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Related Experiment Videos

Multichannel cochlear implantation in children with cochlear ossification.

R L Steenerson1, L B Gary

  • 1Atlanta Ear Clinic, Georgia, USA.

The American Journal of Otology
|August 4, 1999
PubMed
Summary

Cochlear implantation benefits children with meningitis, even with severe cochlear ossification. Speech understanding outcomes were best in non-ossified cochleas and improved with surgery in ossified ones.

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Area of Science:

  • Otolaryngology
  • Pediatric Audiology
  • Neurosurgery

Background:

  • Meningitis can lead to cochlear ossification, significantly impacting hearing.
  • Cochlear implantation is a potential auditory rehabilitation option for post-meningitic children.
  • The extent of cochlear ossification may influence implantation outcomes.

Purpose of the Study:

  • To compare the speech understanding results of post-meningitic children who underwent cochlear implantation with partial or complete drill-out to those with no drill-out.
  • To evaluate the efficacy of cochlear implantation in pediatric patients with varying degrees of cochlear ossification post-meningitis.

Main Methods:

  • Retrospective case review of pediatric patients (2-17 years) who received Nucleus 22 cochlear implants.
  • Data collected from a private, tertiary, outpatient clinic between June 1990 and July 1997.

Related Experiment Videos

  • Speech understanding assessed using open and closed set speech discrimination tests.
  • Main Results:

    • Speech understanding performance was highest in the non-ossified cochlea group.
    • Performance was lowest, though still above chance, in the ossified group requiring complete drill-out.
    • Children with partial drill-out demonstrated intermediate speech understanding results.

    Conclusions:

    • Cochlear implantation is beneficial for post-meningitic children, even those with extensive cochlear ossification.
    • While non-ossified cochleas yield the best outcomes, surgical intervention can still improve hearing in ossified cases.
    • The degree of drill-out required due to ossification correlates with speech understanding performance.