Adult Cochlear Implant Patients Research Articles

Assessing Quality of Life in Bilateral Cochlear Implants

Objective: 1) Validate a newly developed Comprehensive Cochlear Implant Questionnaire (CCIQ) as a tool for assessing changes in quality of life after receiving a second cochlear implant (CI) in the contralateral ear. 2) Correlate speech perception changes after the second CI with quality of life. Method: CCIQ is a 28-item, 5-point Likert-scale questionnaire that assesses physical and psychosocial benefits of CI. This was administered to patients who received bilateral CI at our center. Test-retest reliability and Cronbach’s alpha were used to validate the CCIQ. Speech perception was tested using CNC, HINT, and AZBio. Results: We identified 103 adult bilateral CI patients from 2004 to 2011. Of 58 respondents, 21 completed a retest CCIQ. Test-retest reliability was satisfactory, with 60% of items greater than 0.6. Coefficients for 6 of the 9 subdomains exceeded 0.6. Data suggest that internal consistency was acceptable (>0.7) for domains speech perception in quiet and noise, localization, and music, and good (>0.80) for subdomain vestibular effects. Descriptive statistics for speech perception on CNC were 62.4 ± 22.5% and 70.5 ± 18.4% using one versus bilateral CI, respectively. HINT scores were 68.0 ± 36.8% and 83.7 ± 15.4%, and AZBio 63.5 ± 34.6% and 91.6 ± 8.6%. Conclusion: Early CCIQ data indicate this as a promising measure in assessing quality of life specific to bilateral CI patients. Overall, patients reported improved quality of life. Quantitative data on speech perception demonstrate increased trend in audiometric scores after the second CI. However, further testing is needed to strengthen these findings.

Effect of technological advances on cochlear implant performance in adults

To evaluate the effect of technological advances in the past 20 years on the hearing performance of a large cohort of adult cochlear implant (CI) patients. Individual, retrospective, cohort study. According to technological developments in electrode design and speech-processing strategies, we defined five virtual intervals on the time scale between 1984 and 2008. A cohort of 1,005 postlingually deafened adults was selected for this study, and their hearing performance with a CI was evaluated retrospectively according to these five technological intervals. The test battery was composed of four standard German speech tests: Freiburger monosyllabic test, speech tracking test, Hochmair-Schulz-Moser (HSM) sentence test in quiet, and HSM sentence test in 10 dB noise. The direct comparison of the speech perception in postlingually deafened adults, who were implanted during different technological periods, reveals an obvious improvement in the speech perception in patients who benefited from the recent electrode designs and speech-processing strategies. The major influence of technological advances on CI performance seems to be on speech perception in noise. Better speech perception in noisy surroundings is strong proof for demonstrating the success rate of new electrode designs and speech-processing strategies. Standard (internationally comparable) speech tests in noise should become an obligatory part of the postoperative test battery for adult CI patients.

Perception of speech and environmental sounds in cochlear implant patients

Limited research has investigated cochlear implant (CI) patients' ability to perceive environmental sounds. In this study, environmental sound perception was assessed with a large‐item test composed of 40 sound sources, each represented by four different tokens. The relationship between speech and environmental sound perception and the role of working memory and basic auditory abilities was examined based on patient performance on a battery of speech tests (HINT, CNC, and individual consonant and vowel tests), tests of basic auditory abilities (audiometric thresholds, gap detection, temporal pattern and temporal order tests), and a backward digit recall test. Twelve postlingually deaf adult CI patients, having 1‐5 years of implant experience participated. The results indicate substantially reduced ability to identify common environmental sounds in CI patients. Speech test scores correlated strongly with the scores on the environmental sound test. Both speech and environmental sound tests moderately correlated with gap detection, temporal order test and backward digit recall test. However, the correlation between speech and environmental sounds changed little after partialling out the variance due to other variables. These results suggest that speech and environmental sounds may overlap considerably in their perceptual processing, being largely independent of peripheral limitations that may affect both sound classes.

Medical and Surgical Complications of the Second 100 Adult Cochlear Implant Patients in Birmingham

Medical and Surgical Complications of the Second 100 Adult Cochlear Implant Patients in Birmingham

Minimum speech test battery for postlingually deafened adult cochlear implant patients

Otolaryngology–Head and Neck SurgeryVolume 124, Issue 2 p. 125-126 Invited Commentaries Minimum Speech Test Battery for Postlingually Deafened Adult Cochlear Implant Patients William M. Luxford MD, Corresponding Author William M. Luxford MD n/[email protected] House Ear Clinic and House Ear InstituteReprint requests: William M. Luxford, MD, House Ear Institute, 2100 West Third Street, 5th floor, Los Angeles, CA 90057.Search for more papers by this authorAd Hoc Subcommittee of the Committee on Hearing and Equilibrium of the American Academy of Otolaryngology-Head and Neck Surgery, Ad Hoc Subcommittee of the Committee on Hearing and Equilibrium of the American Academy of Otolaryngology-Head and Neck Surgery William M. Luxford, MD (Chairperson); Diane Allum, PhD; Tom Balkany, MD; Judy Brimacombe, MA; Noel Cohen, MD; Bruce Gantz, MD; Annelle Hodges, PhD; Dorcas Kessler, MA; Albert Maltan; Richard Miyamoto, MD; John Niparko, MD; Mary Joe Osberger, PhD; Margaret Skinner, PhD; Steve Staller, PhD; Emily Tobey, PhD; Richard Tyler, PhD; and Susan Waltzman, PhD.Search for more papers by this author William M. Luxford MD, Corresponding Author William M. Luxford MD n/[email protected] House Ear Clinic and House Ear InstituteReprint requests: William M. Luxford, MD, House Ear Institute, 2100 West Third Street, 5th floor, Los Angeles, CA 90057.Search for more papers by this authorAd Hoc Subcommittee of the Committee on Hearing and Equilibrium of the American Academy of Otolaryngology-Head and Neck Surgery, Ad Hoc Subcommittee of the Committee on Hearing and Equilibrium of the American Academy of Otolaryngology-Head and Neck Surgery William M. Luxford, MD (Chairperson); Diane Allum, PhD; Tom Balkany, MD; Judy Brimacombe, MA; Noel Cohen, MD; Bruce Gantz, MD; Annelle Hodges, PhD; Dorcas Kessler, MA; Albert Maltan; Richard Miyamoto, MD; John Niparko, MD; Mary Joe Osberger, PhD; Margaret Skinner, PhD; Steve Staller, PhD; Emily Tobey, PhD; Richard Tyler, PhD; and Susan Waltzman, PhD.Search for more papers by this author First published: 01 September 2016 https://doi.org/10.1067/mhn.2001.113035Citations: 2 Read the full textAboutPDF ToolsExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL No abstract is available for this article.Citing Literature Volume124, Issue2February 2001Pages 125-126 RelatedInformation

Rehabilitation and Training of Postlingually Deaf Adult Cochlear Implant Patients

Rehabilitation and Training of Postlingually Deaf Adult Cochlear Implant Patients