H. Song, J.H. Jeon, V. Colletti, R. Behr, J.W. Chang, W.S. Lee. Department of Otorhinolaryngology, Yonsei Univ. College of Medicine, Seoul, Korea Aim: Auditory brainstem implant was initially designed for neurofibromatosis type-2 patients. We report surgical results and auditory performance of ABI in non-tumor patients. Material and Methods: Eleven deaf patients were included. Eight patients had narrow internal auditory canal. Three post-lingual deaf adults with ossified cochlea were included. The Med-El Pulsar CI100 was implanted via suboccipital approach. Results: All patients with narrow IAC demonstrated behavioral responses. The CAP scores were progressively improved to reach CAP 4 in two patients, CAP 3 in three, CAP 2 in two and CAP 1 in one patient. Three patients with ossified cochlea reported auditory sensations. Two showed CAP 4, but one patient could not use the device due to non-auditory stimulation. Conclusion: ABI can provide auditory stimulation in patients who are not candidates of CI or who experienced failure after CI due to cochlear nerve deficiency or cochlea ossification. B068 Refinement of the diagnostic in the indication to cochlear implantation A. Keilmann, J. Johanntgen, ¨ A. Fabian. Clinic for ENT and Communication Disorders, Germany Aim: Indication to cochlear implantation is traditionally based on medical and audiologic findings. Communicative abilities in all day life and coping strategies are not systematically assessed. Material and Methods: We developed a set of questionnaires for the patient, a relative of the patient and the expert, assessing communicative abilities and coping strategies using some questions from the “Nijmegen Cochlear Implant Questionnaire” and the “Oldenburger Inventar”. 21 patients who were candidates for cochlear implantation and 21 patients with cochlear implant were included. Results: The ratings of the patients and those of their relatives were highly correlated. The patients with cochlear implant (CI) rated their communicative abilities more favourable and had better coping strategies than patients before cochlear implantation. Conclusions: As communicative abilities and needs are an important fact in the decision to cochlear implantation these facts should be assessed in a standardized manner. B069 Cochlear implantation in children with congenital cytomegalovirus infection M. Viccaro, P. Mancini, E. Bosco, A. Musacchio, R. Filipo. Sensory Department Organs, “Sapienza” Univesity of Rome, Italy Aim: Human cytomegalovirus is a commonly recognized cause of perinatal sensorineural hearing loss. CMV- infected infants are also at risk in developing associated neurological/sensorial deficits. The present study is a retrospective analysis of the impact of CMVinduced deafness on pediatric cochlear implant patients. Material and Methods: The study included 10 implantees who had been diagnosed with CMV-induced profound deafness at the ENT department at the “Sapienza” University of Rome. Medical history, imaging, cognitive and speech perception data were reviewed. Results: Speech perception outcomes were influenced by audiological variables such as age at onset of hearing loss, age at implant, hearing deprivation and type/degree of associated deficits. Conclusions: Patients with multiple CMV related disabilities – such as visual deficits, motor and cognitive delays – require a multidisciplinary rehabilitation program following cochlear implantation.
Abstracts, ESPCI 2011 / International Journal of Pediatric Otorhinolaryngology 75 (2011) 10–32
implanted, prelingually deaf persons: mild and moderate mental retardation; LD; AD/HD; CP; congenital blindness; and autism. We also aimed to document the development of auditory perception in these patients. Material and Methods: We examined the records of 915 cochlearimplanted, prelingually deaf patients who had received a cochlear implant at least one year previously. Results: A total of 125 cochlear-implanted, prelingually deaf patients were diagnosed with additional disabilities. All patients showed significant development in speech perception, except for autistic and congenitally deaf-blind patients. Conclusion: Although cochlear implantation is not contraindicated in prelingually deaf persons with additional disabilities, congenitally deaf-blind and autistic patients showed limited development in auditory perception as a main outcome of cochlear implantation. B065 Revision surgery in cochlear implant Sh. Mohammadi, M. Farhadi, A. Daneshi, M. Mohseni, H. Emamdjomeh. Iran Cochlear implant Center; Tehran university of medical sciences, Iran Aim: Revision cochlear implant surgery is an unusual but not uncommon occurrence following CI surgery. The aim of this study is to evaluate the etiology of CI failure in our patients and the results of reimplant surgery. Material and Methods: Operative records were reviewed for all cases of CI surgery focusing on revision surgeries from 1992 to 2009. The causes for reimplantation were classified and the results and complication were studied. Results: 1486 CI surgery were performed during the study period including 74 (5.9%) revision procedures. The most common reasons for revision surgery were device failure (67 cases) followed by flap necrosis and infection/inflammation. Conclusions: Failure of CI surgery is an infrequent occurrence the surgeon has to assess the etiology of failure and whether to leave the device in palace, to remove it temporarily or to remove it permanently. The most common cause of revision CI is device failure. B066 Cochlear implant surgery in patients with cerebral palsy and other mental disorders: Current status R. Hamerschmidt, M. Mocellin, G. Wiemes. Hospital do Instituto Paranaense de Otorrinolaringologia, Curitiba, Paran´ a, Brazil Aim: This paper shows the possibility of performing a cochlear implant in children with cerebral palsy and what to expect in terms of results in these children. Material and Methods: We describe four children submitted to cochlear implantation with cerebral palsy and one with Dandy Walker Syndrome. Results: All the children accepted well the implant, eith no complications during the surgery. The activation of the implant had some differences from children with no mental impairment, regarding the agitation of the children with cerebral palsy. After activation, these children are conditioned to communication by the channel of hearing, with music and other audiological tools, to facilitate activities such as eating. Conclusions: It is perfectly feasible to operate these children, and the indications are other than just develop language. The parents must be concerned of what to expect and the audiologist must have experience with these kind of children.
B067 Early surgical results of auditory brainstem implant in nontumor patients J.Y. Choi, M.H. Song, J.H. Jeon, V. Colletti, R. Behr, J.W. Chang, W.S. Lee. Department of Otorhinolaryngology, Yonsei Univ. College of Medicine, Seoul, Korea Aim: Auditory brainstem implant was initially designed for neurofibromatosis type-2 patients. We report surgical results and auditory performance of ABI in non-tumor patients. Material and Methods: Eleven deaf patients were included. Eight patients had narrow internal auditory canal. Three post-lingual deaf adults with ossified cochlea were included. The Med-El Pulsar CI100 was implanted via suboccipital approach. Results: All patients with narrow IAC demonstrated behavioral responses. The CAP scores were progressively improved to reach CAP 4 in two patients, CAP 3 in three, CAP 2 in two and CAP 1 in one patient. Three patients with ossified cochlea reported auditory sensations. Two showed CAP 4, but one patient could not use the device due to non-auditory stimulation. Conclusion: ABI can provide auditory stimulation in patients who are not candidates of CI or who experienced failure after CI due to cochlear nerve deficiency or cochlea ossification. B068 Refinement of the diagnostic in the indication to cochlear implantation A. Keilmann, J. Johanntgen, ¨ A. Fabian. Clinic for ENT and Communication Disorders, Germany Aim: Indication to cochlear implantation is traditionally based on medical and audiologic findings. Communicative abilities in all day life and coping strategies are not systematically assessed. Material and Methods: We developed a set of questionnaires for the patient, a relative of the patient and the expert, assessing communicative abilities and coping strategies using some questions from the “Nijmegen Cochlear Implant Questionnaire” and the “Oldenburger Inventar”. 21 patients who were candidates for cochlear implantation and 21 patients with cochlear implant were included. Results: The ratings of the patients and those of their relatives were highly correlated. The patients with cochlear implant (CI) rated their communicative abilities more favourable and had better coping strategies than patients before cochlear implantation. Conclusions: As communicative abilities and needs are an important fact in the decision to cochlear implantation these facts should be assessed in a standardized manner. B069 Cochlear implantation in children with congenital cytomegalovirus infection M. Viccaro, P. Mancini, E. Bosco, A. Musacchio, R. Filipo. Sensory Department Organs, “Sapienza” Univesity of Rome, Italy Aim: Human cytomegalovirus is a commonly recognized cause of perinatal sensorineural hearing loss. CMV- infected infants are also at risk in developing associated neurological/sensorial deficits. The present study is a retrospective analysis of the impact of CMVinduced deafness on pediatric cochlear implant patients. Material and Methods: The study included 10 implantees who had been diagnosed with CMV-induced profound deafness at the ENT department at the “Sapienza” University of Rome. Medical history, imaging, cognitive and speech perception data were reviewed. Results: Speech perception outcomes were influenced by audiological variables such as age at onset of hearing loss, age at implant, hearing deprivation and type/degree of associated deficits. Conclusions: Patients with multiple CMV related disabilities – such as visual deficits, motor and cognitive delays – require a multidisciplinary rehabilitation program following cochlear implantation.