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E100 Cost analysis of cochlear implant in infants
Abstracts, ESPCI 2011 / International Journal of Pediatric Otorhinolaryngology 75 (2011) 61–82
Conclusions: Our strategy worked well so far. In order to spread our strategy among facilities, modification might be necessary to make use of each facility’s distinctive feature. E098 Effect on family roles of having a child with cochlear implant S. Sahlı1 , E. Barmak2 , E. Belgin1 . 1 Hacettepe University, Department of ENT, Audiology and Speech Pathology Section, Ankara, Turkey; 2 Minister of Health, Ankara Training and Research Hospital, Department of Otolaryngology, Ankara, Turkey Aim: The main goal of this research is to investigate family roles of the parents who have a child with cochlear implant and to see whether some variants such as age of cochlear implant of child and education of parent, profession affect these roles or not. Material and Methods: This study includes parents of 20 children with cochlear implant who attend the auditory-verbal rehabilitation programs. “Personel Information Form” and “Family Assessment Scale” have been used as devices for collecting data. Results: At the end of the study, the parents who have a children with cochlear implant have the highest average of ‘Affective Involvement’ and ‘Behavior Control’ of family assessment scale scores. This is an indication of unhealthy behavior on affective involvement and behavior control. Conclusions: Parents of the cochlear implanted children; experts and trainers and official organizations and institutions should be given some advices, and consultancy should be done. E099 Auditory perception performances of children with cochlear implant and being trained by an auditory verbal therapy S. Sahlı, E. Belgin. Hacettepe University, Department of ENT, Audiology and Speech Pathology Section, Ankara, Turkey Aim: The main goal of this study is researching development of auditory perception performances of children who use cochlear implants and who are trained by an auditory verbal therapy. Material and Methods: This study includes 15 children with prelinguistic hearing loss who are applied cochlear implantation and trained by an auditory verbal approach. The auditory perception performances of children before implantation and on the 1st, 3rd, 6th and 12th months are evaluated. Results: At the end of the study, it is seen that auditory perception performances before implantation of children joining auditory verbal therapy programs have increased at a breakneck pace after implantation, especially in the 1st and 3rd months (p < 0.01), and reached at the maximum level in the 12th month. Conclusions: The auditory perception performances of children develop in a positive way with the cochlear implantation in early ages and regular auditory verbal therapy applications. E100 Cost analysis of cochlear implant in infants L. Colletti, M. Mandala, ` V. Colletti. ENT Department, University of Verona, Italy Aim: Investigate the possible additional economic benefits of cochlear implantation below 12 months. Material and Methods: Retrospective study on 8 infants and 19 children (12–36 months) with a follow-up up to the age of 10 years. Direct and indirect cochlear implantation costs obtained from parent questionnaires, from existing Italian healthcare and educational systems database, and from on-retail prices for materials used were collected. Results: The infants (mean age at implantation: 6.4 months) demonstrated a significantly lower total cost (around 130,000€ against 151,000€; p < 0.01) for the first 10 years of life versus the older group (mean age: 19.8 months). Health system and educational costs showed a respectively moderate increase and decrease when comparing infants with older children. Delayed
79
implantation dramatically increases family costs. The total net saving to society between the two groups of children was around 21,000€. Conclusions: Earlier implantation provides significantly increased net saving to society. E101 Cochlear implantation in specific disabled children G. Psillas, M. Hitoglou-Antoniadou, G. Kyriafinis, K. Markou, S. Triaridis, M. Tsalighopoulos, V. Vital. 1st Academic ENT Department, Aristotle University of Thessaloniki, AHEPA Hospital, Greece Aim: The aim of this study was to assess the auditory skills and speech intelligibility of deaf children with additional disabilities after cochlear implantation. Material and Methods: A 11-y-old child suffered from congenital rubella syndrome and infantile cataract; he was implanted 7 years ago. A 8-y-old child had the diagnosis of autism spectrum disorder and received cochlear implant 5 years ago. A 21-y-old child had a severe mental retardation and was implanted 10 months ago. Results: Despite demonstrable hearing across the speech frequencies in the 35–40 dB(A), connected speech was unintelligible in all three children. However, other indexes were measurable but delayed compared to age-equivalent children. Conclusions: Although disabilities such as autistic spectrum disorders and cognitive delay are known to have negative impact on the outcome of cochlear implantation, these children did demonstrate progress in behaviour and interaction. E102 Speech and language development in children with profound prelingual sensory-neural hearing loss. Comparison of cochlear implant and hearing aid users P. Stagiopoulos1 , G. Kyriafinis2 , I. Konstantinidis3 , G. Psillas2 , M. Tsalighopoulos2 . 1 School Counselor in Special Education at Central Macedonia, Greece; 2 1st Academic ENT Department, Aristotle University of Thessaloniki, AHEPA Hospital, Thessaloniki, Greece; 3 nd 2 Academic ENT Department, Aristotle University of Thessaloniki, Papageorgiou Hospital, Thessaloniki, Greece Aim: The aim of this study is to compare the speech and language development of children who use cochlear implants with those using hearing aids. Material and Methods: Children with profound prelingual sensory-neural hearing loss who attend primary education at the area of Central Macedonia, Greece, were studied. These children attend conventional or integrating schools. Each group comprised of 10 children. Data are collected with the Test of Language Development – Primary 2 (Newcomer and Hammil, 1988) and the Illinois Test of Psycholinguistic Abilities (Kirk, 1969). Results: The results revealed that children with cochlear implants showed a 25% better performance, compared to those who use hearing aids. Conclusions: Cochlear implants have many advantages over the hearing aids in the process of auditory information and improve the speech and language development and define the language profile. E103 Preverbal communication skills in children with early bilateral and monolateral cochlear implant S. Montino, E. Emanuelli, S. Ghiselli, T. Volo, A. Martini, E. Orzan. Pediatric Audiology Unit, Otorhinolaryngology and Otosurgery Department, University Hospital of Padova, Padova, Italy Aim: The aim of the study was to compare preverbal communicative characteristics of children who were early implanted with a monolateral or simultaneous bilateral cochlear implant.
Conclusions: Our strategy worked well so far. In order to spread our strategy among facilities, modification might be necessary to make use of each facility’s distinctive feature. E098 Effect on family roles of having a child with cochlear implant S. Sahlı1 , E. Barmak2 , E. Belgin1 . 1 Hacettepe University, Department of ENT, Audiology and Speech Pathology Section, Ankara, Turkey; 2 Minister of Health, Ankara Training and Research Hospital, Department of Otolaryngology, Ankara, Turkey Aim: The main goal of this research is to investigate family roles of the parents who have a child with cochlear implant and to see whether some variants such as age of cochlear implant of child and education of parent, profession affect these roles or not. Material and Methods: This study includes parents of 20 children with cochlear implant who attend the auditory-verbal rehabilitation programs. “Personel Information Form” and “Family Assessment Scale” have been used as devices for collecting data. Results: At the end of the study, the parents who have a children with cochlear implant have the highest average of ‘Affective Involvement’ and ‘Behavior Control’ of family assessment scale scores. This is an indication of unhealthy behavior on affective involvement and behavior control. Conclusions: Parents of the cochlear implanted children; experts and trainers and official organizations and institutions should be given some advices, and consultancy should be done. E099 Auditory perception performances of children with cochlear implant and being trained by an auditory verbal therapy S. Sahlı, E. Belgin. Hacettepe University, Department of ENT, Audiology and Speech Pathology Section, Ankara, Turkey Aim: The main goal of this study is researching development of auditory perception performances of children who use cochlear implants and who are trained by an auditory verbal therapy. Material and Methods: This study includes 15 children with prelinguistic hearing loss who are applied cochlear implantation and trained by an auditory verbal approach. The auditory perception performances of children before implantation and on the 1st, 3rd, 6th and 12th months are evaluated. Results: At the end of the study, it is seen that auditory perception performances before implantation of children joining auditory verbal therapy programs have increased at a breakneck pace after implantation, especially in the 1st and 3rd months (p < 0.01), and reached at the maximum level in the 12th month. Conclusions: The auditory perception performances of children develop in a positive way with the cochlear implantation in early ages and regular auditory verbal therapy applications. E100 Cost analysis of cochlear implant in infants L. Colletti, M. Mandala, ` V. Colletti. ENT Department, University of Verona, Italy Aim: Investigate the possible additional economic benefits of cochlear implantation below 12 months. Material and Methods: Retrospective study on 8 infants and 19 children (12–36 months) with a follow-up up to the age of 10 years. Direct and indirect cochlear implantation costs obtained from parent questionnaires, from existing Italian healthcare and educational systems database, and from on-retail prices for materials used were collected. Results: The infants (mean age at implantation: 6.4 months) demonstrated a significantly lower total cost (around 130,000€ against 151,000€; p < 0.01) for the first 10 years of life versus the older group (mean age: 19.8 months). Health system and educational costs showed a respectively moderate increase and decrease when comparing infants with older children. Delayed
79
implantation dramatically increases family costs. The total net saving to society between the two groups of children was around 21,000€. Conclusions: Earlier implantation provides significantly increased net saving to society. E101 Cochlear implantation in specific disabled children G. Psillas, M. Hitoglou-Antoniadou, G. Kyriafinis, K. Markou, S. Triaridis, M. Tsalighopoulos, V. Vital. 1st Academic ENT Department, Aristotle University of Thessaloniki, AHEPA Hospital, Greece Aim: The aim of this study was to assess the auditory skills and speech intelligibility of deaf children with additional disabilities after cochlear implantation. Material and Methods: A 11-y-old child suffered from congenital rubella syndrome and infantile cataract; he was implanted 7 years ago. A 8-y-old child had the diagnosis of autism spectrum disorder and received cochlear implant 5 years ago. A 21-y-old child had a severe mental retardation and was implanted 10 months ago. Results: Despite demonstrable hearing across the speech frequencies in the 35–40 dB(A), connected speech was unintelligible in all three children. However, other indexes were measurable but delayed compared to age-equivalent children. Conclusions: Although disabilities such as autistic spectrum disorders and cognitive delay are known to have negative impact on the outcome of cochlear implantation, these children did demonstrate progress in behaviour and interaction. E102 Speech and language development in children with profound prelingual sensory-neural hearing loss. Comparison of cochlear implant and hearing aid users P. Stagiopoulos1 , G. Kyriafinis2 , I. Konstantinidis3 , G. Psillas2 , M. Tsalighopoulos2 . 1 School Counselor in Special Education at Central Macedonia, Greece; 2 1st Academic ENT Department, Aristotle University of Thessaloniki, AHEPA Hospital, Thessaloniki, Greece; 3 nd 2 Academic ENT Department, Aristotle University of Thessaloniki, Papageorgiou Hospital, Thessaloniki, Greece Aim: The aim of this study is to compare the speech and language development of children who use cochlear implants with those using hearing aids. Material and Methods: Children with profound prelingual sensory-neural hearing loss who attend primary education at the area of Central Macedonia, Greece, were studied. These children attend conventional or integrating schools. Each group comprised of 10 children. Data are collected with the Test of Language Development – Primary 2 (Newcomer and Hammil, 1988) and the Illinois Test of Psycholinguistic Abilities (Kirk, 1969). Results: The results revealed that children with cochlear implants showed a 25% better performance, compared to those who use hearing aids. Conclusions: Cochlear implants have many advantages over the hearing aids in the process of auditory information and improve the speech and language development and define the language profile. E103 Preverbal communication skills in children with early bilateral and monolateral cochlear implant S. Montino, E. Emanuelli, S. Ghiselli, T. Volo, A. Martini, E. Orzan. Pediatric Audiology Unit, Otorhinolaryngology and Otosurgery Department, University Hospital of Padova, Padova, Italy Aim: The aim of the study was to compare preverbal communicative characteristics of children who were early implanted with a monolateral or simultaneous bilateral cochlear implant.