Julia Santos Costa Chiossi1, Miguel Angelo Hyppolito2. 1. Faculdade de Medicina de Ribeirão Preto, University of São Paulo, Department of Ophthalmology, Otolaryngology and Head and Neck Surgery, Av. Bandeirantes, 3900, Monte Alegre, Ribeirão Preto, SP, 14049-900, Brazil. Electronic address: julia.chiossi@usp.br. 2. Faculdade de Medicina de Ribeirão Preto, University of São Paulo, Department of Ophthalmology, Otolaryngology and Head and Neck Surgery, Av. Bandeirantes, 3900, Monte Alegre, Ribeirão Preto, SP, 14049-900, Brazil.
Abstract
OBJECTIVES: to investigate if preoperative residual hearing in prelingually deafened children can interfere on cochlear implant indication and outcomes. METHODS: a systematic-review was conducted in five international databases up to November-2016, to locate articles that evaluated cochlear implantation in children with some degree of preoperative residual hearing. Outcomes were auditory, language and cognition performances after cochlear implant. The quality of the studies was assessed and classified according to the Oxford Levels of Evidence table - 2011. Risk of biases were also described. RESULTS: From the 30 articles reviewed, two types of questions were identified: (a) what are the benefits of cochlear implantation in children with residual hearing? (b) is the preoperative residual hearing a predictor of cochlear implant outcome? Studies ranged from 04 to 188 subjects, evaluating populations between 1.8 and 10.3 years old. The definition of residual hearing varied between studies. The majority of articles (n = 22) evaluated speech perception as the outcome and 14 also assessed language and speech production. CONCLUSION: There is evidence that cochlear implant is beneficial to children with residual hearing. Preoperative residual hearing seems to be valuable to predict speech perception outcomes after cochlear implantation, even though the mechanism of how it happens is not clear. More extensive researches must be conducted in order to make recommendations and to set prognosis for cochlear implants based on children preoperative residual hearing.
OBJECTIVES: to investigate if preoperative residual hearing in prelingually deafened children can interfere on cochlear implant indication and outcomes. METHODS: a systematic-review was conducted in five international databases up to November-2016, to locate articles that evaluated cochlear implantation in children with some degree of preoperative residual hearing. Outcomes were auditory, language and cognition performances after cochlear implant. The quality of the studies was assessed and classified according to the Oxford Levels of Evidence table - 2011. Risk of biases were also described. RESULTS: From the 30 articles reviewed, two types of questions were identified: (a) what are the benefits of cochlear implantation in children with residual hearing? (b) is the preoperative residual hearing a predictor of cochlear implant outcome? Studies ranged from 04 to 188 subjects, evaluating populations between 1.8 and 10.3 years old. The definition of residual hearing varied between studies. The majority of articles (n = 22) evaluated speech perception as the outcome and 14 also assessed language and speech production. CONCLUSION: There is evidence that cochlear implant is beneficial to children with residual hearing. Preoperative residual hearing seems to be valuable to predict speech perception outcomes after cochlear implantation, even though the mechanism of how it happens is not clear. More extensive researches must be conducted in order to make recommendations and to set prognosis for cochlear implants based on children preoperative residual hearing.
Authors: Joost J A Stultiens; Nils Guinand; Vincent Van Rompaey; Angélica Pérez Fornos; Henricus P M Kunst; Hermanus Kingma; Raymond van de Berg Journal: J Neurol Date: 2021-08-10 Impact factor: 6.682