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Patient benefit from Cochlear implantation in single-sided deafness: a 1-year follow-up

  • Otology
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Abstract

The objective of the study was to evaluate the quality of life and benefit in patients with single-side deafness before and 1 year after cochlear implantation. In a prospective observational study design, ten adult patients with single-sided deafness undergoing cochlear implantation were included. All patients had on the implantation side no speech discrimination with normal hearing aids. The contralateral side was normal or marginal hearing loss. For determining the subject benefit from cochlear implantation, each patient answered standardized questionnaires directly before implantation and 1 year after. Regarding the questionnaire Speech, Spatial and Qualities of Hearing (SSQ), the tests yielded a significant difference in the subdomains “speech intelligibility” and “spatial hearing”. The Nijmegen Cochlear Implant Questionnaire (NCIQ) showed a significant difference in the subdomain “basic sound perception”, but not in the total score. The Glasgow Hearing Aid Benefit Profile (GHABP) showed on average moderate satisfaction in the subdomains “hearing aid benefit” and “residual disability”. In general quality of life, no significant difference was found measured by the questionnaire EQ-5D-3L. One year after cochlear implantation, most patients with single-sided deafness showed benefits in hearing as measured by validated questionnaires However, not all patients reported a significant improvement in general quality of life. Therefore, it is important to inform patients adequately and offer alternative treatments before implantation.

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References

  1. Laszig R, Aschendorff A, Stecker M et al (2004) Benefits of bilateral electrical stimulation with the nucleus cochlear implant in adults: 6-month postoperative results. Otol Neurotol 25:958–968

    Article  PubMed  Google Scholar 

  2. Tyler RS, Dunn CC, Witt SA et al (2003) Update on bilateral cochlear implantation. Curr Opin Otolaryngol Head Neck Surg 11:388–393

    Article  PubMed  Google Scholar 

  3. Das S, Buchman CA (2005) Bilateral cochlear implantation: current concepts. Curr Opin Otolaryngol Head Neck Surg 13:290–293

    Article  PubMed  Google Scholar 

  4. Laske RD, Veraguth D, Dillier N et al (2009) Subjectiv and objective results after bilateral cochlear implantation in adults. Otol Neurotol 30:313–318

    Article  PubMed  Google Scholar 

  5. Giolas TG, Wark DJ (1967) Communication problems associated with unilateral hearing loss. J Speech Hear Disord 32:336–343

    Article  CAS  PubMed  Google Scholar 

  6. Schoen F, Mueller J, Helms J et al (2005) Sound localization and sensitivity to interaural cues in bilateral users of the Med-El Combi 40/40 + cochlear implant system. Otol Neurotol 26:429–437

    Article  CAS  PubMed  Google Scholar 

  7. Arndt S, Aschendorff A, Laszig R et al (2010) Comparison of pseudobinaural hearing to real binaural hearing rehabilitation after cochlear implantation in patients with unilateral deafness and tinnitus. Otol Neurotol 32:39–47

    Article  Google Scholar 

  8. Arndt S, Laszig R, Aschendorff A et al (2011) [Unilateral deafness and cochlear implantation: audiological diagnostic evaluation and outcomes]. HNO 59:437–446 (Article in German)

    Article  CAS  PubMed  Google Scholar 

  9. Firszt JB, Holden LK, Reeder RM et al (2012) Auditory abilities after cochlear implantation in adults with unilateral deafness: a pilot study. Otol Neurotol 33:1339–1346

    Article  PubMed  PubMed Central  Google Scholar 

  10. Hassepass F, Aschendorff A, Wesarg T et al (2013) Unilateral deafness in children: Audiologic and subjective assessment of hearing ability after cochlear implantation. Otol Neurotol 34:53–60

    Article  PubMed  Google Scholar 

  11. Jacob R, Stelzig Y, Nopp P et al (2011) [Audiological results with cochlear implants for single-sided deafness]. HNO 59:453–460 (Article in German)

    Article  CAS  PubMed  Google Scholar 

  12. Kamal SM, Robinson AD, Diaz RC (2012) Cochlear implantation in single-sided deafness for enhancement of sound localization and speech perception. Curr Opin Otolaryngol Head Neck Surg 20:393–397

    Article  PubMed  Google Scholar 

  13. Távora-Vieira D, Marino R, Krishnaswamy J et al (2013) Cochlear Implantation for unilateral deafness with and without tinnitus: a case series. Laryngoscope 123:1251–1255

    Article  PubMed  Google Scholar 

  14. Punte AK, Vermeire K, Hofkens A et al (2011) Cochlear Implantation as a durable tinnitus treatment in single-sided deafness. Cochlear Implants Int 12:S26–S29

    Article  PubMed  Google Scholar 

  15. Hoth S, Rösli M, Herisanu I et al (2016) Cochlear implantation in recipients with single sided deafness: audiological performance. Cochlear Implants Int 17:190–199

    Article  PubMed  Google Scholar 

  16. Burstrom; Johannesson, M; Diderichsen, F et al (2006) A comparison of individual and social time-trade-off values for health states in the general population. Health Policy 76:359–370

    Article  PubMed  Google Scholar 

  17. Schulenburg/Schöffski [Hrsg.] (2007) Gesundheitsökonomische evaluationen. Springer, Berlin, S. 361 ff

    Google Scholar 

  18. Müller J, Schön F, Helms J (2002) Speech understanding in quiet and noise in bilateral users of the MED-EL COMBI 40/40 + cochlear implant system. Ear Hear 23:198–206

    Article  PubMed  Google Scholar 

  19. Grossmann W, Brill S, Moeltner A et al (2016) Cochlear implantation improves spatial release from masking and restores localization abilities in sigle-sided deaf patients. Otol Neurotol 37:658–664

    Article  PubMed  Google Scholar 

  20. Vermeire K, Heyning PV (2009) Binaural hearing after cochlear implantation in subjects with unilateral sensorineural deafness and tinnitus. Audiol Neurotol 14:163–171

    Article  Google Scholar 

  21. Nawaz S, McNeill C, Greenberg SL (2014) Improving sound localization after cochlear implantation and auditory training for the management of single sided deafness. Otol Neurotol 35:271–276

    Article  PubMed  Google Scholar 

  22. Kitterick PT, Lucas L, Smith SN (2015) Improving health-related quality of life in single-sided deafness: a systematic review and meta-analysis. Audiol Neurotol 20:79–86

    Article  Google Scholar 

  23. Rösli M, Hoth S, Baumann I et al (2015) [The impact of cochlear implants on the quality of life of patients with single-sided deafness]. HNO 63:182–188 (Article in German)

    Article  PubMed  Google Scholar 

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Correspondence to Julia Louza.

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All procedures performed in this study were in accordance with the ethical standards of the institutional and national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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None of the authors have a conflict of interest or financial disclosures to declare.

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Louza, J., Hempel, JM., Krause, E. et al. Patient benefit from Cochlear implantation in single-sided deafness: a 1-year follow-up. Eur Arch Otorhinolaryngol 274, 2405–2409 (2017). https://doi.org/10.1007/s00405-017-4511-1

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  • DOI: https://doi.org/10.1007/s00405-017-4511-1

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