Department of Otorhinolaryngology, Head and Neck Surgery, Faculty of Medicine, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran.
Sinus and Surgical Endoscopic Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Eur Arch Otorhinolaryngol. 2023 Dec;280(12):5319-5327. doi: 10.1007/s00405-023-08054-1. Epub 2023 Jun 28.
To determine the prognostic factors in the pediatric cochlear implant (CI) outcome.
This prospective cohort study was conducted on 289 pediatric cases with prelingual hearing loss who received cochlear implantation. Several possible salient factors have been recorded. Auditory and speech evaluations were performed before CI, as well as 6 and 12 months after surgery, using Categories of Auditory Performance (CAP) and Speech Intelligibility Rating (SIR) tests.
According to univariate analysis, age at the time of surgery was a statistically significant factor. Neurological problems in the child, history of newborn infectious diseases, history of hearing aid use, proper parental cooperation, and round window approach were all significantly related to better auditory or speech outcomes. On the other hand, good parental cooperation and age (for CAP) and good parental cooperation, age, history of infectious disease, and hearing aids use (for SIR) are the significant factors in the multivariate setting.
As evidenced by the obtained results, age, background diseases, history of rehabilitation with hearing aids, and surgical details are essential factors to be taken into account in the case-selection process.
确定儿童人工耳蜗植入（CI）结果的预后因素。
本前瞻性队列研究纳入了 289 例语前聋的儿童患者，他们均接受了人工耳蜗植入。记录了一些可能的显著因素。在 CI 前、术后 6 个月和 12 个月进行了听觉和言语评估，使用听觉绩效类别（CAP）和言语可懂度评分（SIR）测试。
根据单因素分析，手术时的年龄是一个具有统计学意义的因素。儿童的神经系统问题、新生儿感染性疾病史、助听器使用史、适当的父母合作以及圆窗入路均与更好的听觉或言语结果显著相关。另一方面，在多因素分析中，良好的父母合作和年龄（用于 CAP）以及良好的父母合作、年龄、感染性疾病史和助听器使用（用于 SIR）是显著因素。
根据所获得的结果，年龄、背景疾病、助听器康复史和手术细节是病例选择过程中需要考虑的重要因素。
