JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY) ›› 2018, Vol. 32 ›› Issue (2): 62-65.doi: 10.6040/j.issn.1673-3770.0.2017.425

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Clinical analysis of language rehabilitation in 295 cases of cochlear implantation

  

  1. GAO Fangfang1, WANG Qirong2, YU Shudong2, GU Lintao2, SHI Yehua2, GENG Bo2
  • Received:2017-10-12 Online:2018-03-20 Published:2018-03-20

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Abstract: Objective To identify factors contributing to effective rehabilitation after cochlear implantation. Methods We evaluated the outcome of rehabilitation in 295 patients who underwent cochlear implantation by analysis of auditory performance(CAP), speech intelligibility rating(SIR), and articulation on audiovisual speech recordings. Results The hearing threshold was 25-40 dB in all patients except for 2, who had a combination of microcochlear and inner ear malformations and a hearing threshold of 45 dB. In univariate analysis, wearing a hearing aid, age at the time of cochlear implantation, time since implantation, degree of inner ear malformation, amount of residual hearing, and presence of leukodystrophy were correlated with CAP and SIR, whereas the surgical implantation method used and presence of otitis media or Waardenburg syndrome were not. In multivariate analysis using a stepwise logistic regression model, the most significant contributors to CAP and SIR were time since implantation and presence of leukodystrophy. Conclusion The outcomes of cochlear implantation are generally satisfactory and the degree of auditory rehabilitation is influenced by many factors.

Key words: Cochlear implantation, Speech intelligibility, Auditory behavior

CLC Number: 

  • R764
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