Cochlear implantation as a solution for unilateral deafness in children – first experience
Authors:
Z. Aksenovová
; J. Skřivan
; P. Hermann
; M. Okluský
; Z. Čada
Authors‘ workplace:
Klinika ušní, nosní a krční 2. LF UK a FN v Motole, Praha
Published in:
Otorinolaryngol Foniatr, 72, 2023, No. 2, pp. 72-77.
Category:
Original Article
doi:
https://doi.org/10.48095/ccorl202372
Overview
Introduction: Single-sided deafness (SSD) is characterized by hearing loss in one ear (pure tone average – PTA – 70 dB HL and more) with practically normal hearing in the other ear (losses up to 30 dB HL). One of the solutions is cochlear implantation, which, unlike other compensatory mechanisms (CROS system, direct bone conduction systems), is the only one that enables binaural hearing. Material and methods: Six pediatric patients with SSD who underwent cochlear implantation at FN Motol in 2020–2021 were included in the study. We monitored the development of auditory perception with a cochlear implant, the ability of directional hearing and the average daily time of use of the sound processor. Results: All patients use the sound processor regularly, subjectively and objectively their hearing perception improved. Directional hearing is not yet demonstrable. We will continue to monitor the patients and the knowledge gained will need to be verified on a larger set in the future. Conclusion: Cochlear implantation can be a suitable way to solve unilateral deafness in children. When indicating, it is necessary to consider the etiology of the hearing defect, the duration of the deafness, and the motivation of the children and their parents to regularly use the sound processor.
Keywords:
cochlear implantation – speech perception – single sided deafness
Sources
1. Avan P, Giraudet F, Buki B. Importance of binaural hearing. Audiol Neurootol 2015; 20(Suppl 1): 3–6. Doi: 10.1159/ 000380741.
2. Polonenko MJ, Papsin BC, Gordon KA. Cortical plasticity with bimodal hearing in children with asymmetric hearing loss. Hear Res 2019; 372: 88–98. Doi: 10.1016/ j.heares.2018.02.003.
3. Kumpik DP, King AJ. A review of the effects of unilateral hearing loss on spatial hearing. Hear Res 2019; 372: 17–28. Doi: 10.1016/ j. heares.2018.08.003.
4. Van de Heyning P, Tavora-Vieira D, Mertens G et al. Towards a Unified Testing Framework for Single-Sided Deafness Studies: A Consensus Paper. Audiol Neurootol 2016; 21(6): 391–398. Doi: 10.1159/ 000455058.
5. Svobodová V, Profant O, Plzák J, Syka J. Asymetrická porucha sluchu. Otorinolaryngol Foniatr 2019; 68(1): 53–59.
6. Bess FH, Tharpe AM. An introduction to unilateral sensorineural hearing loss in children. Ear Hear 1986; 7(1): 3–13. Doi: 10.1097/ 000 03446-198602000-00003.
7. Sangen A, Royackers L, Desloovere C et al. Single- sided deafness aff ects language and auditory development – a case-control study. Clin Otolaryngol 2017; 42(5): 979–987. Doi: 10.1111/ coa.12826.
8. Havlík R, Weberová P, Lejska M. Binaurální korekce sluchové vady. Otorinolaryngol Foniatr 2004; 53(1): 20–24
. 9. Havlík R. Přínos binaurální korekce pro srozumitelnost řeči – vliv tíže sluchové vady. Otorinolaryngol Foniatr 2009; 58(4): 204–210.
10. Harford E, Barry J. A rehabilitate approach to the problem of unilateral hearing impairment: The contralateral routing of signals CROS. J Speech Hear Disord 1965; 30: 121–138. Doi: 10.1044/ jshd.3002.121.
11. Harford E, Dodds E. The clinical application of CROS. A hearing aid for unilateral deafness. Arch Otolaryngol 1966; 83: 455–464. Doi: 10.1001/ archotol.1966.00760020457010.
12. Snapp H. Nonsurgical Management of Single- Sided Deafness: Contralateral Routing of Signal. J Neurol Surg B Skull Base 2019; 80(2): 132–138. Doi: 10.1055/ s-0039-1677687.
13. Valente M, Potts LG, Valente M et al. Wireless CROS Versus Transcranial CROS for Unilateral Hearing Loss. Am J Audiol 1995; 4: 52–59. Doi: 10.1044/ 1059-0889.0401.52.
14. Kitterick PT, Smith SN, Lucas L. Hearing Instruments for Unilateral Severe-to-Profound Sensorineural Hearing Loss in Adults: A Systematic Review and Meta-Analysis. Ear Hear 2016; 37(5): 495–507. Doi: 10.1097/ AUD.0000000000000313.
15. Schroder SA, Ravn T, Bonding P. BAHA in single-sided deafness: patient compliance and subjective benefi t. Otol Neurotol 2010; 31(3): 404–408. Doi: 10.1097/ MAO.0b013e3181d27cc0.
16. Finbow J, Bance M, Aiken S et al. A Comparison Between Wireless CROS and Bone-anchored Hearing Devices for Single-sided Deafness: A Pilot Study. Otol Neurotol 2015; 36(5): 819–825. Doi:10.1097/ MAO.0000000000000762.
17. Veselý M, Gál B, Hložek J et al. Rehabilitace jednostranné hluchoty pomocí implantabilního systému pro přímé kostní vedení – Bonebridge. Otorinolaryngol Foniatr 2021; 70(2): 65–73. Doi: 10.48095/ccorl202165.
18. Krempaská S, Kovaľ J. Hodnotenie prínosu BAHA implantátu u pacientov s jednostrannou hluchotou. Otorinolaryngol Foniatr 2012; 61(4): 249–254.
19. Bouček J, Vokřál J, Černý L et al. Baha jako možné řešení jednostranné hluchoty. Cesk Slov Neurol N 2016; 79/ 112(3): 324–330.
20. Bouček J, Chovanec,M, Vokřál J et al. Baha jako řešení jednostranné hluchoty po operaci vestibulárního schwannomu. Cesk Slov Neurol N 2012; 75/ 108(5): 602–605.
21. Agterberg MJ, Snik AF, Van de Goor RM et al. Sound-localization performance of patients with single-sided deafness is not improved when listening with a bone-conduction device. Hear Res 2019; 372: 62–68. Doi: 10.1016/ j.heares.2018.04.007.
22. Niparko JK, Cox KM, Lustig LR. Comparison of the bone anchored hearing aid implantable hearing device with contralateral routing of off - side signal amplifi cation in the rehabilitation of unilateral deafness. Otol Neurotol 2003; 24(1): 73–78. Doi: 10.1097/ 00129492-200301000-00 015.
23. Van de Heyning P, Vermeire K, Diebl M et al. Incapacitating unilateral tinnitus in single-sided deafness treated by cochlear implantation. Ann Otol Rhinol Laryngol 2008; 117(9): 645–652. Doi: 10.1177/ 000348940811700903.
24. Arts RA, George EL, Stokroos RJ et al. Review: cochlear implants as a treatment of tinnitus in single-sided deafness. Curr Opin Otolaryngol Head Neck Surg 2012; 20(5): 398–403. Doi: 10.1097/ MOO.0b013e3283577b66.
25. Blasco MA, Redleaf MI. Cochlear implantation in unilateral sudden deafness improves tinnitus and speech comprehension: meta-analysis and systematic review. Otol Neurotol 2014; 35(8): 1426–1432. doi: 10.1097/ MAO.0000000000000 431.
26. Wieringen A, Boudewyns A, Sangen A et al. Unilateral congenital hearing loss in children: Challenges and potentials. Hear Res 2019; 372: 29–41. Doi: 10.1016/ j.heares.2018.01.010.
27. Indikační kritéria pro implantovatelné sluchové pomůcky 2020. Schváleno VZP ČR, SZP ČR a ČSORLCHHK ČSL JEP dne 23. 10. 2019. Dostupné z https:/ / www.otorinolaryngologie. cz/ content/ uploads/ 2020/ 02/ indikacni-kriteria- ci.pdf.
28. Havlíková E, Zeleník K, Komínek P. Stav screeningu sluchu novorozenců v ČR. Otorino laryngol Foniatr 2015; 64(1): 13–16.
29. Chrobok V, Dršata J, Janouch M et al. Aktualizace metodiky celoplošného screeningu sluchu novorozenců v České republice. Čas Lék čes 2019; 158(6): 221–224.
30. Seeman M et al (eds). Česká slovní audiometrie. Praha: SZN 1960.
31. Junior FC, Pinna MH, Alves RD et al. Cochlear Implantation and Single-sided Deafness: A Systematic Review of the Literature. Int Arch Otorhinolaryngol 2016; 20(1): 69–75. Doi: 10.1055/ s-0035-1559586.
32. Benchetrit L, Ronner EA, Anne S et al. Cochlear Implantation in Children With Single-Sided Deafness: A Systematic Review and Meta-analysis. JAMA Otolaryngol Head Neck Surg 2021; 147(1): 58–69. Doi: 10.1001/ jamaoto.2020.3 852.
33. Zeitler DM, Sladen DP, DeJong MD et al. Cochlear implantation for single-sided deafness in children and adolescents. Int J Pediatr Otorhinolaryngol 2019; 118: 128–133. Doi: 10.1016/ j. ijporl.2018.12.037.
34. Rahne T, Plontke SK. Functional results after cochlear implantation in children and adults with single-sided deafness. Otol Neurotol 2016; 37(9): 332–340. Doi: 10.1097/ MAO.00000 00000000971.
35. Távora-Vieira D, Rajan GP. Cochlear implantation in children with congenital unilateral deafness: mid-term follow-up outcomes. Eur Ann Otorinolaryngol Head Neck Dis 2016; 133(1): 12–14. Doi: 10.1016/ j.anorl.2016.04.016.
36. Arndt S, Prosse S, Laszig R et al. Cochlear implantation in children with single-sided deafness: does aetiology and duration of deafness matter? Audiol Neurotol 2015; 20(1): 21–30. Doi: 10.1159/ 000380744.
37. Thomas JP, Neumann K, Dazert S et al. Cochlear implantatiopn in children with congenital single-sided deafness. Otol Neurotol. 2017; 38(4): 496–503. Doi: 10.1097/ MAO.0000000 000001343
. 38. Ray J, Wright T, Fielden C et al. Non-users and limited users of cochlear implants. Cochlear Implants Int 2006; 7(1): 49–58. Doi:10.1179/ cim. 2006.7.1.49.
39. Özdemir S, Tuncer Ü, Tarkan Ö et al. Factors contributing to limited or non-use in the cochlear implant systems in children: 11 years experience. Int J Pediatr Otorhinolaryngol 2013; 77(3): 407–409. Doi: 10.1016/ j.ijporl.2012.11.041.
40. Archbold SM, Nikolopoulos TP, Lloyd-Richmond H. Long-term use of cochlear implant systems in paediatric recipients and factors contributing to non-use. Cochlear Implants Int 2009; 10(1): 25–40. Doi: 10.1179/ cim.2009.10. 1.25.
Labels
Audiology Paediatric ENT ENT (Otorhinolaryngology)Article was published in
Otorhinolaryngology and Phoniatrics
2023 Issue 2
Most read in this issue
- Cochlear implantation as a solution for unilateral deafness in children – first experience
- Experiences with the objective examination of swallowing using the flexible endoscopy in the years 2014–2021
- Hearing loss in patients with Fabry disease
- Comparison of mutual associations and sensitivity of individual diagnostic methods in the process of identification of extraesophageal reflux