Otolaryngology, Audiology and Phoniatrics Unit, University of Pisa, Pisa, Italy.
Section of Statistics, University Hospital of Pisa, Italy.
Acta Otorhinolaryngol Ital. 2021 Apr;41(2):173-179. doi: 10.14639/0392-100X-N1146.
The aim of present study is to evaluate the impact of prognostic factors on the outcome in a group of prelingually hearing-impaired patients submitted to cochlear implantation (CI) at an adult age.
This is a retrospective study on a cohort of prelingually severe-to-profound hearing-impaired patients cochlear implanted in adulthood and followed by a single audiology centre. We correlated post-CI results in term of speech perception with patients' speech perception with hearing aids before implantation, history of progression of hearing loss (HL), and levels of education and cognition. The study group was composed of 49 patients.
Post-CI open-set recognition score in silence and noise was significantly correlated with pre-CI open-set recognition score in silence and with background noise. Patients with a history of progression of HL gained significantly better results. Furthermore, we found higher improvements in patients with a higher level of education.
Prelingually deafened patients implanted in adulthood achieved satisfactory results. Significantly better results were achieved by patients with better pre-operative speech perception scores, progressive HL and higher level of education.
本研究旨在评估预后因素对一组成年后接受人工耳蜗植入（CI）的语前聋患者结局的影响。
这是一项回顾性研究，纳入了在单一听力中心接受人工耳蜗植入的语前重度至极重度听力损失的成年患者队列。我们将术后言语感知与术前使用助听器的言语感知、听力损失进展史以及教育和认知水平相关联。研究组包括 49 名患者。
术后在安静和噪声环境下的开放式识别得分与术前在安静和噪声环境下的开放式识别得分显著相关。有听力损失进展史的患者获得了显著更好的结果。此外，我们发现教育水平较高的患者有更高的改善。
成年后耳聋的语前聋患者取得了令人满意的结果。术前言语感知评分较好、听力损失进展以及教育水平较高的患者获得了更好的结果。
