Expanding pediatric cochlear implant candidacy: A case study of electro-natural stimulation (ENS) in partial deafness treatment.

Abstract:

BACKGROUND:Some adolescents have hearing impairments characterized by normal or slightly elevated thresholds in the low and mid-frequency bands (below 1500 Hz) and nearly total deafness in the high frequency range. These patients often remain beyond the scope of effective hearing aid treatment. CASE REPORT:This study presents the case of a 16-year-old adolescent with good hearing in the range 125-1500 Hz and deafness at other frequencies. An implant was used to restore hearing at high frequencies, while preserving low and mid frequency acoustic hearing in the implanted ear. This is described as electro-natural stimulation (ENS) of the inner ear. CONCLUSIONS:The results demonstrate that low and mid frequency hearing (up to 1500 Hz) can be preserved using the round window surgical technique. A substantial improvement in speech discrimination was also observed when electrical stimulation on one side was combined with acoustic stimulation on both sides. There is scope to extend qualifying criteria for cochlear implantation to include adolescents who are suited to ENS.

authors

Skarzynski H,Lorens A,Dziendziel B,Skarzynski PH

doi

10.1016/j.ijporl.2015.08.040

subject

Has Abstract

pub_date

2015-11-01 00:00:00

pages

1896-900

issue

11

eissn

0165-5876

issn

1872-8464

pii

S0165-5876(15)00443-7

journal_volume

79

pub_type

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