Limits...
Experiences with Bimodal Hearing and Bilateral Cochlear Implantation in the Elderly

View Article: PubMed Central

AUTOMATICALLY GENERATED EXCERPT
Please rate it.

The results in noise and in the HSM sentence test are analogue... The range of benefit depends very much from individual hearing history... Patients whose duration of deafness was comparatively short had a superiorly better chance to reach satisfactory test results. 24% of the implantees even met the category high-performer, which means they reach more than 80% monosyllables in quiet. 15 patients were able to communicate via telephone and 13 patients report about a satisfying music perception... Compatible to that we found a definite improvement of the audiologic performance during the first twelve months after cochlear implantation in patients aged over 70 years... We agree with Leung (et al., ) that duration of deafness along with the percentage of life lived deaf hold greater predictive power than age, demonstrating that residual hearing capacity and language abilities may hold the key to postoperative success in the elderly cochlear implant recipient... At the same time speech perception benefits of the older implantees showed large subject variability which can be explained by such factors as cause and duration of deafness, hearing aid user prior to cochlear implantation, motivation, family and environmental support... A further aspect which has not been evaluated until now was the development of audiologic performance after bilateral cochlear implantation in patients older than 70 years... The near maximum benefit was reached after a shorter period of time compared to the process of fitting the first cochlear implant... Besides the use of a hearing aid on the contralateral ear offered a particular advantage compared to the use of the cochlear implant only both in audiologic performance and quality of life... It is remarkable that the audiologic handicap measured by the HHIE questionnaire decreased significantly from a severe to a medium handicap after the supply with a cochlear implant... But there was no correlation between the audiologic performance and the individual feeling of being handicapped... In essence elderly patients show particular benefit after bimodal or bilateral supply... There is a distinct positive effect on quality of life and preservation of their social independence.

No MeSH data available.


Freiburger monosyllables (65 dB SPL) in quiet and noise (s/n=15dB) 1, 3, 6 and 12 months after first fit.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC4627161&req=5

fig001: Freiburger monosyllables (65 dB SPL) in quiet and noise (s/n=15dB) 1, 3, 6 and 12 months after first fit.

Mentions: The fastest improvement of the audiologic performance happens within the first three months after the first fit: Freiburger monosyllables (in quiet, 65dB) nearly double from 16 % (+/-26 SD) one month after the first fit up to 29,4% (+/-26 SD) after 3 months (Figure 1). The results in noise and in the HSM sentence test are analogue. The range of benefit depends very much from individual hearing history. Patients whose duration of deafness was comparatively short had a superiorly better chance to reach satisfactory test results. 24% of the implantees even met the category high-performer, which means they reach more than 80% monosyllables in quiet. 15 patients were able to communicate via telephone and 13 patients report about a satisfying music perception.


Experiences with Bimodal Hearing and Bilateral Cochlear Implantation in the Elderly
Freiburger monosyllables (65 dB SPL) in quiet and noise (s/n=15dB) 1, 3, 6 and 12 months after first fit.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4627161&req=5

fig001: Freiburger monosyllables (65 dB SPL) in quiet and noise (s/n=15dB) 1, 3, 6 and 12 months after first fit.
Mentions: The fastest improvement of the audiologic performance happens within the first three months after the first fit: Freiburger monosyllables (in quiet, 65dB) nearly double from 16 % (+/-26 SD) one month after the first fit up to 29,4% (+/-26 SD) after 3 months (Figure 1). The results in noise and in the HSM sentence test are analogue. The range of benefit depends very much from individual hearing history. Patients whose duration of deafness was comparatively short had a superiorly better chance to reach satisfactory test results. 24% of the implantees even met the category high-performer, which means they reach more than 80% monosyllables in quiet. 15 patients were able to communicate via telephone and 13 patients report about a satisfying music perception.

View Article: PubMed Central

AUTOMATICALLY GENERATED EXCERPT
Please rate it.

The results in noise and in the HSM sentence test are analogue... The range of benefit depends very much from individual hearing history... Patients whose duration of deafness was comparatively short had a superiorly better chance to reach satisfactory test results. 24% of the implantees even met the category high-performer, which means they reach more than 80% monosyllables in quiet. 15 patients were able to communicate via telephone and 13 patients report about a satisfying music perception... Compatible to that we found a definite improvement of the audiologic performance during the first twelve months after cochlear implantation in patients aged over 70 years... We agree with Leung (et al., ) that duration of deafness along with the percentage of life lived deaf hold greater predictive power than age, demonstrating that residual hearing capacity and language abilities may hold the key to postoperative success in the elderly cochlear implant recipient... At the same time speech perception benefits of the older implantees showed large subject variability which can be explained by such factors as cause and duration of deafness, hearing aid user prior to cochlear implantation, motivation, family and environmental support... A further aspect which has not been evaluated until now was the development of audiologic performance after bilateral cochlear implantation in patients older than 70 years... The near maximum benefit was reached after a shorter period of time compared to the process of fitting the first cochlear implant... Besides the use of a hearing aid on the contralateral ear offered a particular advantage compared to the use of the cochlear implant only both in audiologic performance and quality of life... It is remarkable that the audiologic handicap measured by the HHIE questionnaire decreased significantly from a severe to a medium handicap after the supply with a cochlear implant... But there was no correlation between the audiologic performance and the individual feeling of being handicapped... In essence elderly patients show particular benefit after bimodal or bilateral supply... There is a distinct positive effect on quality of life and preservation of their social independence.

No MeSH data available.