Is there a deafness duration limit for cochlear implants in post-lingual deaf adults?

Abstract:

CONCLUSION:Patients with post-lingual deafness should not be excluded from cochlear implantation (CI) on the basis of duration of deafness. We found that the prognosis was favorable in patients who developed deafness after adolescence, even in those with extremely long-term deafness. OBJECTIVES:CI is an effective treatment for post-lingual deafness. However, it remains unclear whether CI would benefit patients with extremely long-term deafness. We evaluated the auditory performance after CI of patients who had been deaf for more than 30 years. METHODS:The study enrolled 81 adults with post-lingual deafness. Speech perception tests were performed preoperatively and 12 months postoperatively, and factors affecting the postoperative auditory performance were investigated. The subjects were divided into groups according to the duration of deafness and the postoperative speech perception scores were compared. RESULTS:A marked improvement in the open-set speech perception scores (mono/disyllabic words and sentences) after implantation was seen in all groups, and no significant difference in the improvement in speech perception scores was observed among the groups. Age at onset of deafness was closely related to the postoperative performance, and patients who had lost their hearing before adolescence performed poorly.

journal_name

Acta Otolaryngol

journal_title

Acta oto-laryngologica

authors

Moon IS,Park S,Kim HN,Lee WS,Kim SH,Kim JH,Choi JY

doi

10.3109/00016489.2013.850175

subject

Has Abstract

pub_date

2014-02-01 00:00:00

pages

173-80

issue

2

eissn

0001-6489

issn

1651-2251

journal_volume

134

pub_type

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