Early outcomes after cochlear implantation for adults and children with unilateral hearing loss.

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Early outcomes after cochlear implantation for adults and children with unilateral hearing loss.

Laryngoscope. 2017 Jul;127(7):1683-1688

Authors: Sladen DP, Carlson ML, Dowling BP, Olund AP, Teece K, DeJong MD, Breneman A, Peterson A, Beatty CW, Neff BA, Driscoll CL

Abstract
OBJECTIVES/HYPOTHESIS: This study was designed to examine speech recognition and self-perceived health-related quality of life (HRQoL) received from cochlear implantation among a cohort of adults and children with a short duration of unilateral hearing loss greater than 6 months, but less than 2 years.
STUDY DESIGN: Single-subject repeated measures prospective study.
METHODS: This study assessed changes in speech recognition and self-perceived quality of life by prospectively analyzing data at the preoperative evaluation and at the 3-month and 6-month postactivation intervals. Measurement tools included Medical Outcomes Study Questionnaire Short Form 36, Nijmegen Cochlear Implant Questionnaire, Speech Spatial and Qualities of Hearing-Comparative, and speech recognition measures in quiet and in noise.
RESULTS: Results indicated significant improvement in speech recognition, both in quiet and noise. Quality-of-life measures showed a significant increase in self-perceived benefit with disease-specific instruments, but remained constant with a generic HRQoL instrument.
CONCLUSIONS: Cochlear implantation was a successful intervention for improved hearing in quiet and noise, and a self-perceived benefit for this group of adults and children with a short duration of unilateral hearing loss.
LEVEL OF EVIDENCE: 4 Laryngoscope, 127:1683-1688, 2017.

PMID: 27730647 [PubMed - indexed for MEDLINE]

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