Stable benefits of bilateral over unilateral cochlear implantation after two years: A randomized controlled trial
Objectives/Hypothesis To investigate hearing capabilities and self‐reported benefits of simultaneous bilateral cochlear implantation (BiCI) compared with unilateral cochlear implantation (UCI) after a 2‐year follow‐up and to evaluate the learning effect of cochlear implantees over time. Study Design...
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| Veröffentlicht in: | The Laryngoscope 2017-05, Vol.127 (5), p.1161-1168 |
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| creator | van Zon, Alice Smulders, Yvette E. Stegeman, Inge Ramakers, Geerte G. J. Kraaijenga, Veronique J. C. Koenraads, Simone P. C. Zanten, Gijsbert A. Van Rinia, Albert B. Stokroos, Robert J. Free, Rolien H. Frijns, Johan H. M. Huinck, Wendy J. Mylanus, Emmanuel A. M. Tange, Rinze A. Smit, Adriana L. Thomeer, Hans G. X. M. Topsakal, Vedat Grolman, Wilko |
| description | Objectives/Hypothesis
To investigate hearing capabilities and self‐reported benefits of simultaneous bilateral cochlear implantation (BiCI) compared with unilateral cochlear implantation (UCI) after a 2‐year follow‐up and to evaluate the learning effect of cochlear implantees over time.
Study Design
Multicenter randomized controlled trial.
Methods
Thirty‐eight postlingually deafened adults were included in this study and randomly allocated to either UCI or simultaneous BiCI. Our primary outcome was speech intelligibility in noise, with speech and noise coming from straight ahead (Utrecht–Sentence Test with Adaptive Randomized Roving levels). Secondary outcomes were speech intelligibility in noise with spatially separated sources, speech intelligibility in silence (Dutch phoneme test), localization capabilities and self‐reported benefits assessed with different quality of hearing and quality of life (QoL) questionnaires. This article describes the results after 2 years of follow‐up.
Results
We found comparable results for the UCI and simultaneous BiCI group, when speech and noise were both presented from straight ahead. Patients in the BiCI group performed significantly better than patients in the UCI group, when speech and noise came from different directions (P = .01). Furthermore, their localization capabilities were significantly better. These results were consistent with patients' self‐reported hearing capabilities, but not with the questionnaires regarding QoL. We found no significant differences on any of the subjective and objective reported outcomes between the 1‐year and 2‐year follow‐up.
Conclusions
This study demonstrates important benefits of simultaneous BiCI compared with UCI that remain stable over time. Bilaterally implanted patients benefit significantly in difficult everyday listening situations such as when speech and noise come from different directions. Furthermore, bilaterally implanted patients are able to localize sounds, which is impossible for unilaterally implanted patients.
Level of Evidence
1b Laryngoscope, 127:1161–1168, 2017 |
| doi_str_mv | 10.1002/lary.26239 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1859720923</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2336952549</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4519-877bc3ac42410995b551665695e72e0001c88fef3b60f32d45e545064925c77a3</originalsourceid><addsrcrecordid>eNp9kV9LHDEUxUNR6mr70g8gAV-kMDZ_JpOJb4tYKywItoX2KWSyd2gkM1mTjMv66c121QcffMoN53fPvZeD0BdKzigh7Js3cXPGGsbVBzSjgtOqVkrsoVkRedUK9ucAHaZ0RwiVXJCP6IDJppGSsxm6_5lN5wF3MELvcsKhx53zJkM0HocHiHgaX_822H8eTMRuWHkzZpNdGLHpi4rzOuBN0dI5nuNoxmUY3CMsS8-YY_C-lDk64z-h_d74BJ-f3yP0-_vlr4sf1eLm6vpivqhsLaiqWik7y42tWU1JOacTgjaNaJQAyYCUW2zb9tDzriE9Z8tagKgFaWrFhJXS8CN0uvNdxXA_Qcp6cMmCL3tDmJKmrVCSEcV4QU_eoHdhimPZThe1jGSiVu9RtG3lNgrSFurrjrIxpBSh16vohpKQpkRvGb2NS_-Pq8DHz5ZTN8DyFX3JpwB0B6ydh807Vnoxv_27M30COSae3A</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1887100208</pqid></control><display><type>article</type><title>Stable benefits of bilateral over unilateral cochlear implantation after two years: A randomized controlled trial</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>van Zon, Alice ; Smulders, Yvette E. ; Stegeman, Inge ; Ramakers, Geerte G. J. ; Kraaijenga, Veronique J. C. ; Koenraads, Simone P. C. ; Zanten, Gijsbert A. Van ; Rinia, Albert B. ; Stokroos, Robert J. ; Free, Rolien H. ; Frijns, Johan H. M. ; Huinck, Wendy J. ; Mylanus, Emmanuel A. M. ; Tange, Rinze A. ; Smit, Adriana L. ; Thomeer, Hans G. X. M. ; Topsakal, Vedat ; Grolman, Wilko</creator><creatorcontrib>van Zon, Alice ; Smulders, Yvette E. ; Stegeman, Inge ; Ramakers, Geerte G. J. ; Kraaijenga, Veronique J. C. ; Koenraads, Simone P. C. ; Zanten, Gijsbert A. Van ; Rinia, Albert B. ; Stokroos, Robert J. ; Free, Rolien H. ; Frijns, Johan H. M. ; Huinck, Wendy J. ; Mylanus, Emmanuel A. M. ; Tange, Rinze A. ; Smit, Adriana L. ; Thomeer, Hans G. X. M. ; Topsakal, Vedat ; Grolman, Wilko</creatorcontrib><description>Objectives/Hypothesis
To investigate hearing capabilities and self‐reported benefits of simultaneous bilateral cochlear implantation (BiCI) compared with unilateral cochlear implantation (UCI) after a 2‐year follow‐up and to evaluate the learning effect of cochlear implantees over time.
Study Design
Multicenter randomized controlled trial.
Methods
Thirty‐eight postlingually deafened adults were included in this study and randomly allocated to either UCI or simultaneous BiCI. Our primary outcome was speech intelligibility in noise, with speech and noise coming from straight ahead (Utrecht–Sentence Test with Adaptive Randomized Roving levels). Secondary outcomes were speech intelligibility in noise with spatially separated sources, speech intelligibility in silence (Dutch phoneme test), localization capabilities and self‐reported benefits assessed with different quality of hearing and quality of life (QoL) questionnaires. This article describes the results after 2 years of follow‐up.
Results
We found comparable results for the UCI and simultaneous BiCI group, when speech and noise were both presented from straight ahead. Patients in the BiCI group performed significantly better than patients in the UCI group, when speech and noise came from different directions (P = .01). Furthermore, their localization capabilities were significantly better. These results were consistent with patients' self‐reported hearing capabilities, but not with the questionnaires regarding QoL. We found no significant differences on any of the subjective and objective reported outcomes between the 1‐year and 2‐year follow‐up.
Conclusions
This study demonstrates important benefits of simultaneous BiCI compared with UCI that remain stable over time. Bilaterally implanted patients benefit significantly in difficult everyday listening situations such as when speech and noise come from different directions. Furthermore, bilaterally implanted patients are able to localize sounds, which is impossible for unilaterally implanted patients.
Level of Evidence
1b Laryngoscope, 127:1161–1168, 2017</description><identifier>ISSN: 0023-852X</identifier><identifier>EISSN: 1531-4995</identifier><identifier>DOI: 10.1002/lary.26239</identifier><identifier>PMID: 27667732</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>Adult ; Aged ; Clinical trials ; cochlear implantation ; Cochlear Implantation - methods ; Cochlear Implants ; deafness ; Female ; hearing aids ; hearing loss ; Hearing Loss, Bilateral - surgery ; Hearing Loss, Sensorineural - surgery ; Humans ; Localization ; Male ; Middle Aged ; Noise ; Personal protective equipment ; Quality of Life ; Questionnaires ; sound localization ; Speech ; Speech Intelligibility ; Surveys and Questionnaires ; Treatment Outcome</subject><ispartof>The Laryngoscope, 2017-05, Vol.127 (5), p.1161-1168</ispartof><rights>2016 The American Laryngological, Rhinological and Otological Society, Inc.</rights><rights>2017 The American Laryngological, Rhinological and Otological Society, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4519-877bc3ac42410995b551665695e72e0001c88fef3b60f32d45e545064925c77a3</citedby><cites>FETCH-LOGICAL-c4519-877bc3ac42410995b551665695e72e0001c88fef3b60f32d45e545064925c77a3</cites><orcidid>0000-0001-7869-1313</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Flary.26239$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Flary.26239$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27667732$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>van Zon, Alice</creatorcontrib><creatorcontrib>Smulders, Yvette E.</creatorcontrib><creatorcontrib>Stegeman, Inge</creatorcontrib><creatorcontrib>Ramakers, Geerte G. J.</creatorcontrib><creatorcontrib>Kraaijenga, Veronique J. C.</creatorcontrib><creatorcontrib>Koenraads, Simone P. C.</creatorcontrib><creatorcontrib>Zanten, Gijsbert A. Van</creatorcontrib><creatorcontrib>Rinia, Albert B.</creatorcontrib><creatorcontrib>Stokroos, Robert J.</creatorcontrib><creatorcontrib>Free, Rolien H.</creatorcontrib><creatorcontrib>Frijns, Johan H. M.</creatorcontrib><creatorcontrib>Huinck, Wendy J.</creatorcontrib><creatorcontrib>Mylanus, Emmanuel A. M.</creatorcontrib><creatorcontrib>Tange, Rinze A.</creatorcontrib><creatorcontrib>Smit, Adriana L.</creatorcontrib><creatorcontrib>Thomeer, Hans G. X. M.</creatorcontrib><creatorcontrib>Topsakal, Vedat</creatorcontrib><creatorcontrib>Grolman, Wilko</creatorcontrib><title>Stable benefits of bilateral over unilateral cochlear implantation after two years: A randomized controlled trial</title><title>The Laryngoscope</title><addtitle>Laryngoscope</addtitle><description>Objectives/Hypothesis
To investigate hearing capabilities and self‐reported benefits of simultaneous bilateral cochlear implantation (BiCI) compared with unilateral cochlear implantation (UCI) after a 2‐year follow‐up and to evaluate the learning effect of cochlear implantees over time.
Study Design
Multicenter randomized controlled trial.
Methods
Thirty‐eight postlingually deafened adults were included in this study and randomly allocated to either UCI or simultaneous BiCI. Our primary outcome was speech intelligibility in noise, with speech and noise coming from straight ahead (Utrecht–Sentence Test with Adaptive Randomized Roving levels). Secondary outcomes were speech intelligibility in noise with spatially separated sources, speech intelligibility in silence (Dutch phoneme test), localization capabilities and self‐reported benefits assessed with different quality of hearing and quality of life (QoL) questionnaires. This article describes the results after 2 years of follow‐up.
Results
We found comparable results for the UCI and simultaneous BiCI group, when speech and noise were both presented from straight ahead. Patients in the BiCI group performed significantly better than patients in the UCI group, when speech and noise came from different directions (P = .01). Furthermore, their localization capabilities were significantly better. These results were consistent with patients' self‐reported hearing capabilities, but not with the questionnaires regarding QoL. We found no significant differences on any of the subjective and objective reported outcomes between the 1‐year and 2‐year follow‐up.
Conclusions
This study demonstrates important benefits of simultaneous BiCI compared with UCI that remain stable over time. Bilaterally implanted patients benefit significantly in difficult everyday listening situations such as when speech and noise come from different directions. Furthermore, bilaterally implanted patients are able to localize sounds, which is impossible for unilaterally implanted patients.
Level of Evidence
1b Laryngoscope, 127:1161–1168, 2017</description><subject>Adult</subject><subject>Aged</subject><subject>Clinical trials</subject><subject>cochlear implantation</subject><subject>Cochlear Implantation - methods</subject><subject>Cochlear Implants</subject><subject>deafness</subject><subject>Female</subject><subject>hearing aids</subject><subject>hearing loss</subject><subject>Hearing Loss, Bilateral - surgery</subject><subject>Hearing Loss, Sensorineural - surgery</subject><subject>Humans</subject><subject>Localization</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Noise</subject><subject>Personal protective equipment</subject><subject>Quality of Life</subject><subject>Questionnaires</subject><subject>sound localization</subject><subject>Speech</subject><subject>Speech Intelligibility</subject><subject>Surveys and Questionnaires</subject><subject>Treatment Outcome</subject><issn>0023-852X</issn><issn>1531-4995</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kV9LHDEUxUNR6mr70g8gAV-kMDZ_JpOJb4tYKywItoX2KWSyd2gkM1mTjMv66c121QcffMoN53fPvZeD0BdKzigh7Js3cXPGGsbVBzSjgtOqVkrsoVkRedUK9ucAHaZ0RwiVXJCP6IDJppGSsxm6_5lN5wF3MELvcsKhx53zJkM0HocHiHgaX_822H8eTMRuWHkzZpNdGLHpi4rzOuBN0dI5nuNoxmUY3CMsS8-YY_C-lDk64z-h_d74BJ-f3yP0-_vlr4sf1eLm6vpivqhsLaiqWik7y42tWU1JOacTgjaNaJQAyYCUW2zb9tDzriE9Z8tagKgFaWrFhJXS8CN0uvNdxXA_Qcp6cMmCL3tDmJKmrVCSEcV4QU_eoHdhimPZThe1jGSiVu9RtG3lNgrSFurrjrIxpBSh16vohpKQpkRvGb2NS_-Pq8DHz5ZTN8DyFX3JpwB0B6ydh807Vnoxv_27M30COSae3A</recordid><startdate>201705</startdate><enddate>201705</enddate><creator>van Zon, Alice</creator><creator>Smulders, Yvette E.</creator><creator>Stegeman, Inge</creator><creator>Ramakers, Geerte G. J.</creator><creator>Kraaijenga, Veronique J. C.</creator><creator>Koenraads, Simone P. C.</creator><creator>Zanten, Gijsbert A. Van</creator><creator>Rinia, Albert B.</creator><creator>Stokroos, Robert J.</creator><creator>Free, Rolien H.</creator><creator>Frijns, Johan H. M.</creator><creator>Huinck, Wendy J.</creator><creator>Mylanus, Emmanuel A. M.</creator><creator>Tange, Rinze A.</creator><creator>Smit, Adriana L.</creator><creator>Thomeer, Hans G. X. M.</creator><creator>Topsakal, Vedat</creator><creator>Grolman, Wilko</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-7869-1313</orcidid></search><sort><creationdate>201705</creationdate><title>Stable benefits of bilateral over unilateral cochlear implantation after two years: A randomized controlled trial</title><author>van Zon, Alice ; Smulders, Yvette E. ; Stegeman, Inge ; Ramakers, Geerte G. J. ; Kraaijenga, Veronique J. C. ; Koenraads, Simone P. C. ; Zanten, Gijsbert A. Van ; Rinia, Albert B. ; Stokroos, Robert J. ; Free, Rolien H. ; Frijns, Johan H. M. ; Huinck, Wendy J. ; Mylanus, Emmanuel A. M. ; Tange, Rinze A. ; Smit, Adriana L. ; Thomeer, Hans G. X. M. ; Topsakal, Vedat ; Grolman, Wilko</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4519-877bc3ac42410995b551665695e72e0001c88fef3b60f32d45e545064925c77a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Clinical trials</topic><topic>cochlear implantation</topic><topic>Cochlear Implantation - methods</topic><topic>Cochlear Implants</topic><topic>deafness</topic><topic>Female</topic><topic>hearing aids</topic><topic>hearing loss</topic><topic>Hearing Loss, Bilateral - surgery</topic><topic>Hearing Loss, Sensorineural - surgery</topic><topic>Humans</topic><topic>Localization</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Noise</topic><topic>Personal protective equipment</topic><topic>Quality of Life</topic><topic>Questionnaires</topic><topic>sound localization</topic><topic>Speech</topic><topic>Speech Intelligibility</topic><topic>Surveys and Questionnaires</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>van Zon, Alice</creatorcontrib><creatorcontrib>Smulders, Yvette E.</creatorcontrib><creatorcontrib>Stegeman, Inge</creatorcontrib><creatorcontrib>Ramakers, Geerte G. J.</creatorcontrib><creatorcontrib>Kraaijenga, Veronique J. C.</creatorcontrib><creatorcontrib>Koenraads, Simone P. C.</creatorcontrib><creatorcontrib>Zanten, Gijsbert A. Van</creatorcontrib><creatorcontrib>Rinia, Albert B.</creatorcontrib><creatorcontrib>Stokroos, Robert J.</creatorcontrib><creatorcontrib>Free, Rolien H.</creatorcontrib><creatorcontrib>Frijns, Johan H. M.</creatorcontrib><creatorcontrib>Huinck, Wendy J.</creatorcontrib><creatorcontrib>Mylanus, Emmanuel A. M.</creatorcontrib><creatorcontrib>Tange, Rinze A.</creatorcontrib><creatorcontrib>Smit, Adriana L.</creatorcontrib><creatorcontrib>Thomeer, Hans G. X. M.</creatorcontrib><creatorcontrib>Topsakal, Vedat</creatorcontrib><creatorcontrib>Grolman, Wilko</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>The Laryngoscope</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>van Zon, Alice</au><au>Smulders, Yvette E.</au><au>Stegeman, Inge</au><au>Ramakers, Geerte G. J.</au><au>Kraaijenga, Veronique J. C.</au><au>Koenraads, Simone P. C.</au><au>Zanten, Gijsbert A. Van</au><au>Rinia, Albert B.</au><au>Stokroos, Robert J.</au><au>Free, Rolien H.</au><au>Frijns, Johan H. M.</au><au>Huinck, Wendy J.</au><au>Mylanus, Emmanuel A. M.</au><au>Tange, Rinze A.</au><au>Smit, Adriana L.</au><au>Thomeer, Hans G. X. M.</au><au>Topsakal, Vedat</au><au>Grolman, Wilko</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Stable benefits of bilateral over unilateral cochlear implantation after two years: A randomized controlled trial</atitle><jtitle>The Laryngoscope</jtitle><addtitle>Laryngoscope</addtitle><date>2017-05</date><risdate>2017</risdate><volume>127</volume><issue>5</issue><spage>1161</spage><epage>1168</epage><pages>1161-1168</pages><issn>0023-852X</issn><eissn>1531-4995</eissn><abstract>Objectives/Hypothesis
To investigate hearing capabilities and self‐reported benefits of simultaneous bilateral cochlear implantation (BiCI) compared with unilateral cochlear implantation (UCI) after a 2‐year follow‐up and to evaluate the learning effect of cochlear implantees over time.
Study Design
Multicenter randomized controlled trial.
Methods
Thirty‐eight postlingually deafened adults were included in this study and randomly allocated to either UCI or simultaneous BiCI. Our primary outcome was speech intelligibility in noise, with speech and noise coming from straight ahead (Utrecht–Sentence Test with Adaptive Randomized Roving levels). Secondary outcomes were speech intelligibility in noise with spatially separated sources, speech intelligibility in silence (Dutch phoneme test), localization capabilities and self‐reported benefits assessed with different quality of hearing and quality of life (QoL) questionnaires. This article describes the results after 2 years of follow‐up.
Results
We found comparable results for the UCI and simultaneous BiCI group, when speech and noise were both presented from straight ahead. Patients in the BiCI group performed significantly better than patients in the UCI group, when speech and noise came from different directions (P = .01). Furthermore, their localization capabilities were significantly better. These results were consistent with patients' self‐reported hearing capabilities, but not with the questionnaires regarding QoL. We found no significant differences on any of the subjective and objective reported outcomes between the 1‐year and 2‐year follow‐up.
Conclusions
This study demonstrates important benefits of simultaneous BiCI compared with UCI that remain stable over time. Bilaterally implanted patients benefit significantly in difficult everyday listening situations such as when speech and noise come from different directions. Furthermore, bilaterally implanted patients are able to localize sounds, which is impossible for unilaterally implanted patients.
Level of Evidence
1b Laryngoscope, 127:1161–1168, 2017</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>27667732</pmid><doi>10.1002/lary.26239</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0001-7869-1313</orcidid></addata></record> |
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| ispartof | The Laryngoscope, 2017-05, Vol.127 (5), p.1161-1168 |
| issn | 0023-852X 1531-4995 |
| language | eng |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Adult Aged Clinical trials cochlear implantation Cochlear Implantation - methods Cochlear Implants deafness Female hearing aids hearing loss Hearing Loss, Bilateral - surgery Hearing Loss, Sensorineural - surgery Humans Localization Male Middle Aged Noise Personal protective equipment Quality of Life Questionnaires sound localization Speech Speech Intelligibility Surveys and Questionnaires Treatment Outcome |
| title | Stable benefits of bilateral over unilateral cochlear implantation after two years: A randomized controlled trial |
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