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Electro-natural Stimulation (ENS) in Partial Deafness Treatment: Pediatric Case Series

Henryk Skarzynski1, Artur Lorens1, Beata Dziendziel1

  • 1World Hearing Center, Institute of Physiology and Pathology of Hearing, Warsaw/Kajetany.

Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [And] European Academy of Otology and Neurotology
|December 21, 2018
PubMed

Insights

Cochlear implantation via Electro-natural Stimulation Partial Deafness Treatment successfully improved hearing preservation and speech understanding in pediatric patients. This treatment offers a viable option for those with severe-to-profound hearing loss unresponsive to hearing aids.

Area of Science:

  • Otorhinolaryngology
  • Audiology
  • Neurosurgery

Background:

  • Pediatric patients with severe-to-profound hearing loss often have limited options for effective rehabilitation with hearing aids.
  • Electro-natural Stimulation Partial Deafness Treatment (ENS-PDT) is an emerging approach for hearing restoration.

Purpose of the Study:

  • To evaluate the outcomes of cochlear implantation using ENS-PDT in pediatric patients.
  • To assess improvements in hearing preservation and speech understanding.

Main Methods:

  • Retrospective case review of five pediatric patients (aged 9-16) with severe-to-profound hearing loss.
  • Unilateral cochlear implantation via a round window approach with a delicate electrode.
  • Pre- and postoperative pure-tone audiometry and speech understanding tests (Pruszewicz monosyllabic word test).

Main Results:

  • Complete hearing preservation in 60% and partial preservation in 40% of patients over a 3-year period.
  • Approximately 30% improvement in speech understanding in both quiet and noisy conditions compared to preoperative hearing aids.
  • Successful restoration of hearing ability in patients beyond the scope of hearing aid rehabilitation.

Conclusions:

  • Cochlear implantation with ENS-PDT is a successful method for restoring hearing in pediatric patients with severe-to-profound hearing loss.
  • Excellent hearing preservation results suggest potential for expanding inclusion criteria for this treatment.
  • ENS-PDT offers a promising alternative for hearing rehabilitation.
Abstract

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