Postoperative rehabilitation effect and influence factors of adult prelingual deafness with cochlear implant.
10.3760/cma.j.cn115330-20210622-00366
- VernacularTitle:成人语前聋人工耳蜗植入者术后康复效果及影响因素
- Author:
Ye YANG
1
;
Jian Ling BAI
2
;
Li HUANG
3
;
Yao Feng JIANG
4
;
Jun Yan GAO
4
;
Ao LI
1
;
Yu Qin XU
1
;
Ning ZHAO
1
;
Xue Yao LIU
1
;
Xia GAO
1
Author Information
1. Department of Otolaryngology Head and Neck Surgery, Affiliated Drum Tower Hospital of Nanjing University Medical School, Jiangsu Provincial Key Medical Discipline (Laboratory), Research Institute of Otolaryngology, Nanjing 210008, China.
2. Department of Biostatistics, School of Public Health, Nanjing Medical University, Nanjing 211166, China.
3. Department of Library Information Center, Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing 210008, China.
4. Department of Technical Counseling, Jiangsu Children's Rehabilitation Research Center, Nanjing 210008, China.
- Publication Type:Journal Article
- MeSH:
Adolescent;
Adult;
Cochlear Implantation/methods*;
Cochlear Implants;
Deafness/rehabilitation*;
Female;
Humans;
Male;
Quality of Life;
Speech Perception;
Young Adult
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2022;57(5):589-594
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To investigate whether pre-lingual deafness adult caused by inadequate auditory compensation in childhood can benefit from cochlear implants and the related influencing factors. Methods: A total of 26 prelingual deafness as experimental group [11 males and 15 females, the age of operation was (24.5±5.7) years] and 13 postlingual deafness as control group [5 males and 8 females, the age at the time of operation was (42.2±11.4) years] were recruited. Objective assessment included hearing threshold and speech recognition rate tests while wearing cochlear implants. Subjective assessment used Nijmegen Cochlear Implant Questionnaire to assess hearing-related quality of life of subjects. The changes of hearing ability in the prelingual deafness group before and after operation and the differences with the postlingual deafness group were compared, and the correlation between speech recognition ability and the age diagnosed as severe or profound deafness, the age of hearing aid invalid, and duration of wearing cochlear implant were analyzed as factor indicators. All statistical results were analyzed by SAS 9.4 software. Results: In terms of objective indicators, the speech recognition rate of pre-lingual deafness was significantly lower than that of post-lingual deafness [(35.4±28.0)% vs (80.9±8.0)%,t=7.67, P<0.001], while there was no statistical difference in hearing threshold between the two groups [(34.8±4.0) dB HL vs (33.1±3.7) dB HL, t=1.30, P>0.05]. The indicators in the subjective questionnaire showed that the prelingual deafness group was only weaker in advanced sound perception, confidence and total mean score than the post-lingual deafness group (P<0.05), and there was no significant difference in other aspects(P>0.05), meanwhile, all indicators of the prelingual deafness group were significantly improved compared with the preoperative level (P<0.001). There was a moderate positive correlation between the hearing quality and the speech recognition rate in the prelingual deafness group(r=0.51, P=0.008). The regression analysis showed that the invalid age of hearing aid was the exact influencing factor of speech recognition rate. Conclusions: Certain prelingual deaf adults can adapt to cochlear implants and obtain different degrees of auditory assistance. Compared with the improvement of objective auditory ability assessment, the patient who received cochlear implantation gain more improvement in auditory related quality of life subjectively. The ineffective age of preoperative hearing aid is an important factor, which needs to be aroused sufficient preoperative attention.
