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Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages
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Speech Recognition Outcomes After Cochlear Reimplantation Surgery.

Mariana Reis1,2,3, Isabelle Boisvert1,2,3, Valerie Looi1

  • 11 SCIC Cochlear Implant Program-An RIDBC Service, Sydney, Australia.

Trends in Hearing
|July 29, 2017
PubMed
Summary

Cochlear reimplantation surgery outcomes in adults show speech recognition scores after surgery are comparable to previous best scores and better than pre-surgery scores. However, 16% of reimplantations faced complications.

Keywords:
CI512cochlear implantsoutcomesreimplantationrevision surgery

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Area of Science:

  • Otolaryngology
  • Neurosurgery
  • Audiology

Background:

  • Cochlear implantation is a common treatment for severe to profound hearing loss.
  • Reimplantation may be necessary due to device failure, infection, or suboptimal performance.
  • Understanding outcomes after reimplantation is crucial for patient selection and management.

Purpose of the Study:

  • To evaluate speech recognition outcomes following cochlear reimplantation surgery.
  • To identify clinical factors influencing reimplantation success.
  • To compare post-reimplantation speech recognition to pre-operative and best-ever scores.

Main Methods:

  • Retrospective analysis of 54 adult cochlear reimplantation cases between 2006 and 2015.
  • Comparison of speech recognition scores (SRS) before and after reimplantation.
  • Review of clinical factors and complication rates associated with reimplantation.

Main Results:

  • Post-reimplantation SRS were similar to patients' best-ever SRS.
  • Post-reimplantation SRS were significantly greater than pre-surgery SRS.
  • 16% of reimplantations were associated with additional complications, indicating unsuccessful outcomes.

Conclusions:

  • Cochlear reimplantation can restore or improve speech recognition in adult patients.
  • Careful patient selection and management are important to minimize complications.
  • Reimplantation offers a viable option for patients experiencing device failure or performance decline.