Is there a best side for cochlear implants in post-lingual patients?

Abstract:

INTRODUCTION:Cochlear Implant is a sensory prosthesis capable of restoring hearing in patients with severe or profound bilateral sensorineural hearing loss. OBJECTIVE:To evaluate if there is a better side to be implanted in post-lingual patients. METHODS:Retrospective longitudinal study. Participants were 40 subjects, of both sex, mean age of 47 years, with post-lingual hearing loss, users of unilateral cochlear implant for more than 12 months and less than 24 months, with asymmetric auditor reserve between the ears (difference of 10dBNA, In at least one of the frequencies with a response, between the ears), divided into two groups. Group A was composed of individuals with cochlear implant in the ear with better auditory reserve and Group B with auditory reserve lower in relation to the contralateral side. RESULTS:There was no statistical difference for the tonal auditory threshold before and after cochlear implant. A better speech perception in pre-cochlear implant tests was present in B (20%), but the final results are similar in both groups. CONCLUSION:The cochlear implant in the ear with the worst auditory residue favors a bimodal hearing, which would allow the binaural summation, without compromising the improvement of the audiometric threshold and the speech perception.

authors

Amaral MSAD,Damico TA,Gonçales AS,Reis ACMB,Isaac ML,Massuda ET,Hyppolito MA

doi

10.1016/j.bjorl.2017.06.012

subject

Has Abstract

pub_date

2018-01-01 00:00:00

pages

560-565

issue

5

eissn

1808-8694

issn

1808-8686

pii

S1808-8694(17)30112-X

journal_volume

84

pub_type

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