Early outcomes after cochlear implantation for adults and children with unilateral hearing loss

Laryngoscope. 2017 Jul;127(7):1683-1688. doi: 10.1002/lary.26337. Epub 2016 Oct 12.

Abstract

Objectives/hypothesis: This study was designed to examine speech recognition and self-perceived health-related quality of life (HRQoL) received from cochlear implantation among a cohort of adults and children with a short duration of unilateral hearing loss greater than 6 months, but less than 2 years.

Study design: Single-subject repeated measures prospective study.

Methods: This study assessed changes in speech recognition and self-perceived quality of life by prospectively analyzing data at the preoperative evaluation and at the 3-month and 6-month postactivation intervals. Measurement tools included Medical Outcomes Study Questionnaire Short Form 36, Nijmegen Cochlear Implant Questionnaire, Speech Spatial and Qualities of Hearing-Comparative, and speech recognition measures in quiet and in noise.

Results: Results indicated significant improvement in speech recognition, both in quiet and noise. Quality-of-life measures showed a significant increase in self-perceived benefit with disease-specific instruments, but remained constant with a generic HRQoL instrument.

Conclusions: Cochlear implantation was a successful intervention for improved hearing in quiet and noise, and a self-perceived benefit for this group of adults and children with a short duration of unilateral hearing loss.

Level of evidence: 4 Laryngoscope, 127:1683-1688, 2017.

Keywords: Cochlear implantation; quality of life; single-sided deafness; sound localization; sudden sensorineural hearing loss; unilateral hearing loss.

Publication types

  • Clinical Study

MeSH terms

  • Adolescent
  • Adult
  • Child
  • Cochlear Implantation*
  • Cohort Studies
  • Female
  • Hearing Loss, Unilateral / rehabilitation*
  • Humans
  • Male
  • Middle Aged
  • Outcome Assessment, Health Care*
  • Prospective Studies
  • Quality of Life*
  • Speech Reception Threshold Test*