A Longitudinal Study in Children with Sequential Bilateral Cochlear Implants: Time Course for the Second Implanted Ear and Bilateral Performance
Purpose: Whether, and if so when, a second-ear cochlear implant should be provided to older, unilaterally implanted children is an ongoing clinical question. This study evaluated rate of speech recognition progress for the second implanted ear and with bilateral cochlear implants in older sequential...
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| Veröffentlicht in: | Journal of speech, language, and hearing research language, and hearing research, 2017-01, Vol.60 (1), p.276-287 |
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| creator | Reeder, Ruth M Firszt, Jill B Cadieux, Jamie H Strube, Michael J |
| description | Purpose: Whether, and if so when, a second-ear cochlear implant should be provided to older, unilaterally implanted children is an ongoing clinical question. This study evaluated rate of speech recognition progress for the second implanted ear and with bilateral cochlear implants in older sequentially implanted children and evaluated localization abilities. Method: A prospective longitudinal study included 24 bilaterally implanted children (mean ear surgeries at 5.11 and 14.25 years). Test intervals were every 3-6 months through 24 months postbilateral. Test conditions were each ear and bilaterally for speech recognition and localization. Results: Overall, the rate of progress for the second implanted ear was gradual. Improvements in quiet continued through the second year of bilateral use. Improvements in noise were more modest and leveled off during the second year. On all measures, results from the second ear were poorer than the first. Bilateral scores were better than either ear alone for all measures except sentences in quiet and localization. Conclusions: Older sequentially implanted children with several years between surgeries may obtain speech understanding in the second implanted ear; however, performance may be limited and rate of progress gradual. Continued contralateral ear hearing aid use and reduced time between surgeries may enhance outcomes. |
| doi_str_mv | 10.1044/2016_JSLHR-H-16-0175 |
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This study evaluated rate of speech recognition progress for the second implanted ear and with bilateral cochlear implants in older sequentially implanted children and evaluated localization abilities. Method: A prospective longitudinal study included 24 bilaterally implanted children (mean ear surgeries at 5.11 and 14.25 years). Test intervals were every 3-6 months through 24 months postbilateral. Test conditions were each ear and bilaterally for speech recognition and localization. Results: Overall, the rate of progress for the second implanted ear was gradual. Improvements in quiet continued through the second year of bilateral use. Improvements in noise were more modest and leveled off during the second year. On all measures, results from the second ear were poorer than the first. Bilateral scores were better than either ear alone for all measures except sentences in quiet and localization. Conclusions: Older sequentially implanted children with several years between surgeries may obtain speech understanding in the second implanted ear; however, performance may be limited and rate of progress gradual. Continued contralateral ear hearing aid use and reduced time between surgeries may enhance outcomes.</description><identifier>ISSN: 1092-4388</identifier><identifier>EISSN: 1558-9102</identifier><identifier>DOI: 10.1044/2016_JSLHR-H-16-0175</identifier><identifier>PMID: 28060992</identifier><language>eng</language><publisher>United States: American Speech-Language-Hearing Association</publisher><subject>Acoustics ; Adolescent ; Age ; Assistive Technology ; Child ; Child, Preschool ; Children ; Children & youth ; Cochlear Implantation - methods ; Cochlear Implants ; Data collection ; Deaf children ; Deafness ; Hearing ; Hearing Impairments ; Hearing Loss, Bilateral - rehabilitation ; Humans ; Improvement ; Intervals ; Linear Models ; Localization ; Longitudinal Studies ; Noise ; Patient outcomes ; Pediatrics ; Physiological aspects ; Prospective Studies ; Recognition (Psychology) ; Research Design ; Speech ; Speech Perception ; Studies ; Surgery ; Time Factors ; Transplants & implants ; Treatment Outcome</subject><ispartof>Journal of speech, language, and hearing research, 2017-01, Vol.60 (1), p.276-287</ispartof><rights>COPYRIGHT 2017 American Speech-Language-Hearing Association</rights><rights>Copyright American Speech-Language-Hearing Association Jan 2017</rights><rights>Copyright © 2017 American Speech-Language-Hearing Association</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c594t-da7042240250bab9cd51bddbfcdc4171e924e2f8f3b78dcdb73f59a1a0aa11063</citedby><cites>FETCH-LOGICAL-c594t-da7042240250bab9cd51bddbfcdc4171e924e2f8f3b78dcdb73f59a1a0aa11063</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,315,782,786,887,27931,27932</link.rule.ids><backlink>$$Uhttp://eric.ed.gov/ERICWebPortal/detail?accno=EJ1126606$$DView record in ERIC$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28060992$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Reeder, Ruth M</creatorcontrib><creatorcontrib>Firszt, Jill B</creatorcontrib><creatorcontrib>Cadieux, Jamie H</creatorcontrib><creatorcontrib>Strube, Michael J</creatorcontrib><title>A Longitudinal Study in Children with Sequential Bilateral Cochlear Implants: Time Course for the Second Implanted Ear and Bilateral Performance</title><title>Journal of speech, language, and hearing research</title><addtitle>J Speech Lang Hear Res</addtitle><description>Purpose: Whether, and if so when, a second-ear cochlear implant should be provided to older, unilaterally implanted children is an ongoing clinical question. This study evaluated rate of speech recognition progress for the second implanted ear and with bilateral cochlear implants in older sequentially implanted children and evaluated localization abilities. Method: A prospective longitudinal study included 24 bilaterally implanted children (mean ear surgeries at 5.11 and 14.25 years). Test intervals were every 3-6 months through 24 months postbilateral. Test conditions were each ear and bilaterally for speech recognition and localization. Results: Overall, the rate of progress for the second implanted ear was gradual. Improvements in quiet continued through the second year of bilateral use. Improvements in noise were more modest and leveled off during the second year. On all measures, results from the second ear were poorer than the first. Bilateral scores were better than either ear alone for all measures except sentences in quiet and localization. Conclusions: Older sequentially implanted children with several years between surgeries may obtain speech understanding in the second implanted ear; however, performance may be limited and rate of progress gradual. Continued contralateral ear hearing aid use and reduced time between surgeries may enhance outcomes.</description><subject>Acoustics</subject><subject>Adolescent</subject><subject>Age</subject><subject>Assistive Technology</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Children</subject><subject>Children & youth</subject><subject>Cochlear Implantation - methods</subject><subject>Cochlear Implants</subject><subject>Data collection</subject><subject>Deaf children</subject><subject>Deafness</subject><subject>Hearing</subject><subject>Hearing Impairments</subject><subject>Hearing Loss, Bilateral - rehabilitation</subject><subject>Humans</subject><subject>Improvement</subject><subject>Intervals</subject><subject>Linear Models</subject><subject>Localization</subject><subject>Longitudinal Studies</subject><subject>Noise</subject><subject>Patient outcomes</subject><subject>Pediatrics</subject><subject>Physiological aspects</subject><subject>Prospective Studies</subject><subject>Recognition (Psychology)</subject><subject>Research Design</subject><subject>Speech</subject><subject>Speech Perception</subject><subject>Studies</subject><subject>Surgery</subject><subject>Time Factors</subject><subject>Transplants & implants</subject><subject>Treatment Outcome</subject><issn>1092-4388</issn><issn>1558-9102</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNptkt9u0zAUxiMEYmPwBoAiIU3cZNhOnD-7QOqqQjdVAtFxbTn2SeMpsYudgPYWPDKn6tauqMlFjo5_3-f484mit5RcUJJlnxihubhZLuY_knlC84TQgj-LTinnZVJRwp5jTSqWZGlZnkSvQrgj-NAsfxmdsJLkpKrYafR3Ei-cXZlh1MbKLl5icR8bG09b02kPNv5jhjZewq8R7GCQuDKdHMBjNXWq7UD6-Lpfd9IO4TK-NT1gf_QB4sb5eGgBtcpZ_QiBjmcokdjZO30Hj3QvrYLX0YtGdgHePHzPop9fZrfTebL49vV6OlkkilfZkGhZkIyxjDBOallXSnNaa103SquMFhQqlgFryiati1IrXRdpwytJJZGSUpKnZ9Hnre96rHvQCk-HfyLW3vTS3wsnjThcsaYVK_dbcJ6mmDEafHww8A7DCYPoTVDQ4SHBjUHQkue8rGhFEf3wH3qHEWHcGyovOeM5TffUSnYgjG0c7qs2pmKSlZThRfICqeQItQK7CdJZaAy2D_iLIzy-GnqjjgrOnwhakN3QBteNg3E2HILZFlTeheCh2YVHidiMqNiPqJgLLDcjirL3T4PfiR5nEoF3WwC8Ubvl2Q2lLM_x5v4BaGPr9g</recordid><startdate>201701</startdate><enddate>201701</enddate><creator>Reeder, Ruth M</creator><creator>Firszt, Jill B</creator><creator>Cadieux, Jamie H</creator><creator>Strube, Michael J</creator><general>American Speech-Language-Hearing Association</general><scope>7SW</scope><scope>BJH</scope><scope>BNH</scope><scope>BNI</scope><scope>BNJ</scope><scope>BNO</scope><scope>ERI</scope><scope>PET</scope><scope>REK</scope><scope>WWN</scope><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>0-V</scope><scope>3V.</scope><scope>7RV</scope><scope>7T9</scope><scope>7X7</scope><scope>7XB</scope><scope>88B</scope><scope>88E</scope><scope>88G</scope><scope>88I</scope><scope>88J</scope><scope>8A4</scope><scope>8AF</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>CJNVE</scope><scope>CPGLG</scope><scope>CRLPW</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0P</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2P</scope><scope>M2R</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEDU</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>201701</creationdate><title>A Longitudinal Study in Children with Sequential Bilateral Cochlear Implants: Time Course for the Second Implanted Ear and Bilateral Performance</title><author>Reeder, Ruth M ; Firszt, Jill B ; Cadieux, Jamie H ; Strube, Michael J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c594t-da7042240250bab9cd51bddbfcdc4171e924e2f8f3b78dcdb73f59a1a0aa11063</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Acoustics</topic><topic>Adolescent</topic><topic>Age</topic><topic>Assistive Technology</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Children</topic><topic>Children & youth</topic><topic>Cochlear Implantation - methods</topic><topic>Cochlear Implants</topic><topic>Data collection</topic><topic>Deaf children</topic><topic>Deafness</topic><topic>Hearing</topic><topic>Hearing Impairments</topic><topic>Hearing Loss, Bilateral - rehabilitation</topic><topic>Humans</topic><topic>Improvement</topic><topic>Intervals</topic><topic>Linear Models</topic><topic>Localization</topic><topic>Longitudinal Studies</topic><topic>Noise</topic><topic>Patient outcomes</topic><topic>Pediatrics</topic><topic>Physiological aspects</topic><topic>Prospective Studies</topic><topic>Recognition (Psychology)</topic><topic>Research Design</topic><topic>Speech</topic><topic>Speech Perception</topic><topic>Studies</topic><topic>Surgery</topic><topic>Time Factors</topic><topic>Transplants & implants</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Reeder, Ruth M</creatorcontrib><creatorcontrib>Firszt, Jill B</creatorcontrib><creatorcontrib>Cadieux, Jamie H</creatorcontrib><creatorcontrib>Strube, Michael J</creatorcontrib><collection>ERIC</collection><collection>ERIC (Ovid)</collection><collection>ERIC</collection><collection>ERIC</collection><collection>ERIC (Legacy Platform)</collection><collection>ERIC( SilverPlatter )</collection><collection>ERIC</collection><collection>ERIC PlusText (Legacy Platform)</collection><collection>Education Resources Information Center (ERIC)</collection><collection>ERIC</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Linguistics and Language Behavior Abstracts (LLBA)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Education Database (Alumni Edition)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Science Database (Alumni Edition)</collection><collection>Social Science Database (Alumni Edition)</collection><collection>Education Periodicals</collection><collection>STEM Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Education Collection</collection><collection>Linguistics Collection</collection><collection>Linguistics Database</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Education Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Research Library</collection><collection>Science Database</collection><collection>Social Science Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Education</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of speech, language, and hearing research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Reeder, Ruth M</au><au>Firszt, Jill B</au><au>Cadieux, Jamie H</au><au>Strube, Michael J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><ericid>EJ1126606</ericid><atitle>A Longitudinal Study in Children with Sequential Bilateral Cochlear Implants: Time Course for the Second Implanted Ear and Bilateral Performance</atitle><jtitle>Journal of speech, language, and hearing research</jtitle><addtitle>J Speech Lang Hear Res</addtitle><date>2017-01</date><risdate>2017</risdate><volume>60</volume><issue>1</issue><spage>276</spage><epage>287</epage><pages>276-287</pages><issn>1092-4388</issn><eissn>1558-9102</eissn><abstract>Purpose: Whether, and if so when, a second-ear cochlear implant should be provided to older, unilaterally implanted children is an ongoing clinical question. This study evaluated rate of speech recognition progress for the second implanted ear and with bilateral cochlear implants in older sequentially implanted children and evaluated localization abilities. Method: A prospective longitudinal study included 24 bilaterally implanted children (mean ear surgeries at 5.11 and 14.25 years). Test intervals were every 3-6 months through 24 months postbilateral. Test conditions were each ear and bilaterally for speech recognition and localization. Results: Overall, the rate of progress for the second implanted ear was gradual. Improvements in quiet continued through the second year of bilateral use. Improvements in noise were more modest and leveled off during the second year. On all measures, results from the second ear were poorer than the first. Bilateral scores were better than either ear alone for all measures except sentences in quiet and localization. Conclusions: Older sequentially implanted children with several years between surgeries may obtain speech understanding in the second implanted ear; however, performance may be limited and rate of progress gradual. Continued contralateral ear hearing aid use and reduced time between surgeries may enhance outcomes.</abstract><cop>United States</cop><pub>American Speech-Language-Hearing Association</pub><pmid>28060992</pmid><doi>10.1044/2016_JSLHR-H-16-0175</doi><tpages>12</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Journal of speech, language, and hearing research, 2017-01, Vol.60 (1), p.276-287 |
| issn | 1092-4388 1558-9102 |
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| source | MEDLINE; EBSCOhost Education Source; Alma/SFX Local Collection |
| subjects | Acoustics Adolescent Age Assistive Technology Child Child, Preschool Children Children & youth Cochlear Implantation - methods Cochlear Implants Data collection Deaf children Deafness Hearing Hearing Impairments Hearing Loss, Bilateral - rehabilitation Humans Improvement Intervals Linear Models Localization Longitudinal Studies Noise Patient outcomes Pediatrics Physiological aspects Prospective Studies Recognition (Psychology) Research Design Speech Speech Perception Studies Surgery Time Factors Transplants & implants Treatment Outcome |
| title | A Longitudinal Study in Children with Sequential Bilateral Cochlear Implants: Time Course for the Second Implanted Ear and Bilateral Performance |
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