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Title: Pre-, per- and postoperative factors affecting performance of postlinguistically deaf adults using cochlear implants: A new conceptual model over time
Authors: Lazard, Diane
Vincent, Christophe
Venail, Frédéric
Van de Heyning, Paul
Truy, Eric
Sterkers, Olivier
Skarzynski, Piotr
Skarzynski, Henryk
Schauwers, Karen
O’Leary, Stephen
Mawman, Deborah
Maat, Bert
Kleine-Punte, Andrea
Huber, Alexander
Green, Kevin
Govaerts, Paul
Fraysse, Bernard
Dowell, Richard
Dillier, Norbert
Burke, Elaine
Beynon, Andy
Bergeron, Franćois
Başken, Deniz
Artiéres, Franćoise
Blamey, Peter
Keywords: Adolescent
Adult
Age Factors
Auditory Perception
Child
Child, Preschool
Cochlear Implantation
Cochlear Implants
Deafness - Etiology
Deafness - Surgery
Hearing Aids
Hearing Loss - Etiology
Hearing Loss - Surgery
Linear Models
Perioperative Period
Retrospective Studies
Risk Factors
Treatment Outcome
Young Adult
Issue Date: Nov-2012
Publisher: PLOS
Citation: Lazard, D. S., Vincent, C., Venail, F., Van de Heyning, P., & Truy, E. (2012). Pre-, per- and postoperative factors affecting performance of postlinguistically deaf adults using cochlear implants: A new conceptual model over time. PLoS ONE, 7(11), e48739.
Abstract: OBJECTIVE: To test the influence of multiple factors on cochlear implant (CI) speech performance in quiet and in noise for postlinguistically deaf adults, and to design a model of predicted auditory performance with a CI as a function of the significant factors. STUDY DESIGN: Retrospective multi-centre study. METHODS: Data from 2251 patients implanted since 2003 in 15 international centres were collected. Speech scores in quiet and in noise were converted into percentile ranks to remove differences between centres. The influence of 15 pre-, per- and postoperative factors, such as the duration of moderate hearing loss (mHL), the surgical approach (cochleostomy or round window approach), the angle of insertion, the percentage of active electrodes, and the brand of device were tested. The usual factors, duration of profound HL (pHL), age, etiology, duration of CI experience, that are already known to have an influence, were included in the statistical analyses. RESULTS: The significant factors were: the pure tone average threshold of the better ear, the brand of device, the percentage of active electrodes, the use of hearing aids (HAs) during the period of pHL, and the duration of mHL. CONCLUSIONS: A new model was designed showing a decrease of performance that started during the period of mHL, and became faster during the period of pHL. The use of bilateral HAs slowed down the related central reorganization that is the likely cause of the decreased performance.
URI: http://repository.bionicsinstitute.org:8080/handle/123456789/36
ISSN: 1932-6203
Appears in Collections:Bionic Hearing Research Publications

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