Clinical evaluation of cochlear implantation in children younger than 12 months of age

被引:0
|
作者
Yang Yang
Chen Min
Zheng Jun
Hao Jinsheng
Liu Bing
Liu Wei
Li Bei
Shao Jianbo
Liu Haihong
Ni Xin
Zhang Jie
机构
[1] China
[2] National Center for Children’s Health
[3] Department of Otorhinolaryngology Head and Neck Surgery
[4] Capital Medical University
[5] ChinaDepartment of Otorhinolaryngology Head and Neck Surgery
[6] Beijing Children’s Hospital
[7] Beijing Key Laboratory for Pediatric Diseases of Otolaryngology-Head and Neck Surgery
[8] ChinaBeijing Tongren Hospital
关键词
Cochlear implantation; Age; Children; Outcome;
D O I
暂无
中图分类号
R764.9 [耳部外科手术];
学科分类号
100213 ;
摘要
Importance: Cochlear implantation (CI) is an effective therapy for patients with severe to profound sensorineural hearing loss. It remains controversial whether children younger than 12 months of age should undergo CI.Objective: To evaluate the safety and effectiveness of CI in children younger than 12 months of age.Methods: We performed a retrospective study of clinical data of pediatric patients younger than 12 months of age who underwent CI and were followed up for 1 to 2 years. Patients’ developmental levels were evaluated by the Gesell score before CI. Intraoperative and postoperative complications were recorded to evaluate the safety of CI. Auditory and speech abilities were scored by the LittlEARS? auditory questionnaire (LEAQ), categories of auditory performance (CAP), speech intelligibility rating (SIR), infant-toddler meaningful auditory integration scale (IT-MAIS), and meaningful use of speech scale (MUSS) at 1, 2, 3, 6, 9, and 12 months after CI. The associations between clinical characteristics before CI and postoperative scores at 1 year after CI were analyzed by the linear mixed-effects model.Results: Eighty-nine children (47 boys and 42 girls) were included in this study (mean age at CI, 9.2 ± 1.6 months). Sixteen patients were diagnosed with cochlear malformation and 16 underwent bilateral CI. No severe complications occurred in any patients. The mean developmental quotient of the Gesell score was 78.00 ± 10.03. The median LEAQ scores were 0, 5, 10, 16, 22, 26 and 30 before and at 1, 2, 3, 6, 9, and 12 months after CI, respectively. These findings implied that the LEAQ score greatly improved in the first year after CI. The overall CAP, SIR, IT-MAIS, and MUSS scores also increased with increasing duration after CI. No significant associations were detected between clinical characteristics (age, sex, implant number, pre-CI Gesell score, and inner ear malformation) and LEAQ outcomes at 12 months after CI.Interpretation: With increasing duration after CI, auditory and speech behavior dramatically improve in young children. Our findings indicate that CI is feasible for children younger than 12 months of age.
引用
收藏
页码:99 / 103
页数:5
相关论文
共 50 条
  • [31] Language and Audiological Outcomes Among Infants Implanted Before 9 and 12 Months of Age Versus Older Children: A Continuum of Benefit Associated With Cochlear Implantation at Successively Younger Ages
    Chweya, Cynthia M.
    May, Matthew M.
    DeJong, Melissa D.
    Baas, Becky S.
    Lohse, Christine M.
    Driscoll, Colin L. W.
    Carlson, Matthew L.
    [J]. OTOLOGY & NEUROTOLOGY, 2021, 42 (05) : 686 - 693
  • [32] A Single Center Clinical Analysis of Neuroblastoma in Children Younger Than 18 Months
    Tas, B. Tufan
    Eker, N.
    Tokuc, A. G.
    Yilmaz, B.
    [J]. PEDIATRIC BLOOD & CANCER, 2021, 68 : S469 - S469
  • [33] CLINICAL COURSE OF WHOOPING-COUGH IN CHILDREN YOUNGER THAN 6 MONTHS
    TROLLFORS, B
    [J]. ACTA PAEDIATRICA SCANDINAVICA, 1979, 68 (03): : 323 - 328
  • [34] Communication Development in Children Who Receive a Cochlear Implant by 12 Months of Age
    Leigh, Jaime
    Dettman, Shani
    Dowell, Richard
    Briggs, Robert
    [J]. OTOLOGY & NEUROTOLOGY, 2013, 34 (03) : 443 - 450
  • [35] Endoscopic third ventriculostomy for obstructive hydrocephalus in children younger than 6 months of age
    Hideki Ogiwara
    Arthur J. Dipatri
    Tord D. Alden
    Robin M. Bowman
    Tadanori Tomita
    [J]. Child's Nervous System, 2010, 26 : 343 - 347
  • [36] Kawasaki disease in children younger than 6 months of age: characteristics of a Spanish cohort
    Grasa, Carlos D.
    Fernandez-Cooke, Elisa
    Sanchez-Manubens, Judith
    Carazo-Gallego, Begona
    Aracil-Santos, Javier
    Anton, Jordi
    Jose Lirola, Maria
    Mercader, Beatriz
    Villalobos, Enrique
    Bustillo, Matilde
    Giralt, Gemma
    Rocandio, Beatriz
    Escribano, Lucia M.
    Dominguez-Rodriguez, Sara
    Calvo, Cristina
    [J]. EUROPEAN JOURNAL OF PEDIATRICS, 2022, 181 (02) : 589 - 598
  • [37] Endoscopic third ventriculostomy for obstructive hydrocephalus in children younger than 6 months of age
    Ogiwara, Hideki
    Dipatri, Arthur J., Jr.
    Alden, Tord D.
    Bowman, Robin M.
    Tomita, Tadanori
    [J]. CHILDS NERVOUS SYSTEM, 2010, 26 (03) : 343 - 347
  • [38] Kawasaki disease in children younger than 6 months of age: characteristics of a Spanish cohort
    Carlos D. Grasa
    Elisa Fernández-Cooke
    Judith Sánchez-Manubens
    Begoña Carazo-Gallego
    Javier Aracil-Santos
    Jordi Anton
    María José Lirola
    Beatriz Mercader
    Enrique Villalobos
    Matilde Bustillo
    Gemma Giralt
    Beatriz Rocandio
    Lucía M. Escribano
    Sara Domínguez-Rodríguez
    Cristina Calvo
    [J]. European Journal of Pediatrics, 2022, 181 : 589 - 598
  • [39] CLINICAL SPECTRUM OF KAWASAKI-DISEASE IN INFANTS YOUNGER THAN 6 MONTHS OF AGE
    BURNS, JC
    WIGGINS, JW
    TOEWS, WH
    NEWBURGER, JW
    LEUNG, DYM
    WILSON, H
    GLODE, MP
    [J]. JOURNAL OF PEDIATRICS, 1986, 109 (05): : 759 - 763
  • [40] Safety of epoprostenol and treprostinil in children less than 12 months of age
    McIntyre, Chelsey M.
    Hanna, Brian D.
    Rintoul, Natalie
    Ramsey, E. Zachary
    [J]. PULMONARY CIRCULATION, 2013, 3 (04) : 862 - 869