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C029 Evaluation of hearing aids benefit and cochlear implant fitting based on the cross modality matching method in children
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Abstracts, ESPCI 2011 / International Journal of Pediatric Otorhinolaryngology 75 (2011) 33–57
C027 Implanting under 12 months: why it’s worth considering – A review of medical, audiological, speech and language outcomes Y. Abrahams, A. Davis, T. Hopkins, J. Harvey. The Shepherd Centre, Sydney Australia Aim: To review the outcomes for children who have received a cochlear implant and early intervention from infancy. Material and Methods: A review of 24 children who have received 32 CI under the age of 12 months was conducted. In the presence of newborn screening, early diagnosis of hearing loss is readily available and new techniques advocate early cochlear implant candidacy. Results: No significant issues were seen for children receiving CI under the age of 12 months. Moreover, young children recover well from surgery, become accustomed to their cochlear implant speech processor early, and their speech and language development typically progresses at a similar pace to hearing children. Conclusions: Strategies to address device programming and retention, parent education and counseling are needed that are unique to this population. Outcomes for this group indicate that full-time device use and age appropriate speech and language can be reached by 3 years. C028 Cochlear implantation in hearing impaired children with autism spectrum A.A. Eshraghi, R. Nazarian, F.F. Telischi, Th.J. Balkany, Th. Van de Water, A. Hodges. University of Miami Miller School of Medicine, Miami, Florida, USA Aim: To evaluate the outcome of cochlear implantation (CI) in hearing impaired children with Autism Spectrum Disorder (ASD). Materials and Methods: Retrospective review of patients diagnosed having ASD before or after CI. Surgical complication, implant programming, development of speech, improvement of core ASD characteristics, device usage and quality of life surveys (through the parent) were performed. Results: These patients demonstrate improvement in auditory integration and behavior. They like to use their device and their quality of life is improved. CI team needs to maintain close followup after surgery to aid with the usage and life adjustment of the implant. Extensive pre-op and post-op counseling should be performed to aid the parents with realistic expectations. Conclusions: Deaf children with the ASD benefit from CI despite particular requirements in post op management and programming that will necessitate collaboration with ABA therapists. C029 Evaluation of hearing aids benefit and cochlear implant fitting based on the cross modality matching method in children O. Stieler1,3 , A. Sekula2,3 , D. Komar3 , M. Karlik2 . 1 Dept. of Otolaryngology, Poznan University of Medical Sciences, Poznan, Poland; 2 Dept. of Phoniatrics and Audiology, Poznan University of Medical Sciences, Poznan, Poland; 3 Hearing Therapy Center KIND, Poznan, Poland Aim: To determine the benefits of hearing devices in children. The Cross Modality Matching method is based on the objective and subjective techniques. Material and Methods: Self-developed computer controlled diagnostic stations were used in 14 patients, 9–47 months, with binaural moderate to profound SNHL. Tonal audiometry and a test based on phonemes were used to reconstruct the hearing threshold. Results: Detection thresholds for audible tone in VRA and CPA in children 2–4 y were determined. In selected age groups detection thresholds for the language material were determined in the period of minimum 6 months after the HAs had been fitted. The results corroborate to a large extent the values of audiometry and the recordings of objective tests.
Conclusions: As opposed to pure tone and audible tone stimuli, the use of language material helps to evaluate such auditory skills as discrimination and identification, which are much more complex than detection. C030 The early communication skills of young children with bilateral implants compared with those with unilateral implants S. Archbold1 , M. Tait1 , Th. Nikolopoulos2 , L. De Raeve3 , S. Johnson4 , G. Datta4 , E. Karltorp5 , E. Ostlund5 , U. Johannsen5 , E. Van Knegsel, E.A.M. Mylanus6 , P. Gulpen7 , M. Beers7 , J.H.M. Frijns7 . 1 The Ear Foundation, Nottingham, UK; 2 University of Athens, Greece; 3 KIDS School, Hasselt, Belgium; 4 Nottingham Cochlear Implant Programme, Nottingham University Hospitals, UK; 5 Karolinska Hospital, Stockholm, Sweden; 6 Cochlear Implant Programme Radboud Medical Centre, University of Nijmegen, The Netherlands; 7 University Hospital, Leiden, The Netherlands Aim: To compare the early communication skills of young children with bilateral implants with a matched group with unilateral implants, one year after implantation, using TAIT video analysis. Material and Methods: The communication skills of 27 deaf children with simultaneous bilateral implantation from five centres were analysed using TAIT video analysis before implantation and one year after, and compared 42 age-matched unilaterally implanted children. Results: The results show a significant difference between the two groups in vocal turn taking and non-looking vocal turns, in favour of the bilateral group. The results were independent of age at implantation and length of deafness. Conclusion: Simultaneous bilateral implantation early in life has significant positive impact on communication skills after one year of use, compared with unilateral implantation. This difference has been shown to predict later speech perception outcomes from implantation. C031 Word recognition for adolescents and young adults with sequential, bilateral cochlear implants: Performance with the second implant alone versus first implant alone J. Holland, K.L. Galvin, D. Poulos, K.C. Hughes, C. Holt, A.M. Tomov. 1 Audiology, Hearing and Speech Sciences, The Department of Otolaryngology, The University of Melbourne, Melbourne, Australia Aim: To compare the word recognition performance of sequentially, bilaterally implanted adolescents/young adults using the second (CI-2) versus first (CI-1) implant alone. Materials and Methods: Nine participants had a mean CI-2 age of 14y3m (SD 4y2m) with mean delay between implants of 8y5m (SD 3y). CI-2 experience was 6 to 16m. CNC word lists were administered direct to the processor via the audio input cable. Results: The mean group CI-2 score was 42.2% (SD 25.2). Five participants achieved similar word scores with CI-2 as CI-1; three being not significantly different (p > 0.05), and two demonstrating <10% difference between devices. The remaining four participants scored significantly higher with CI-1 (mean difference 55%), with one demonstrating no word recognition with CI-2. Conclusion: Young children gain the most benefit from bilateral implants. However, adolescents/young adults may develop word recognition skills comparable with their CI-1 performance. Hearing history and, possibly, CI-1 performance may be relevant. C032 Testing speech perception with varying Speakers, speech and noise levels S. Haumann, N. Wardenga, Th. Lenarz, A. Lesinski-Schiedat, A. Buchner. ¨ Medical University of Hannover, Department of Otorhinolaryngoglogy, Hannover, Germany Aim: Established speech tests usually work in optimal audibility. A new approach called STAR2 (Sentence Test with Adaptive
Abstracts, ESPCI 2011 / International Journal of Pediatric Otorhinolaryngology 75 (2011) 33–57
C027 Implanting under 12 months: why it’s worth considering – A review of medical, audiological, speech and language outcomes Y. Abrahams, A. Davis, T. Hopkins, J. Harvey. The Shepherd Centre, Sydney Australia Aim: To review the outcomes for children who have received a cochlear implant and early intervention from infancy. Material and Methods: A review of 24 children who have received 32 CI under the age of 12 months was conducted. In the presence of newborn screening, early diagnosis of hearing loss is readily available and new techniques advocate early cochlear implant candidacy. Results: No significant issues were seen for children receiving CI under the age of 12 months. Moreover, young children recover well from surgery, become accustomed to their cochlear implant speech processor early, and their speech and language development typically progresses at a similar pace to hearing children. Conclusions: Strategies to address device programming and retention, parent education and counseling are needed that are unique to this population. Outcomes for this group indicate that full-time device use and age appropriate speech and language can be reached by 3 years. C028 Cochlear implantation in hearing impaired children with autism spectrum A.A. Eshraghi, R. Nazarian, F.F. Telischi, Th.J. Balkany, Th. Van de Water, A. Hodges. University of Miami Miller School of Medicine, Miami, Florida, USA Aim: To evaluate the outcome of cochlear implantation (CI) in hearing impaired children with Autism Spectrum Disorder (ASD). Materials and Methods: Retrospective review of patients diagnosed having ASD before or after CI. Surgical complication, implant programming, development of speech, improvement of core ASD characteristics, device usage and quality of life surveys (through the parent) were performed. Results: These patients demonstrate improvement in auditory integration and behavior. They like to use their device and their quality of life is improved. CI team needs to maintain close followup after surgery to aid with the usage and life adjustment of the implant. Extensive pre-op and post-op counseling should be performed to aid the parents with realistic expectations. Conclusions: Deaf children with the ASD benefit from CI despite particular requirements in post op management and programming that will necessitate collaboration with ABA therapists. C029 Evaluation of hearing aids benefit and cochlear implant fitting based on the cross modality matching method in children O. Stieler1,3 , A. Sekula2,3 , D. Komar3 , M. Karlik2 . 1 Dept. of Otolaryngology, Poznan University of Medical Sciences, Poznan, Poland; 2 Dept. of Phoniatrics and Audiology, Poznan University of Medical Sciences, Poznan, Poland; 3 Hearing Therapy Center KIND, Poznan, Poland Aim: To determine the benefits of hearing devices in children. The Cross Modality Matching method is based on the objective and subjective techniques. Material and Methods: Self-developed computer controlled diagnostic stations were used in 14 patients, 9–47 months, with binaural moderate to profound SNHL. Tonal audiometry and a test based on phonemes were used to reconstruct the hearing threshold. Results: Detection thresholds for audible tone in VRA and CPA in children 2–4 y were determined. In selected age groups detection thresholds for the language material were determined in the period of minimum 6 months after the HAs had been fitted. The results corroborate to a large extent the values of audiometry and the recordings of objective tests.
Conclusions: As opposed to pure tone and audible tone stimuli, the use of language material helps to evaluate such auditory skills as discrimination and identification, which are much more complex than detection. C030 The early communication skills of young children with bilateral implants compared with those with unilateral implants S. Archbold1 , M. Tait1 , Th. Nikolopoulos2 , L. De Raeve3 , S. Johnson4 , G. Datta4 , E. Karltorp5 , E. Ostlund5 , U. Johannsen5 , E. Van Knegsel, E.A.M. Mylanus6 , P. Gulpen7 , M. Beers7 , J.H.M. Frijns7 . 1 The Ear Foundation, Nottingham, UK; 2 University of Athens, Greece; 3 KIDS School, Hasselt, Belgium; 4 Nottingham Cochlear Implant Programme, Nottingham University Hospitals, UK; 5 Karolinska Hospital, Stockholm, Sweden; 6 Cochlear Implant Programme Radboud Medical Centre, University of Nijmegen, The Netherlands; 7 University Hospital, Leiden, The Netherlands Aim: To compare the early communication skills of young children with bilateral implants with a matched group with unilateral implants, one year after implantation, using TAIT video analysis. Material and Methods: The communication skills of 27 deaf children with simultaneous bilateral implantation from five centres were analysed using TAIT video analysis before implantation and one year after, and compared 42 age-matched unilaterally implanted children. Results: The results show a significant difference between the two groups in vocal turn taking and non-looking vocal turns, in favour of the bilateral group. The results were independent of age at implantation and length of deafness. Conclusion: Simultaneous bilateral implantation early in life has significant positive impact on communication skills after one year of use, compared with unilateral implantation. This difference has been shown to predict later speech perception outcomes from implantation. C031 Word recognition for adolescents and young adults with sequential, bilateral cochlear implants: Performance with the second implant alone versus first implant alone J. Holland, K.L. Galvin, D. Poulos, K.C. Hughes, C. Holt, A.M. Tomov. 1 Audiology, Hearing and Speech Sciences, The Department of Otolaryngology, The University of Melbourne, Melbourne, Australia Aim: To compare the word recognition performance of sequentially, bilaterally implanted adolescents/young adults using the second (CI-2) versus first (CI-1) implant alone. Materials and Methods: Nine participants had a mean CI-2 age of 14y3m (SD 4y2m) with mean delay between implants of 8y5m (SD 3y). CI-2 experience was 6 to 16m. CNC word lists were administered direct to the processor via the audio input cable. Results: The mean group CI-2 score was 42.2% (SD 25.2). Five participants achieved similar word scores with CI-2 as CI-1; three being not significantly different (p > 0.05), and two demonstrating <10% difference between devices. The remaining four participants scored significantly higher with CI-1 (mean difference 55%), with one demonstrating no word recognition with CI-2. Conclusion: Young children gain the most benefit from bilateral implants. However, adolescents/young adults may develop word recognition skills comparable with their CI-1 performance. Hearing history and, possibly, CI-1 performance may be relevant. C032 Testing speech perception with varying Speakers, speech and noise levels S. Haumann, N. Wardenga, Th. Lenarz, A. Lesinski-Schiedat, A. Buchner. ¨ Medical University of Hannover, Department of Otorhinolaryngoglogy, Hannover, Germany Aim: Established speech tests usually work in optimal audibility. A new approach called STAR2 (Sentence Test with Adaptive