Hearing Preservation and Speech Outcomes After Cochlear Implantation in Meniere's Disease
Objectives/Hypothesis To evaluate speech perception outcomes and hearing preservation after cochlear implantation in patients with Meniere's disease (MD). Study Design Retrospective chart review. Methods Fifty‐one adult patients, accounting for a total of 63 implants, with MD treated at a terti...
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| Veröffentlicht in: | The Laryngoscope 2020-12, Vol.130 (12), p.2874-2878 |
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| container_title | The Laryngoscope |
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| creator | Masood, Maheer M. Farquhar, Douglas R. Brown, Kevin D. Pillsbury, Harold C. King, English R. O'Connell, Brendan P. |
| description | Objectives/Hypothesis
To evaluate speech perception outcomes and hearing preservation after cochlear implantation in patients with Meniere's disease (MD).
Study Design
Retrospective chart review.
Methods
Fifty‐one adult patients, accounting for a total of 63 implants, with MD treated at a tertiary care center were included in the study. Patients with unaided preoperative air‐conduction thresholds ≤80 dB at 250 Hz were included in hearing preservation analyses. The primary outcome measure was Consonant‐Nucleus‐Consonant (CNC) score. Hearing preservation was assessed as follows: 1) maintenance of functional hearing, defined as a postoperative unaided air‐conduction threshold ≤80 dB at 250 Hz and 2) low‐frequency pure‐tone average (LFPTA) shift.
Results
Speech perception scores improved significantly postimplantation; specifically, the CNC mean score was 9% preoperatively and increased to 57% by 1 year postoperatively (P |
| doi_str_mv | 10.1002/lary.28470 |
| format | Article |
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To evaluate speech perception outcomes and hearing preservation after cochlear implantation in patients with Meniere's disease (MD).
Study Design
Retrospective chart review.
Methods
Fifty‐one adult patients, accounting for a total of 63 implants, with MD treated at a tertiary care center were included in the study. Patients with unaided preoperative air‐conduction thresholds ≤80 dB at 250 Hz were included in hearing preservation analyses. The primary outcome measure was Consonant‐Nucleus‐Consonant (CNC) score. Hearing preservation was assessed as follows: 1) maintenance of functional hearing, defined as a postoperative unaided air‐conduction threshold ≤80 dB at 250 Hz and 2) low‐frequency pure‐tone average (LFPTA) shift.
Results
Speech perception scores improved significantly postimplantation; specifically, the CNC mean score was 9% preoperatively and increased to 57% by 1 year postoperatively (P < .001). Eighteen ears were included in hearing preservation analysis; the mean preoperative LFPTA was 65 dB (standard deviation [SD] = 10). The mean postoperative LFPTA at activation was 93 dB (SD = 21), and at 1 year was 102 dB (SD = 11). Twenty‐seven percent of patients achieved short‐term functional hearing preservation, whereas the longer‐term outcomes were less favorable (11%).
Conclusions
Speech perception scores improve after implantation in patients with MD. Hearing preservation is possible in patients with MD, albeit at lower rates than reported non‐MD populations. Our data suggest that there can be degradation in acoustic hearing over time.
Level of Evidence
4 Laryngoscope, 2019</description><identifier>ISSN: 0023-852X</identifier><identifier>EISSN: 1531-4995</identifier><identifier>DOI: 10.1002/lary.28470</identifier><identifier>PMID: 31821566</identifier><language>eng</language><publisher>Hoboken, USA: John Wiley & Sons, Inc</publisher><subject>Audiometry, Pure-Tone ; Auditory Threshold ; cochlear implant ; Cochlear Implantation ; Cochlear implants ; Female ; Hearing Loss, Sensorineural - surgery ; hearing preservation ; Humans ; Male ; Meniere disease ; Meniere Disease - surgery ; Meniere's disease ; Middle Aged ; Retrospective Studies ; Speech Perception</subject><ispartof>The Laryngoscope, 2020-12, Vol.130 (12), p.2874-2878</ispartof><rights>2019 The American Laryngological, Rhinological and Otological Society, Inc.</rights><rights>2020 The American Laryngological, Rhinological and Otological Society, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3570-538d91d010ec06589757bb978bf53b9802f9cc335ded5e4cf3633e9d54baf5623</citedby><cites>FETCH-LOGICAL-c3570-538d91d010ec06589757bb978bf53b9802f9cc335ded5e4cf3633e9d54baf5623</cites><orcidid>0000-0002-3477-9898</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.28470$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Flary.28470$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,777,781,1412,27905,27906,45555,45556</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31821566$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Masood, Maheer M.</creatorcontrib><creatorcontrib>Farquhar, Douglas R.</creatorcontrib><creatorcontrib>Brown, Kevin D.</creatorcontrib><creatorcontrib>Pillsbury, Harold C.</creatorcontrib><creatorcontrib>King, English R.</creatorcontrib><creatorcontrib>O'Connell, Brendan P.</creatorcontrib><title>Hearing Preservation and Speech Outcomes After Cochlear Implantation in Meniere's Disease</title><title>The Laryngoscope</title><addtitle>Laryngoscope</addtitle><description>Objectives/Hypothesis
To evaluate speech perception outcomes and hearing preservation after cochlear implantation in patients with Meniere's disease (MD).
Study Design
Retrospective chart review.
Methods
Fifty‐one adult patients, accounting for a total of 63 implants, with MD treated at a tertiary care center were included in the study. Patients with unaided preoperative air‐conduction thresholds ≤80 dB at 250 Hz were included in hearing preservation analyses. The primary outcome measure was Consonant‐Nucleus‐Consonant (CNC) score. Hearing preservation was assessed as follows: 1) maintenance of functional hearing, defined as a postoperative unaided air‐conduction threshold ≤80 dB at 250 Hz and 2) low‐frequency pure‐tone average (LFPTA) shift.
Results
Speech perception scores improved significantly postimplantation; specifically, the CNC mean score was 9% preoperatively and increased to 57% by 1 year postoperatively (P < .001). Eighteen ears were included in hearing preservation analysis; the mean preoperative LFPTA was 65 dB (standard deviation [SD] = 10). The mean postoperative LFPTA at activation was 93 dB (SD = 21), and at 1 year was 102 dB (SD = 11). Twenty‐seven percent of patients achieved short‐term functional hearing preservation, whereas the longer‐term outcomes were less favorable (11%).
Conclusions
Speech perception scores improve after implantation in patients with MD. Hearing preservation is possible in patients with MD, albeit at lower rates than reported non‐MD populations. Our data suggest that there can be degradation in acoustic hearing over time.
Level of Evidence
4 Laryngoscope, 2019</description><subject>Audiometry, Pure-Tone</subject><subject>Auditory Threshold</subject><subject>cochlear implant</subject><subject>Cochlear Implantation</subject><subject>Cochlear implants</subject><subject>Female</subject><subject>Hearing Loss, Sensorineural - surgery</subject><subject>hearing preservation</subject><subject>Humans</subject><subject>Male</subject><subject>Meniere disease</subject><subject>Meniere Disease - surgery</subject><subject>Meniere's disease</subject><subject>Middle Aged</subject><subject>Retrospective Studies</subject><subject>Speech Perception</subject><issn>0023-852X</issn><issn>1531-4995</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kEtLw0AQgBdRbK1e_AGy4EERorO72SR7LPVVqFR8gD0tyWaikTzqbqL4701N9eDB0xzmm4_hI2SfwSkD4GdFbD9PeeSHsEGGTArm-UrJTTLslsKLJH8akB3nXgFYKCRsk4FgEWcyCIZkcY2xzatnemvRoX2Pm7yuaFyl9H6JaF7ovG1MXaKj46xBSye1eSm6Ezotl0VcNT2fV_QGqxwtHjl6njuMHe6SrSwuHO6t54g8Xl48TK692fxqOhnPPCNkCJ4UUapYCgzQQCAjFcowSVQYJZkUiYqAZ8oYIWSKqUTfZCIQAlUq_STOZMDFiBz33qWt31p0jS5zZ7DovsO6dZoL7itQEK3Qwz_oa93aqvtOcz8AFQLnqqNOesrY2jmLmV7avOwaawZ6FVyvguvv4B18sFa2SYnpL_pTuANYD3zkBX7-o9Kz8d2il34BHSeKPA</recordid><startdate>202012</startdate><enddate>202012</enddate><creator>Masood, Maheer M.</creator><creator>Farquhar, Douglas R.</creator><creator>Brown, Kevin D.</creator><creator>Pillsbury, Harold C.</creator><creator>King, English R.</creator><creator>O'Connell, Brendan P.</creator><general>John Wiley & Sons, Inc</general><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/0000-0002-3477-9898</orcidid></search><sort><creationdate>202012</creationdate><title>Hearing Preservation and Speech Outcomes After Cochlear Implantation in Meniere's Disease</title><author>Masood, Maheer M. ; Farquhar, Douglas R. ; Brown, Kevin D. ; Pillsbury, Harold C. ; King, English R. ; O'Connell, Brendan P.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3570-538d91d010ec06589757bb978bf53b9802f9cc335ded5e4cf3633e9d54baf5623</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Audiometry, Pure-Tone</topic><topic>Auditory Threshold</topic><topic>cochlear implant</topic><topic>Cochlear Implantation</topic><topic>Cochlear implants</topic><topic>Female</topic><topic>Hearing Loss, Sensorineural - surgery</topic><topic>hearing preservation</topic><topic>Humans</topic><topic>Male</topic><topic>Meniere disease</topic><topic>Meniere Disease - surgery</topic><topic>Meniere's disease</topic><topic>Middle Aged</topic><topic>Retrospective Studies</topic><topic>Speech Perception</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Masood, Maheer M.</creatorcontrib><creatorcontrib>Farquhar, Douglas R.</creatorcontrib><creatorcontrib>Brown, Kevin D.</creatorcontrib><creatorcontrib>Pillsbury, Harold C.</creatorcontrib><creatorcontrib>King, English R.</creatorcontrib><creatorcontrib>O'Connell, Brendan P.</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>Masood, Maheer M.</au><au>Farquhar, Douglas R.</au><au>Brown, Kevin D.</au><au>Pillsbury, Harold C.</au><au>King, English R.</au><au>O'Connell, Brendan P.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Hearing Preservation and Speech Outcomes After Cochlear Implantation in Meniere's Disease</atitle><jtitle>The Laryngoscope</jtitle><addtitle>Laryngoscope</addtitle><date>2020-12</date><risdate>2020</risdate><volume>130</volume><issue>12</issue><spage>2874</spage><epage>2878</epage><pages>2874-2878</pages><issn>0023-852X</issn><eissn>1531-4995</eissn><abstract>Objectives/Hypothesis
To evaluate speech perception outcomes and hearing preservation after cochlear implantation in patients with Meniere's disease (MD).
Study Design
Retrospective chart review.
Methods
Fifty‐one adult patients, accounting for a total of 63 implants, with MD treated at a tertiary care center were included in the study. Patients with unaided preoperative air‐conduction thresholds ≤80 dB at 250 Hz were included in hearing preservation analyses. The primary outcome measure was Consonant‐Nucleus‐Consonant (CNC) score. Hearing preservation was assessed as follows: 1) maintenance of functional hearing, defined as a postoperative unaided air‐conduction threshold ≤80 dB at 250 Hz and 2) low‐frequency pure‐tone average (LFPTA) shift.
Results
Speech perception scores improved significantly postimplantation; specifically, the CNC mean score was 9% preoperatively and increased to 57% by 1 year postoperatively (P < .001). Eighteen ears were included in hearing preservation analysis; the mean preoperative LFPTA was 65 dB (standard deviation [SD] = 10). The mean postoperative LFPTA at activation was 93 dB (SD = 21), and at 1 year was 102 dB (SD = 11). Twenty‐seven percent of patients achieved short‐term functional hearing preservation, whereas the longer‐term outcomes were less favorable (11%).
Conclusions
Speech perception scores improve after implantation in patients with MD. Hearing preservation is possible in patients with MD, albeit at lower rates than reported non‐MD populations. Our data suggest that there can be degradation in acoustic hearing over time.
Level of Evidence
4 Laryngoscope, 2019</abstract><cop>Hoboken, USA</cop><pub>John Wiley & Sons, Inc</pub><pmid>31821566</pmid><doi>10.1002/lary.28470</doi><tpages>5</tpages><orcidid>https://orcid.org/0000-0002-3477-9898</orcidid></addata></record> |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Audiometry, Pure-Tone Auditory Threshold cochlear implant Cochlear Implantation Cochlear implants Female Hearing Loss, Sensorineural - surgery hearing preservation Humans Male Meniere disease Meniere Disease - surgery Meniere's disease Middle Aged Retrospective Studies Speech Perception |
| title | Hearing Preservation and Speech Outcomes After Cochlear Implantation in Meniere's Disease |
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