D Philip Rajan1, M H Siti Sabzah2, S Zulkiflee3, I Tengku Mohamed4, V Kumareysh Vijay5, H Iskandar6, D Sobani7, K A Valuyeetham8, A Shahrul9, D Mas6, N Azyani7, D Farah2, A Azmawanie3, A Noormala7, A Norhana2, A Shahrom3, M Amirudin4. 1. Hospital Raja Permaisuri Bainun, Department of Otorhinolaryngology, Ipoh, Perak, Malaysia. kumareyshvijay@gmail.com. 2. Hospital Sultanah Bahiyah, Department of Otolaryngology, Alor Setar, Kedah, Malaysia. 3. Hospital Raja Perempuan Zainab II, Department of Otolaryngology, Kota Bharu, Malaysia. 4. Hospital Sultan Ismail, Department of Otolaryngology, Johor Bharu, Malaysia. 5. Hospital Raja Permaisuri Bainun, Department of Otorhinolaryngology, Ipoh, Perak, Malaysia. 6. Hospital Kuala Lumpur, Department of Otolaryngology, Kuala Lumpur, Malaysia. 7. Hospital Sungai Buloh, Department of Otolaryngology, Selangor, Malaysia. 8. Hospital Tuanku Jaafar, Department of Otolaryngology, Seremban, Malaysia. 9. Hospital Sultanah Bahiyah, Clinical Research Centre, Alor Setar, Kedah, Malaysia.
Abstract
INTRODUCTION: There has been a paradigm shift in the management of acquired sensory neural deafness in the past 30years. This is due to the emergence of implantable hearing devices such as the cochlear implant. The objective of this study is to identify surgical and functional outcomes of post-lingual and cross-over patients implanted with a cochlear implant under the National Ministry of Heath Cochlear Implant (CI) Program between 2009-2013. MATERIALS AND METHODS: We retrospectively reviewed all postlingual and cross-over recipients of cochlear implants under the National Ministry of Heath CI Programme from 2009 to 2013. The outcomes measured were surgical complications and functional outcome. Surgical complications were divided into major and minor complications. Functional outcomes were measured using Categorical Auditory Performances (CAP) scale. RESULTS: A total of 41 post-lingual and 15 cross-over patients were implanted between 2009 and 2013. The age of implantees ranged from 3.6 years to 63.2 years old. There were two major complications (3.6%), one is a case of electrode migration at three months post implantation, and six months post second implantation. Another was a case of device failure at about one-year post implantation. Both patients were reimplanted in the same ear. There was no minor complication. The CAP score for both groups (overall) showed significant improvement with 96.4% achieved CAP score of five and above at 24 months after implantation (p<0.001). The CAP score showed marked improvement at the first 6 months post implantation and continued to improve with time in both groups. CONCLUSION: The Malaysian National Ministry of Health Cochlear implant (CI) Program between 2009-2013 has been a successful programme with good surgical and functional outcomes among the post lingual and cross-over patients.
INTRODUCTION: There has been a paradigm shift in the management of acquired sensory neural deafness in the past 30years. This is due to the emergence of implantable hearing devices such as the cochlear implant. The objective of this study is to identify surgical and functional outcomes of post-lingual and cross-over patients implanted with a cochlear implant under the National Ministry of Heath Cochlear Implant (CI) Program between 2009-2013. MATERIALS AND METHODS: We retrospectively reviewed all postlingual and cross-over recipients of cochlear implants under the National Ministry of Heath CI Programme from 2009 to 2013. The outcomes measured were surgical complications and functional outcome. Surgical complications were divided into major and minor complications. Functional outcomes were measured using Categorical Auditory Performances (CAP) scale. RESULTS: A total of 41 post-lingual and 15 cross-over patients were implanted between 2009 and 2013. The age of implantees ranged from 3.6 years to 63.2 years old. There were two major complications (3.6%), one is a case of electrode migration at three months post implantation, and six months post second implantation. Another was a case of device failure at about one-year post implantation. Both patients were reimplanted in the same ear. There was no minor complication. The CAP score for both groups (overall) showed significant improvement with 96.4% achieved CAP score of five and above at 24 months after implantation (p<0.001). The CAP score showed marked improvement at the first 6 months post implantation and continued to improve with time in both groups. CONCLUSION: The Malaysian National Ministry of Health Cochlear implant (CI) Program between 2009-2013 has been a successful programme with good surgical and functional outcomes among the post lingual and cross-over patients.
Authors: M Marx; I Mosnier; J Belmin; J Wyss; C Coudert-Koall; A Ramos; R Manrique Huarte; R Khnifes; O Hilly; A Martini; D Cuda Journal: BMC Geriatr Date: 2020-07-23 Impact factor: 3.921
Authors: Vincent M Desiato; Jaimin J Patel; Shaun A Nguyen; Ted A Meyer; Paul R Lambert Journal: World J Otorhinolaryngol Head Neck Surg Date: 2020-04-23
Authors: Paul Van de Heyning; Peter Roland; Luis Lassaletta; Sumit Agrawal; Marcus Atlas; Wolf-Dieter Baumgartner; Kevin Brown; Marco Caversaccio; Stefan Dazert; Wolfgang Gstoettner; Rudolf Hagen; Abdulrahman Hagr; Greg Eigner Jablonski; Mohan Kameswaran; Vladislav Kuzovkov; Martin Leinung; Yongxin Li; Andreas Loth; Astrid Magele; Robert Mlynski; Joachim Mueller; Lorne Parnes; Andreas Radeloff; Chris Raine; Gunesh Rajan; Joachim Schmutzhard; Henryk Skarzynski; Piotr H Skarzynski; Georg Sprinzl; Hinrich Staecker; Timo Stöver; Dayse Tavora-Viera; Vedat Topsakal; Shin-Ichi Usami; Vincent Van Rompaey; Nora M Weiss; Wilhelm Wimmer; Mario Zernotti; Javier Gavilan Journal: Front Surg Date: 2022-03-24