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Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same authorSame journal

[The digits-in-noise test in audiological cochlear implant aftercare].

HNO·2026
Same author

Beyond the audiogram: tone decay as audiological marker for disproportional loss of speech intelligibility.

International journal of audiology·2026
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Exploration of the Pitch Shift Reflex using High-Speed Videolaryngoscopy and Electroencephalography.

IEEE transactions on bio-medical engineering·2026
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Recommendations for selection of target parameters and process recommendations for audiological and technical functional testing of cochlear implant : Prepared by the ERA consortium (AG-ERA) of ADANO in cooperation with the Implantable Hearing Systems expert committee of the DGA. Confirmed by the board of ADANO on 31.01.2025.

HNO·2025
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[Recommendations for selection of target parameters and process recommendations for audiological and technical functional testing of cochlear implant : Prepared by the ERA consortium (AG-ERA) of ADANO in cooperation with the Implantable Hearing Systems expert committee of the DGA. Confirmed by the board of ADANO on 31.01.2025. German version].

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[Maximum monosyllabic score as a predictor for cochlear implant outcome].

U Hoppe1, T Hocke2, A Hast3

  • 1Hals‑, Nasen‑, Ohrenklinik, Kopf- und Halschirurgie, Universitätsklinikum Erlangen, Waldstr. 1, 91054, Erlangen, Deutschland. ulrich.hoppe@uk-erlangen.de.

HNO
|January 13, 2019
PubMed
Summary

Preoperative speech perception scores predict outcomes for cochlear implant (CI) recipients. Measurable preoperative scores indicate better post-implantation speech understanding, aiding in patient counseling.

Keywords:
Cochlear implantsHearing lossHearing testsSpeech audiometrySpeech discrimination tests

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Area of Science:

  • Audiology
  • Neurosurgery
  • Speech-Language Pathology

Background:

  • Cochlear implantation (CI) is a treatment for severe to profound hearing loss.
  • Predicting post-CI speech perception is crucial for managing patient expectations.
  • The role of preoperative speech perception in predicting CI outcomes needs further clarification.

Purpose of the Study:

  • To investigate the relationship between preoperative speech perception and post-CI speech understanding.
  • To evaluate the predictive value of maximum phonemically balanced word scores (PBmax) for CI outcomes.
  • To enhance counseling for potential cochlear implant candidates.

Main Methods:

  • Analysis of pre- and postoperative speech audiometric parameters in 284 adult CI recipients.
  • Comparison of hearing aid performance versus CI performance.
  • Grouping of data based on preoperative PBmax levels.

Main Results:

  • Postoperative scores exceeded preoperative PBmax in 96% of cases.
  • Median postoperative score was 72.5%.
  • Patients with preoperative PBmax > 0% demonstrated significantly better CI outcomes than those with PBmax = 0%.

Conclusions:

  • Preoperative PBmax is a reliable predictor of minimum speech perception achieved with a cochlear implant.
  • This finding is clinically significant for CI candidates with measurable preoperative hearing.
  • Improved preoperative assessment can lead to more accurate patient counseling and realistic outcome expectations.