Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology · 2014
Outcomes of cochlear reimplantation in adults.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Mahtani Simran, Glynn Fergal, Mawman Deborah Jane, O'Driscoll Martin Paul, Green Kevin, Bruce Iain, Freeman Simon Richard Mackenzie, Lloyd Simon Kingsley Wickham
Аннотация
OBJECTIVE: To determine the indications for, and auditory outcomes following, cochlear reimplantation in adults and investigate factors influencing outcome.
STUDY DESIGN: Retrospective case series.
SETTING: Cochlear implant program in a tertiary care hospital.
PATIENTS: Thirty adults (32 ears) who have undergone cochlear reimplantation in the ipsilateral ear.
INTERVENTION(S): Explantation and reimplantation of cochlear implant.
MAIN OUTCOME MEASURE(S): Speech discrimination as measured using Bamford-Kowal Bench sentence testing in quiet (BKBq) and noisy (BKBn) environments.
RESULTS: Best BKBq improved from 58.5% to 71.4% (p = 0.0242), and BKBn improved from 60.9% to 67.2% (p = 0.826) after reimplantation. Device failure was the most common indication for reimplantation. There was no significant difference in failure rate or outcome between implant manufacturers. The mean time to reimplantation was 4.7 years, and this was not related to auditory outcome. Otosclerosis and Ménière's disease may predispose to a worse auditory outcome after reimplantation.
CONCLUSION: Cochlear reimplantation does not have a detrimental effect on auditory outcomes and in some cases results in improved speech perception.
STUDY DESIGN: Retrospective case series.
SETTING: Cochlear implant program in a tertiary care hospital.
PATIENTS: Thirty adults (32 ears) who have undergone cochlear reimplantation in the ipsilateral ear.
INTERVENTION(S): Explantation and reimplantation of cochlear implant.
MAIN OUTCOME MEASURE(S): Speech discrimination as measured using Bamford-Kowal Bench sentence testing in quiet (BKBq) and noisy (BKBn) environments.
RESULTS: Best BKBq improved from 58.5% to 71.4% (p = 0.0242), and BKBn improved from 60.9% to 67.2% (p = 0.826) after reimplantation. Device failure was the most common indication for reimplantation. There was no significant difference in failure rate or outcome between implant manufacturers. The mean time to reimplantation was 4.7 years, and this was not related to auditory outcome. Otosclerosis and Ménière's disease may predispose to a worse auditory outcome after reimplantation.
CONCLUSION: Cochlear reimplantation does not have a detrimental effect on auditory outcomes and in some cases results in improved speech perception.