Functional outcome of sequential bilateral cochlear implantation in young children: 36 months postoperative results.

Abstract:

OBJECTIVE:To examine the effects of sequential bilateral cochlear implantation (CI) on the life of young children after 36 months of bilateral implant use. METHOD:Thirty-five children were assessed prior to and 3 until 36 months after activation of the second CI. Main outcome measures were: the Categories of Auditory Performance (CAP), Speech Intelligibility Rating (SIR), communication mode, classroom placement, parent reports and the Würzburg questionnaire. Results were analysed separately for children younger and older than 6 years at the time of the second implantation. RESULTS:At the 3-year test interval, 80% of the younger children attended mainstream schools and were comprehensible for all listeners. They all used oral communication and almost 70% of them could have a conversation over the telephone. After 3 years of bilateral implant use less than 50% of the older children obtained the highest score on the SIR and CAP. Approximately 70% of them was integrated in mainstream schools and used oral communication. All parents reported a more natural communication and an improved quality of life. CONCLUSIONS:Sequential bilateral implantation seems to offer a wide range of participation benefits to all children and facilitates the social intercourse with their hearing environment.

authors

Scherf FW,van Deun L,van Wieringen A,Wouters J,Desloovere C,Dhooge I,Offeciers E,Deggouj N,De Raeve L,De Bodt M,Van de Heyning PH

doi

10.1016/j.ijporl.2009.01.009

subject

Has Abstract

pub_date

2009-05-01 00:00:00

pages

723-30

issue

5

eissn

0165-5876

issn

1872-8464

pii

S0165-5876(09)00018-4

journal_volume

73

pub_type

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