Improved speech and language development after unilateral cochlear implantation in children with a potentially useable contralateral ear

S Schaefer, Mira de Kruijf, Lise Henderson, Alexander Metryka, Martin O'Driscoll, Iain Bruce

Research output: Contribution to journalArticlepeer-review

24 Downloads (Pure)

Abstract

Objectives: Increasingly, children are considered for a unilateral cochlear implant (CI), even if the contralateral ear falls outside current audiological guidelines, especially if they are not considered to be reaching their educational potential. Here we present the outcomes of CI in children with potentially useable hearing in the contralateral ear.

Methods: A retrospective case note review was performed for a total of 57 patients. Primary outcome was speech and language (SaL) development, as measured by the Manchester Speech and Language Development Scale (MSLDS) and SaL age equivalent. Secondary outcomes were auditory perception, perceived parental benefit and compliance; respectively measured by Categories of Auditory Performance (CAP), Brief Assessment of Parental Perception (BAPP) and reported use.

Results: SaL development improved after CI with a mean pre-operative MSLDS score of 5.8 to a postoperative score of 8.0 (n = 57) and a mean SaL age equivalent of 14 months in a one-year period (n = 14). Furthermore, CAP scores improved from 4.9 to 7.0 (n = 57). Analysis of BAPP scores showed improved quality of life in 18/19 patients (94.7%). With regards to compliance, 50/57 (87.7%) are fulltime users of both their CI and their HA.

Conclusion: The present study indicates that despite one ear having potentially useable hearing outside national audiological criteria, the majority of participants received benefit from a CI in the poorer hearing ear. We suggest that assessment of each ear separately and treatment with the most appropriate amplification device, has given these children a benefit they may not otherwise have acquired if they only had bilateral HA.
Original languageEnglish
JournalCochlear Implants International
Early online date23 Oct 2018
DOIs
Publication statusPublished - 2018

Keywords

  • Unilateral CI, Paediatric CI, Indications, Criteria, Guidelines, Outcomes, Speech and language development, Quality of life, Auditory perception

Fingerprint

Dive into the research topics of 'Improved speech and language development after unilateral cochlear implantation in children with a potentially useable contralateral ear'. Together they form a unique fingerprint.

Cite this