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C076 Comparison of Baha Divino and Baha BP100 in patients with single-sided deafness using a daily alternating method
Abstracts, ESPCI 2011 / International Journal of Pediatric Otorhinolaryngology 75 (2011) 33–57
Results: The acceptance of the cochlear implant was very good without exception in all children. 12 years after speech processor activation each child has reached a different step of development, but they all reduced the gap to normal hearing children. Conclusions: This paper demonstrates that profoundly deaf children who receive a cochlear implant at a very young age can develop auditory skills that allow them to interact by verbal communication. C076 Comparison of Baha Divino and Baha BP100 in patients with single-sided deafness using a daily alternating method J. Desmet1,2 , M. De Bodt1 , P. Van de Heyning1,2 . 1 Univ. Dept. Otorhinolaryngology, Head and Neck Surgery, University Hospital Antwerp, Antwerp, Belgium; 2 University of Antwerp, Antwerp, Belgium Aim: To compare the Baha Divino and the Baha BP100 in singlesided deafness (SSD) Material and Methods: 20 patients alternated between both devices daily for 2 weeks. To compare the Baha Divino and BP100, speech audiometry in quiet and in noise was performed and the ABHAB questionnaire and Spatial Hearing Questionnaire were filled out. Patients rated both devices in an diary regarding overall satisfaction, loudness of speech, clarity of speech and loudness of background noise. Results: Speech audiometry shows a significant improvement in one certain noise condition (SnbahaN0). Questionnaires and the Baha diary confirm these findings. Patients rated the Baha BP100 significantly better than the Baha Divino on overall satisfaction and loudness of background noise. Conclusions: Subjective assessment using a daily alternating method shows significantly higher overall satisfaction and better speech understanding in noise with Baha BP100. Questionnaires and speech in noise tests confirm these findings. C077 Predictive factors and communication outcomes in Romanian implanted patients V. Necula, M. Cosgarea. University of Medicine and Pharmacy Cluj-Napoca, Romania Aim: Cochlear implants provide users a number of benefits including auditory perception, speech intelligibility and mainstream educational placement for children. Many studies have shown that some implanted children achieve a high level of speech recognition, whereas other children demonstrate more limited skills. Material and Methods: Our study includes 60 implanted children, prelingual deaf. We have assessed the speech perception and production outcomes using CAP and SIR scale and correlated them with some of the predicting factors. Results: Both auditory perception and speech production are improving continuously over time, regardless of age of implantation, but the improvement depends also on hearing aids experience and communication mode before implantation, family involvement and expectations, educational environment and learning abilities. Conclusions: Cochlear implant improves the speech perception and production no matter the age at implantation but the quality of speech perception and production is a more complex issue and it depends on much more factors.
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C078 Benefit of cochlear implantation in children with auditory neuropathy R. Mlynski, A. Radeloff, J. Mueller, R. Hagen, W. Shehata-Dieler. Department of Oto-Rhino-Laryngology, Plastic, Aesthetic and Reconstructive Head and Neck Surgery, Comprehensive Hearing Center University of W¨ urzburg, Germay Aim: To determine the benefit and outcome of children with auditory neuropathy (AN) after cochlear implantation (CI). Materials and Methods: The clinical findings and effect of therapy was examined in 19 children with AN. Children who failed to benefit from conventional amplification underwent CI. Prior to implantation the responses to electrical stimuli were examined with the promontory test and with electrically evoked auditory brainstem responses. Results: Two children showed AN on one side only with normal thresholds on the contralateral ear. 11 children received conventional amplification with hearing aids. Only one of these children showed significant benefit from the hearing aid. Accordingly, CI was performed in 10 children. Following implantation a remarkable improvement in hearing and speech capabilities with the CI compared to conventional hearing aids were observed in all children. Conclusions: With CI, the children were able to develop open set speech discrimination and use oral language for communication. C079 Eight years of paediatric bilateral simultaneous cochlear implantation at a single tertiary referral centre; complications and outcomes E. Young, S. Tzortzis, K. Tzifa, R. Irving, A. Reid, K. Pearman. Birmingham Children’s Hospital, Birmingham, UK Aim: To report the complication rates, audiological and speech outcomes in 42 children undergoing simultaneous bilateral cochlear implantation at a single tertiary referral centre. Material and Methods: Retrospective review of all paediatric patients undergoing bilateral simultaneous implantation between 2002 and 2010. Results: Forty-two patients were implanted simultaneously. The children were a mean age of 3 years 2 months at implantation. Nine patients had post op complications (21%), of which six were minor wound infections treated with antibiotics. There were two serious wound infections resulting in explantation of the implant. One patient had a break in the antenna coil requiring surgical explantation. All patients achieved at least 40 dB thresholds at 2 and 4 kHz on sound field thresholds at 6 months post implantation. Conclusions: At our institution simultaneous cochlear implantation is a safe and effective way of providing access to auditory stimuli in children with severe to profound sensorineural hearing loss. C080 Functional performance among children with cochlear implants and additional developmental disabilities J. Meinzen-Derr1,2 , S. Wiley3 , D. Choo1 . Divisions of Pediatric Otolaryngology, Biostatistics and Epidemiology, Developmental and Behavioral Pediatrics, Cincinnati Children’s Hospital Medical Hospital, Cincinnati, Ohio, USA Aim: Determine functional abilities of children with developmental disabilities post-cochlear implant (CI). Material and Methods: 14 CI children with developmental disabilities and 7 controls prospectively enrolled in language and functional abilities study. Functional performance measured using Pediatric Evaluation of Disability Inventory, providing standardized/scaled scores of daily functional domains: self-care, mobility, social functioning.
Results: The acceptance of the cochlear implant was very good without exception in all children. 12 years after speech processor activation each child has reached a different step of development, but they all reduced the gap to normal hearing children. Conclusions: This paper demonstrates that profoundly deaf children who receive a cochlear implant at a very young age can develop auditory skills that allow them to interact by verbal communication. C076 Comparison of Baha Divino and Baha BP100 in patients with single-sided deafness using a daily alternating method J. Desmet1,2 , M. De Bodt1 , P. Van de Heyning1,2 . 1 Univ. Dept. Otorhinolaryngology, Head and Neck Surgery, University Hospital Antwerp, Antwerp, Belgium; 2 University of Antwerp, Antwerp, Belgium Aim: To compare the Baha Divino and the Baha BP100 in singlesided deafness (SSD) Material and Methods: 20 patients alternated between both devices daily for 2 weeks. To compare the Baha Divino and BP100, speech audiometry in quiet and in noise was performed and the ABHAB questionnaire and Spatial Hearing Questionnaire were filled out. Patients rated both devices in an diary regarding overall satisfaction, loudness of speech, clarity of speech and loudness of background noise. Results: Speech audiometry shows a significant improvement in one certain noise condition (SnbahaN0). Questionnaires and the Baha diary confirm these findings. Patients rated the Baha BP100 significantly better than the Baha Divino on overall satisfaction and loudness of background noise. Conclusions: Subjective assessment using a daily alternating method shows significantly higher overall satisfaction and better speech understanding in noise with Baha BP100. Questionnaires and speech in noise tests confirm these findings. C077 Predictive factors and communication outcomes in Romanian implanted patients V. Necula, M. Cosgarea. University of Medicine and Pharmacy Cluj-Napoca, Romania Aim: Cochlear implants provide users a number of benefits including auditory perception, speech intelligibility and mainstream educational placement for children. Many studies have shown that some implanted children achieve a high level of speech recognition, whereas other children demonstrate more limited skills. Material and Methods: Our study includes 60 implanted children, prelingual deaf. We have assessed the speech perception and production outcomes using CAP and SIR scale and correlated them with some of the predicting factors. Results: Both auditory perception and speech production are improving continuously over time, regardless of age of implantation, but the improvement depends also on hearing aids experience and communication mode before implantation, family involvement and expectations, educational environment and learning abilities. Conclusions: Cochlear implant improves the speech perception and production no matter the age at implantation but the quality of speech perception and production is a more complex issue and it depends on much more factors.
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C078 Benefit of cochlear implantation in children with auditory neuropathy R. Mlynski, A. Radeloff, J. Mueller, R. Hagen, W. Shehata-Dieler. Department of Oto-Rhino-Laryngology, Plastic, Aesthetic and Reconstructive Head and Neck Surgery, Comprehensive Hearing Center University of W¨ urzburg, Germay Aim: To determine the benefit and outcome of children with auditory neuropathy (AN) after cochlear implantation (CI). Materials and Methods: The clinical findings and effect of therapy was examined in 19 children with AN. Children who failed to benefit from conventional amplification underwent CI. Prior to implantation the responses to electrical stimuli were examined with the promontory test and with electrically evoked auditory brainstem responses. Results: Two children showed AN on one side only with normal thresholds on the contralateral ear. 11 children received conventional amplification with hearing aids. Only one of these children showed significant benefit from the hearing aid. Accordingly, CI was performed in 10 children. Following implantation a remarkable improvement in hearing and speech capabilities with the CI compared to conventional hearing aids were observed in all children. Conclusions: With CI, the children were able to develop open set speech discrimination and use oral language for communication. C079 Eight years of paediatric bilateral simultaneous cochlear implantation at a single tertiary referral centre; complications and outcomes E. Young, S. Tzortzis, K. Tzifa, R. Irving, A. Reid, K. Pearman. Birmingham Children’s Hospital, Birmingham, UK Aim: To report the complication rates, audiological and speech outcomes in 42 children undergoing simultaneous bilateral cochlear implantation at a single tertiary referral centre. Material and Methods: Retrospective review of all paediatric patients undergoing bilateral simultaneous implantation between 2002 and 2010. Results: Forty-two patients were implanted simultaneously. The children were a mean age of 3 years 2 months at implantation. Nine patients had post op complications (21%), of which six were minor wound infections treated with antibiotics. There were two serious wound infections resulting in explantation of the implant. One patient had a break in the antenna coil requiring surgical explantation. All patients achieved at least 40 dB thresholds at 2 and 4 kHz on sound field thresholds at 6 months post implantation. Conclusions: At our institution simultaneous cochlear implantation is a safe and effective way of providing access to auditory stimuli in children with severe to profound sensorineural hearing loss. C080 Functional performance among children with cochlear implants and additional developmental disabilities J. Meinzen-Derr1,2 , S. Wiley3 , D. Choo1 . Divisions of Pediatric Otolaryngology, Biostatistics and Epidemiology, Developmental and Behavioral Pediatrics, Cincinnati Children’s Hospital Medical Hospital, Cincinnati, Ohio, USA Aim: Determine functional abilities of children with developmental disabilities post-cochlear implant (CI). Material and Methods: 14 CI children with developmental disabilities and 7 controls prospectively enrolled in language and functional abilities study. Functional performance measured using Pediatric Evaluation of Disability Inventory, providing standardized/scaled scores of daily functional domains: self-care, mobility, social functioning.