United Kingdom national paediatric bilateral project: Demographics and results of localization and speech perception testing

作者：H.E. Cullington, D. Bele, Julie Brinton, Stacey Cooper, M. J. Daft, Jennifer Harding, N. Hatton, J. Humphries, M.E. Lutman, J. Maddocks, Justine Maggs, Kerri E. Millward, Gerard M. O’Donoghue, Shruti Patel, Kaukab Rajput, Victoria E. Salmon, T. Sear, Amanda Speers, Alexandra Wheeler, Kristin Wilson · 发表于：Cochlear Implants International · 年份：2016 · DOI：10.1080/14670100.2016.1265055 · 被引用次数：30 · 研究领域：Hearing Loss and Rehabilitation、Ear Surgery and Otitis Media、Hearing, Cochlea, Tinnitus, Genetics

OBJECTIVES: To assess longitudinal outcomes in a large and varied population of children receiving bilateral cochlear implants both simultaneously and sequentially. METHODS: This observational non-randomized service evaluation collected localization and speech recognition in noise data from simultaneously and sequentially implanted children at four time points: before bilateral cochlear implants or before the sequential implant, 1 year, 2 years, and 3 years after bilateral implants. No inclusion criteria were applied, so children with additional difficulties, cochleovestibular anomalies, varying educational placements, 23 different home languages, a full range of outcomes and varying device use were included. RESULTS: 1001 children were included: 465 implanted simultaneously and 536 sequentially, representing just over 50% of children receiving bilateral implants in the UK in this period. In simultaneously implanted children the median age at implant was 2.1 years; 7% were implanted at less than 1 year of age. In sequentially implanted children the interval between implants ranged from 0.1 to 14.5 years. Children with simultaneous bilateral implants localized better than those with one implant. On average children receiving a second (sequential) cochlear implant showed improvement in localization and listening in background noise after 1 year of bilateral listening. The interval between sequential implants had no effect on localization improvement although a smaller interval ...