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Predicting Performance and Non-Use in Prelingually Deaf and Late-Implanted Cochlear Implant Users.

Marc J W Lammers^1,2, Huib Versnel^1,2, Vedat Topsakal^3,4

¹Department of Otorhinolaryngology and Head and Neck Surgery.

Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [And] European Academy of Otology and Neurotology

|May 26, 2018

Summary

Adults with prelingual deafness who received cochlear implants (CI) showed variable hearing performance. Preoperative hearing and speech perception predict CI success, with those having little residual hearing at higher risk for non-use.

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Published on: June 21, 2024

Area of Science:

Audiology
Otolaryngology
Neurosurgery

Background:

Prelingual deafness in adults presents unique challenges for cochlear implantation.
Understanding factors influencing cochlear implant outcomes is crucial for patient selection and managing expectations.

Purpose of the Study:

To analyze postoperative hearing performance in adults with prelingual deafness.
To identify predictors of speech perception and cochlear implant nonuse.

Main Methods:

Retrospective cohort study of 48 prelingually deaf adults who received cochlear implants.
Analysis of postoperative monosyllabic word and sentence recognition scores.
Assessment of preoperative speech perception and residual hearing as predictors.

Main Results:

Average maximum postoperative monosyllabic word score was 25%.
Preoperative speech perception and residual hearing predicted 47% of the variance in outcomes.
27% experienced limited benefit, and 21% experienced no benefit, often correlating with low residual hearing.

Conclusions:

Postoperative performance in adult cochlear implant users with prelingual deafness depends on preoperative factors.
Patients with negligible residual hearing may have limited benefit and are at risk of becoming nonusers.