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[Cochlear implantation and early outcomes in children with incompletely partition type Ⅲ malformation]

L Xu1,2,3, X H Chao2,3, D F Wu4

  • 1Department of Otolaryngology Head and Neck Surgery, Shandong Provincial Hospital Affiliated to Shandong University, Ji'nan, 250022, China.

Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi = Journal of Clinical Otorhinolaryngology Head and Neck Surgery
|October 5, 2018
PubMed

Insights

Cochlear implantation (CI) effectively treats children with incompletely partitioned type III (IP-III) malformation, showing similar hearing thresholds to controls. However, speech development in these children is slower than in those with normal cochleas.

Area of Science:

  • Otolaryngology
  • Pediatric Audiology
  • Neurosurgery

Context:

  • Incompletely partitioned type III (IP-III) malformation is a complex inner ear anomaly.
  • Cochlear implantation (CI) is a potential treatment for hearing loss in children with IP-III.
  • Surgical challenges and outcomes in IP-III malformations require further investigation.

Purpose:

  • To evaluate the early effects of cochlear implantation (CI) in children diagnosed with incompletely partitioned type III (IP-III) malformation.
  • To compare hearing thresholds, auditory performance, and speech intelligibility in IP-III patients post-CI with a control group.

Summary:

  • Ten children with IP-III malformation underwent cochlear implantation (CI).
  • Post-implantation, pure tone average (PTA) thresholds in the IP-III group were comparable to the control group.
  • While auditory performance (CAP scores) showed no significant difference, speech intelligibility (SIR scores) was significantly lower in the IP-III group at 6, 9, and 12 months.

Impact:

  • Cochlear implantation is a beneficial treatment for hearing loss associated with IP-III malformation.
  • Despite surgical challenges, CI can be performed with low complication rates with skilled surgeons.
  • Children with IP-III malformation receiving CI demonstrate slower speech and hearing development compared to peers with normal cochlear anatomy.

Keywords:
auditory thresholdchildcochlear implantationincompletely partition Ⅲ

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