- Email: [email protected]
C095 Evaluation of ci implanted children in east Algeria
50
Abstracts, ESPCI 2011 / International Journal of Pediatric Otorhinolaryngology 75 (2011) 33–57
with topic a (younger children). Auditory performance correlated with a (older children), b, c, e, g, and h. Conclusions: The results indicate disadvantages for CI- children beyond the already known problems in short-term memory and reading. C092 The impact of rate of speech on cochlear implant users P. Boyle. Advanced Bionics LLC, California, USA Aim: While normal hearing people can cope well with a wide variety of speech rates, cochlear implant users tend to find higher rates much more difficult. Material and Methods: Sentences were processed using the PRAAT software to between 1.1 and 0.6 of their original time. Five normal hearing and five cochlear implant users were tested. An SRT measure was obtained for a randomized presentation level between 50 and 80 dB SPL. Results: A 10% increase in speech rate produced a 4 dB deterioration in SRT for the implant users. The normal hearing group could cope with virtually two times the rate for a similar SRT change. Conclusion: When either communicating with, or in particular assessing, children using live voice presentation it is critical to attend to the rate of speech being used. Even small changes, barely noticeable to normal hearing people, can cause very large changes for implant users. C093 Is asymmetric hearing disorder an indication for cochlear implantation? R. Lang-Roth, B. Streicher. Department of Otorhinolaryngology, Head and Neck Surgery, Cochlear Implant Center Cologne, University Clinics Cologne, Cologne, Germany Aim: Binaural hearing is associated to better understanding in noise, localization and reduced hearing distress. Patients with single side deafness (SSD) and mild to moderate hearing impairment on the contralateral ear often show no benefit of bilateral hearing aids. High frequency information won’t be perceived and causes delay in speech development. Material and Methods: 4 children with severe language delay and 1 adult who was disabled to working were implanted on the deaf ear. Results: All individuals accepted the device in combination with hearing aids and are benefiting in hearing and speech development. The adult patient was able to be mainstreamed into work process again. Conclusions: Cochlear implantation with SSD and moderate hearing loss is an appropriate therapy provided the clinic follows strict indication rules. C094 Freedom speech processor upgrade in Hungary J.G. Kiss, F. Toth, ´ A.L. Nagy, J. Jarabin, L. Rovo, ´ A. Szamoskozi, ¨ J. Jori. ´ University of Szeged, Department of Otolaryngology, Head and Neck Surgery, Szeged, Hungary Aim: In our Cochlear Implant Center there were several cochlear implant users whose speech processor could be recently upgraded to the Freedom brand. Our aim was to compare their hearing performance with the old and new devices. Material and Methods: Our examinations were performed in 5 CI22 and 75 CI24 users with Spectra22, ESPrit22, Sprint, ESPrit24 and ESPrit 3G speech processors. Pure-tone audiometry speech recognition tests were done and subjective experiences were examined. Results: Our results show that pure-tone threshold and speech recognition was usually better using Freedom just after MAP conversion and optimalisation. Most of the patients preferred the Freedom processor and only four patients preferred the old one.
Conclusion: In addition to the aesthetic benefit, most of the patients had better hearing performance in quiet and noisy environment using the Freedom processor. Yet sometimes it is difficult to accommodate the new sound of the new device. C095 Evaluation of ci implanted children in east Algeria S. Labassi1 , N. Djerad2 , S. Touati3 , A. Saidia2 . 1 Vibrant Med-El, France; 2 ENT Dept, University Hospital, Annaba, Algeria; 3 ENT Dept, Clinique des All´ees, Batna, Algeria Aim: The evaluation of the progress in speech perception, comprehension and production in 60 CI children coming from two East Algerian implantation centers. Method: Several questionnaires, aiming to different speech aspects, were administered to 60 CI implanted children coming from 2 implantation centers of East Algeria, Annaba (n = 48) and Batna (n = 12). LittlEars questionnaire, the CAP (Categories of Auditory Performance) and the SIR (Speech Intelligibility Rating scale), the MAIS questionnaire (Meaningful Auditory Integration Scale) and finally the APCEI profile were filled out by the children’s parents and speech language pathologists in both centers. Results: The majority of children had a good evolution with performances equal or superior to what is reported in the literature. Conclusion: The results support previous findings on speech and hearing development in CI children. Participants will be able to examine speech and hearing development in CI children through the administration of several validated questionnaires. C096 Cochlear implantation in profound hearing loss following bacterial meningitis in children K.M.J. Green, J.R. Nichani, P. Hans, I.A. Bruce, L. Henderson, R.T. Ramsden. Manchester cochlear implant centre, Manchester, UK Aim: Meningitis infection may spread to the cochlea within hours of diagnosis causing varying degrees of hearing loss and cochlear ossification. Early bilateral cochlear implantation is essential. Identify the outcome of implantation in children following profound sensorineural hearing loss due to meningitis. Material and Methods: A retrospective case-note review was undertaken for 52 post-meningitic patients implanted by the Manchester Cochlear Implant Centre. Outcomes were assessed using the Manchester Speech and Language Development Scale (MSLDS) and the Categories of Auditory Performance (CAP) score. Results: Patients were grouped by ossification (n = 25 ossified, n = 27 non-ossified). 22 ossified and 20 non-ossified patients had CAP scores of ≥5. 19 patients per group used simple phrases of ≥3 words on the MSLDS. Conclusion: Post-meningitic deafened children benefit significantly from implantation. Acquisition of speech and language following implantation is possible even where gross cochlear ossification is evident. C097 A validity assessment of telehealth for clinical and research measures in CIs M.L. Hughes, J.L. Goehring, J.L. Baudhuin, T. Sanford, R. Harpster. Boys Town National Research Hospital, Omaha, Nebraska, USA Aim: The purpose of this study was to determine whether significant differences exist between traditional and remote test conditions for clinical and research-based audiological measures in CI recipients. Material and Methods: An ABA study design was used to compare the following measures for face-to-face versus remote/telehealth delivery: (1) electrode impedance, (2) psychophysical thresholds using a 3AFC adaptive procedure, (3) map T and C/M levels, (4) ECAP thresholds, (5) speech perception. Each measure was
Abstracts, ESPCI 2011 / International Journal of Pediatric Otorhinolaryngology 75 (2011) 33–57
with topic a (younger children). Auditory performance correlated with a (older children), b, c, e, g, and h. Conclusions: The results indicate disadvantages for CI- children beyond the already known problems in short-term memory and reading. C092 The impact of rate of speech on cochlear implant users P. Boyle. Advanced Bionics LLC, California, USA Aim: While normal hearing people can cope well with a wide variety of speech rates, cochlear implant users tend to find higher rates much more difficult. Material and Methods: Sentences were processed using the PRAAT software to between 1.1 and 0.6 of their original time. Five normal hearing and five cochlear implant users were tested. An SRT measure was obtained for a randomized presentation level between 50 and 80 dB SPL. Results: A 10% increase in speech rate produced a 4 dB deterioration in SRT for the implant users. The normal hearing group could cope with virtually two times the rate for a similar SRT change. Conclusion: When either communicating with, or in particular assessing, children using live voice presentation it is critical to attend to the rate of speech being used. Even small changes, barely noticeable to normal hearing people, can cause very large changes for implant users. C093 Is asymmetric hearing disorder an indication for cochlear implantation? R. Lang-Roth, B. Streicher. Department of Otorhinolaryngology, Head and Neck Surgery, Cochlear Implant Center Cologne, University Clinics Cologne, Cologne, Germany Aim: Binaural hearing is associated to better understanding in noise, localization and reduced hearing distress. Patients with single side deafness (SSD) and mild to moderate hearing impairment on the contralateral ear often show no benefit of bilateral hearing aids. High frequency information won’t be perceived and causes delay in speech development. Material and Methods: 4 children with severe language delay and 1 adult who was disabled to working were implanted on the deaf ear. Results: All individuals accepted the device in combination with hearing aids and are benefiting in hearing and speech development. The adult patient was able to be mainstreamed into work process again. Conclusions: Cochlear implantation with SSD and moderate hearing loss is an appropriate therapy provided the clinic follows strict indication rules. C094 Freedom speech processor upgrade in Hungary J.G. Kiss, F. Toth, ´ A.L. Nagy, J. Jarabin, L. Rovo, ´ A. Szamoskozi, ¨ J. Jori. ´ University of Szeged, Department of Otolaryngology, Head and Neck Surgery, Szeged, Hungary Aim: In our Cochlear Implant Center there were several cochlear implant users whose speech processor could be recently upgraded to the Freedom brand. Our aim was to compare their hearing performance with the old and new devices. Material and Methods: Our examinations were performed in 5 CI22 and 75 CI24 users with Spectra22, ESPrit22, Sprint, ESPrit24 and ESPrit 3G speech processors. Pure-tone audiometry speech recognition tests were done and subjective experiences were examined. Results: Our results show that pure-tone threshold and speech recognition was usually better using Freedom just after MAP conversion and optimalisation. Most of the patients preferred the Freedom processor and only four patients preferred the old one.
Conclusion: In addition to the aesthetic benefit, most of the patients had better hearing performance in quiet and noisy environment using the Freedom processor. Yet sometimes it is difficult to accommodate the new sound of the new device. C095 Evaluation of ci implanted children in east Algeria S. Labassi1 , N. Djerad2 , S. Touati3 , A. Saidia2 . 1 Vibrant Med-El, France; 2 ENT Dept, University Hospital, Annaba, Algeria; 3 ENT Dept, Clinique des All´ees, Batna, Algeria Aim: The evaluation of the progress in speech perception, comprehension and production in 60 CI children coming from two East Algerian implantation centers. Method: Several questionnaires, aiming to different speech aspects, were administered to 60 CI implanted children coming from 2 implantation centers of East Algeria, Annaba (n = 48) and Batna (n = 12). LittlEars questionnaire, the CAP (Categories of Auditory Performance) and the SIR (Speech Intelligibility Rating scale), the MAIS questionnaire (Meaningful Auditory Integration Scale) and finally the APCEI profile were filled out by the children’s parents and speech language pathologists in both centers. Results: The majority of children had a good evolution with performances equal or superior to what is reported in the literature. Conclusion: The results support previous findings on speech and hearing development in CI children. Participants will be able to examine speech and hearing development in CI children through the administration of several validated questionnaires. C096 Cochlear implantation in profound hearing loss following bacterial meningitis in children K.M.J. Green, J.R. Nichani, P. Hans, I.A. Bruce, L. Henderson, R.T. Ramsden. Manchester cochlear implant centre, Manchester, UK Aim: Meningitis infection may spread to the cochlea within hours of diagnosis causing varying degrees of hearing loss and cochlear ossification. Early bilateral cochlear implantation is essential. Identify the outcome of implantation in children following profound sensorineural hearing loss due to meningitis. Material and Methods: A retrospective case-note review was undertaken for 52 post-meningitic patients implanted by the Manchester Cochlear Implant Centre. Outcomes were assessed using the Manchester Speech and Language Development Scale (MSLDS) and the Categories of Auditory Performance (CAP) score. Results: Patients were grouped by ossification (n = 25 ossified, n = 27 non-ossified). 22 ossified and 20 non-ossified patients had CAP scores of ≥5. 19 patients per group used simple phrases of ≥3 words on the MSLDS. Conclusion: Post-meningitic deafened children benefit significantly from implantation. Acquisition of speech and language following implantation is possible even where gross cochlear ossification is evident. C097 A validity assessment of telehealth for clinical and research measures in CIs M.L. Hughes, J.L. Goehring, J.L. Baudhuin, T. Sanford, R. Harpster. Boys Town National Research Hospital, Omaha, Nebraska, USA Aim: The purpose of this study was to determine whether significant differences exist between traditional and remote test conditions for clinical and research-based audiological measures in CI recipients. Material and Methods: An ABA study design was used to compare the following measures for face-to-face versus remote/telehealth delivery: (1) electrode impedance, (2) psychophysical thresholds using a 3AFC adaptive procedure, (3) map T and C/M levels, (4) ECAP thresholds, (5) speech perception. Each measure was