Does the Width of the Bony Cochlear Nerve Canal Predict the Outcomes of Cochlear Implantation?

A narrow bony cochlear nerve canal (BCNC) is associated with sensorineural hearing loss necessitating cochlear implantation (CI). This study evaluated the implications of BCNC width for post-CI outcomes. A total of 56 children who had received CIs were included. The patients were divided into three...

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Veröffentlicht in:BioMed research international 2018-01, Vol.2018 (2018), p.1-9
Hauptverfasser: Oh, Seung Ha, Kim, So Young, Cho, Sung-Woo, Song, Jae-Jin, Chang, Sun O, Jang, Jeong Hun, Chung, Juyong, Lee, Jun Ho
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container_issue 2018
container_start_page 1
container_title BioMed research international
container_volume 2018
creator Oh, Seung Ha
Kim, So Young
Cho, Sung-Woo
Song, Jae-Jin
Chang, Sun O
Jang, Jeong Hun
Chung, Juyong
Lee, Jun Ho
description A narrow bony cochlear nerve canal (BCNC) is associated with sensorineural hearing loss necessitating cochlear implantation (CI). This study evaluated the implications of BCNC width for post-CI outcomes. A total of 56 children who had received CIs were included. The patients were divided into three groups according to the width of the BCNC (Group 1: diameter < 1.4 mm, n = 17 ; Group 2: diameter 1.4–2.0 mm, n = 14 ; Group 3: diameter > 2.0 mm, n = 25 ). The post-CI speech performances were compared among the three groups according to BCNC width. The correlation between BCNC width and post-CI speech performance was evaluated. Logistic regression analysis was also performed to investigate factors that can impact post-CI speech performance. Cochlear nerve deficiency (CND) occurred more frequently in Group 1. Groups 1 and 2 had significantly worse post-CI outcomes. Patients with intact cochlear nerves had significantly better post-CI outcomes than those with CND. When the cochlear nerve was intact, patients with a narrower BCNC showed less favorable results. Therefore, patients with either a narrow BCNC or CND seemed to have poorer outcomes. A narrow BCNC is associated with higher CND rates and poor outcomes. Measurement of BCNC diameter may help predict CI outcomes.
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This study evaluated the implications of BCNC width for post-CI outcomes. A total of 56 children who had received CIs were included. The patients were divided into three groups according to the width of the BCNC (Group 1: diameter &lt; 1.4 mm, n = 17 ; Group 2: diameter 1.4–2.0 mm, n = 14 ; Group 3: diameter &gt; 2.0 mm, n = 25 ). The post-CI speech performances were compared among the three groups according to BCNC width. The correlation between BCNC width and post-CI speech performance was evaluated. Logistic regression analysis was also performed to investigate factors that can impact post-CI speech performance. Cochlear nerve deficiency (CND) occurred more frequently in Group 1. Groups 1 and 2 had significantly worse post-CI outcomes. Patients with intact cochlear nerves had significantly better post-CI outcomes than those with CND. When the cochlear nerve was intact, patients with a narrower BCNC showed less favorable results. Therefore, patients with either a narrow BCNC or CND seemed to have poorer outcomes. A narrow BCNC is associated with higher CND rates and poor outcomes. Measurement of BCNC diameter may help predict CI outcomes.</description><identifier>ISSN: 2314-6133</identifier><identifier>EISSN: 2314-6141</identifier><identifier>DOI: 10.1155/2018/5675848</identifier><identifier>PMID: 29750161</identifier><language>eng</language><publisher>Cairo, Egypt: Hindawi Publishing Corporation</publisher><subject>Canals (anatomy) ; Children ; Cochlea ; Cochlear implants ; Ears &amp; hearing ; Family medical history ; Hearing loss ; Implantation ; Medical imaging ; Medical records ; Nerves ; NMR ; Nuclear magnetic resonance ; Otolaryngology ; Otology ; Patients ; Regression analysis ; Speech ; Surgery ; Transplants &amp; implants</subject><ispartof>BioMed research international, 2018-01, Vol.2018 (2018), p.1-9</ispartof><rights>Copyright © 2018 Juyong Chung et al.</rights><rights>COPYRIGHT 2018 John Wiley &amp; Sons, Inc.</rights><rights>Copyright © 2018 Juyong Chung et al.; This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</rights><rights>Copyright © 2018 Juyong Chung et al. 2018</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c499t-11fbe80b62be874f0d0ef779efdf5c767d6c26b2b9bd80f66d599a34584039a73</citedby><cites>FETCH-LOGICAL-c499t-11fbe80b62be874f0d0ef779efdf5c767d6c26b2b9bd80f66d599a34584039a73</cites><orcidid>0000-0001-5099-5243 ; 0000-0003-1707-5714 ; 0000-0003-2944-2753</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5884285/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5884285/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27903,27904,53769,53771</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29750161$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Lee, Kenneth H.</contributor><contributor>Kenneth H Lee</contributor><creatorcontrib>Oh, Seung Ha</creatorcontrib><creatorcontrib>Kim, So Young</creatorcontrib><creatorcontrib>Cho, Sung-Woo</creatorcontrib><creatorcontrib>Song, Jae-Jin</creatorcontrib><creatorcontrib>Chang, Sun O</creatorcontrib><creatorcontrib>Jang, Jeong Hun</creatorcontrib><creatorcontrib>Chung, Juyong</creatorcontrib><creatorcontrib>Lee, Jun Ho</creatorcontrib><title>Does the Width of the Bony Cochlear Nerve Canal Predict the Outcomes of Cochlear Implantation?</title><title>BioMed research international</title><addtitle>Biomed Res Int</addtitle><description>A narrow bony cochlear nerve canal (BCNC) is associated with sensorineural hearing loss necessitating cochlear implantation (CI). 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This study evaluated the implications of BCNC width for post-CI outcomes. A total of 56 children who had received CIs were included. The patients were divided into three groups according to the width of the BCNC (Group 1: diameter &lt; 1.4 mm, n = 17 ; Group 2: diameter 1.4–2.0 mm, n = 14 ; Group 3: diameter &gt; 2.0 mm, n = 25 ). The post-CI speech performances were compared among the three groups according to BCNC width. The correlation between BCNC width and post-CI speech performance was evaluated. Logistic regression analysis was also performed to investigate factors that can impact post-CI speech performance. Cochlear nerve deficiency (CND) occurred more frequently in Group 1. Groups 1 and 2 had significantly worse post-CI outcomes. Patients with intact cochlear nerves had significantly better post-CI outcomes than those with CND. When the cochlear nerve was intact, patients with a narrower BCNC showed less favorable results. 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subjects Canals (anatomy)
Children
Cochlea
Cochlear implants
Ears & hearing
Family medical history
Hearing loss
Implantation
Medical imaging
Medical records
Nerves
NMR
Nuclear magnetic resonance
Otolaryngology
Otology
Patients
Regression analysis
Speech
Surgery
Transplants & implants
title Does the Width of the Bony Cochlear Nerve Canal Predict the Outcomes of Cochlear Implantation?
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