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European Archives of Oto-Rhino-Laryngology

Erschienen in:

28.06.2023 | Otology

Prognostic factors in pediatric cochlear implant: an outcome-based study

verfasst von: Seyedeh Fatemeh Mahmoudi Hashemi, Mohsen Rajati, Razieh Yousefi, Mohammad Mahdi Ghasemi, Hamid Tayarani, Mohammad Reza Tale

Erschienen in: European Archives of Oto-Rhino-Laryngology | Ausgabe 12/2023

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Abstract

Objective

To determine the prognostic factors in the pediatric cochlear implant (CI) outcome.

Materials and methods

This prospective cohort study was conducted on 289 pediatric cases with prelingual hearing loss who received cochlear implantation. Several possible salient factors have been recorded. Auditory and speech evaluations were performed before CI, as well as 6 and 12 months after surgery, using Categories of Auditory Performance (CAP) and Speech Intelligibility Rating (SIR) tests.

Results

According to univariate analysis, age at the time of surgery was a statistically significant factor. Neurological problems in the child, history of newborn infectious diseases, history of hearing aid use, proper parental cooperation, and round window approach were all significantly related to better auditory or speech outcomes. On the other hand, good parental cooperation and age (for CAP) and good parental cooperation, age, history of infectious disease, and hearing aids use (for SIR) are the significant factors in the multivariate setting.

Conclusion

As evidenced by the obtained results, age, background diseases, history of rehabilitation with hearing aids, and surgical details are essential factors to be taken into account in the case-selection process.

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Titel: Prognostic factors in pediatric cochlear implant: an outcome-based study
verfasst von: Seyedeh Fatemeh Mahmoudi Hashemi
Mohsen Rajati
Razieh Yousefi
Mohammad Mahdi Ghasemi
Hamid Tayarani
Mohammad Reza Tale
Publikationsdatum: 28.06.2023
Verlag: Springer Berlin Heidelberg
Erschienen in: European Archives of Oto-Rhino-Laryngology / Ausgabe 12/2023
Print ISSN: 0937-4477
Elektronische ISSN: 1434-4726
DOI: https://doi.org/10.1007/s00405-023-08054-1

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Abstract

Objective

Materials and methods

Results

Conclusion

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