Aqib Mohd, Sinha Mohit, Manogaran Ravi Sankar, Hameed Nazrin, Das K Nidhin, Chidambaram Kalyan, Keshri Amit
Department of Neuro-Otology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh India.
Indian J Otolaryngol Head Neck Surg. 2025 Jan;77(1):75-81. doi: 10.1007/s12070-024-05110-y. Epub 2024 Oct 11.
In India, 7-8% of the population is affected by post lingual deafness, which can lead to job dissatisfaction, depression, social withdrawal, and educational challenges. Despite the benefits, cochlear implantation in Northern India remains underutilized. This study examines the impact of cochlear implants on post lingual deafness, along with their etiology and indications. The study reviewed audiometric, clinical, and perioperative data of 50 adult patients (> 18 years) with bilateral post lingual severe to profound hearing loss, unresponsive to hearing aids, who underwent cochlear implantation between 2012 and 2024. Preoperative and postoperative demographic and audiometric data, operative details, postoperative therapy, and outcomes were assessed using hearing-specific quality of life measures (SSQ-12 and CIQOL-10 Global) and a subjective Likert scale of satisfaction. Outcomes were statistically compared. The cohort included 50 patients (31 male, 19 female), with a mean deafness onset age of 33.8 years and a mean duration of 4.48 years. About 48% had been deaf for less than four years. The VERIA technique was used in 86% of implantations, with no immediate postoperative complications. Later, 2% experienced moderate dizziness/vertigo and tinnitus. The mean SSQ-12 score was 63.96, and the mean CIQOL score was 53.29. Overall, 84% were satisfied with their post-implantation communication abilities. The VERIA technique is reliable for cochlear implantation in post lingually deaf adults. Cochlear implantation significantly improves the quality of life for these patients, enhancing their physical, mental, and social well-being.
The online version contains supplementary material available at 10.1007/s12070-024-05110-y.
在印度，7%至8%的人口受语后聋影响，这可能导致工作不满、抑郁、社交退缩和教育挑战。尽管有诸多益处，但印度北部的人工耳蜗植入使用率仍然较低。本研究探讨了人工耳蜗植入对语后聋的影响及其病因和适应症。该研究回顾了2012年至2024年间接受人工耳蜗植入的50例（年龄>18岁）双侧语后重度至极重度听力损失且对助听器无反应的成年患者的听力测定、临床和围手术期数据。使用听力特异性生活质量量表（SSQ - 12和CIQOL - 10全球版）和主观李克特满意度量表评估术前和术后的人口统计学和听力测定数据、手术细节、术后治疗及结果。对结果进行统计学比较。该队列包括50例患者（31例男性，19例女性），平均聋病发病年龄为33.8岁，平均病程为4.48年。约48%的患者耳聋时间不到四年。86%的植入手术采用了VERIA技术，术后无即刻并发症。后来，2%的患者出现中度头晕/眩晕和耳鸣。SSQ - 12平均得分63.96，CIQOL平均得分53.29。总体而言，84%的患者对植入后的沟通能力感到满意。VERIA技术在语后聋成人人工耳蜗植入中是可靠的。人工耳蜗植入显著改善了这些患者的生活质量，提升了他们的身体、心理和社会幸福感。
在线版本包含可在10.1007/s12070 - 024 - 05110 - y获取的补充材料。
