Acoustic component programming in children with cochlear implants using electrocochleography.

Objective measurements improve reliability and effectiveness of hearing assessment and cochlear implant (CI) programming in young children. In CI recipients with acoustic hearing in the implanted ear, electrocochleography (ECochG) can be conducted using intracochlear electrodes. The cochlear microph...

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Publicado en:International Journal of Audiology Vol. 61; no. 9; pp. 736 - 744
Autores principales: Agrawal, Smita, Coulthurst, Sarah, Nachman, Alison, Koka, Kanthaiah, Murray, Michael
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Sep2022
Acceso en línea:Ver este registro en EBSCOhost
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      jtl: International Journal of Audiology
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      dt: Sep2022
      vid: 61
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.1080/14992027.2021.1917779
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        atl: Acoustic component programming in children with cochlear implants using electrocochleography.
      aug:
        au:
          Agrawal, Smita
          Coulthurst, Sarah
          Nachman, Alison
          Koka, Kanthaiah
          Murray, Michael
        affil: Advanced Bionics LLC, Valencia, CA, USA
      sug:
        subj:
          Acoustics In Infancy and Childhood
          Cochlear Implant
          Cochlear Implant Programming
          Audiometry, Evoked Response
          Audiometry, Pure-Tone
          Human
          Female
          Male
          Child, Preschool
          Child
          Adolescence
          Prospective Studies
          Feedback
          Electrodes
          Auditory Threshold
          Waveforms
          Outcome Assessment
          Speech Perception
          Audiometry
          Descriptive Statistics
          Funding Source
          Child, Preschool: 2-5 years
          Child: 6-12 years
          Adolescent: 13-18 years
          Female
          Male
      ab: Objective measurements improve reliability and effectiveness of hearing assessment and cochlear implant (CI) programming in young children. In CI recipients with acoustic hearing in the implanted ear, electrocochleography (ECochG) can be conducted using intracochlear electrodes. The cochlear microphonic (CM) portion of ECochG has been shown to correlate with pure-tone audiometric thresholds in adult and paediatric CI recipients. Our goal was to determine if ECochG thresholds can be used to appropriately fit the acoustic component to the implanted ear in children. Prospective. Eight children (aged 3.5–15.5 years, 10 ears) implanted with Advanced Bionics HiFocus Mid-Scala electrode array were recruited. CI ear acoustic thresholds were measured behaviourally and via ECochG. Two acoustic component enabled CI programs were created using the two sets of thresholds. Age and language appropriate speech outcomes and subjective feedback were obtained. Speech scores were equivalent with the behavioural and ECochG thresholds programs. Subjectively, the ECochG thresholds program was preferred by 7/8 subjects. One subject preferred to use an electric only program. Our data suggest that ECochG thresholds can be used to supplement the behavioural clinical methods and aid the reliable fitting of the acoustic component in paediatric CI recipients.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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