Performance over time on adults with simultaneous bilateral cochlear implants.

Background: Maximum performance and long-term stability of bilateral cochlear implants has become an important topic because there has been increasing numbers of recipients of bilateral cochlear implants. Purpose: To determine the performance over time (up to 6yr) of subjects with simultaneous bilat...

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Publicado en:Journal of the American Academy of Audiology Vol. 21; no. 1; pp. 35 - 44
Autores principales: Chang S, Tyler RS, Dunn CC, Ji H, Witt SA, Gantz B, Hansen M
Formato: research tables/charts Journal Article
Publicado: Thieme Medical Publishing Inc. Jan2010
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jan2010
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      pub: Thieme Medical Publishing Inc.
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        atl: Performance over time on adults with simultaneous bilateral cochlear implants.
      aug:
        au:
          Chang S
          Tyler RS
          Dunn CC
          Ji H
          Witt SA
          Gantz B
          Hansen M
        affil: Department of Otolaryngology-Head and Neck Surgery, University of Iowa
      sug:
        subj:
          Cochlear Implant Classification
          Cochlear Implant Evaluation
          Adult
          Analysis of Variance
          Colleges and Universities
          Funding Source
          Iowa
          Repeated Measures
          Adult: 19-44 years
      ab: Background: Maximum performance and long-term stability of bilateral cochlear implants has become an important topic because there has been increasing numbers of recipients of bilateral cochlear implants. Purpose: To determine the performance over time (up to 6yr) of subjects with simultaneous bilateral cochlear implants (CI+CI) on word recognition and localization. Research Design: Over-time investigation of word recognition in quiet (CNC) and sound localization in quiet (Everyday Sounds Localization Test). Study Sample: The subjects were 48 adults who simultaneously received their cochlear implants at the University of Iowa. Results: For word recognition, percent correct scores continuously improved up to 1 yr postimplantation with the most benefit occurring within the first month of implantation. In observing up to 72 mo, the averaged scores reached to the plateau of about 63% correct in CNC after 2 yr (N = 31). But, when we followed 17 subjects who have complete data set between 12 mo and 48+ months, word recognition scores were significantly different from 12 mo to 48+ months, which implies binaural advantages need more time to be developed. Localization test results suggested that the root mean square (RMS) error scores continuously improved up to 1 yr postimplantation with most benefits occurring within the first 3 mo. After 2 yr, the averaged scores reached to the plateau of about 20° RMS error (N = 27). When we followed 10 subjects who have complete data set between 12 mo and 48+ months, localization scores were not improved from 12 mo to 48+ months. There were large individual differences in performance over time. Conclusions: In general, substantial benefits in both word recognition and localization were found over the first 1DS12 mo postimplantation for subjects who received simultaneous bilateral cochlear implants. These benefits were maintained over time up to 6yr postimplantation.
      pubtype: Academic Journal
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        research
        tables/charts
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      ougenre: Article
    language: English
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