Remarks on qualification of patients for cochlear implantation
Journal Title: Polski Przegląd Otorynolaryngologiczny - Year 2016, Vol 5, Issue 1
Abstract
Over thirty years of progress in development of surgical techniques and cochlear implant technology led to a change in approach and extending of indications for qualifying patients to treatment of sensorineural hearing loss. Basic indications for cochlear implants include bilateral deafness, bilateral residual hearing or profound bilat-eral sensorineural hearing impairment as well as lack of acoustic gain from classic air conduction hearing aids af-ter a minimum of 5-6 months of use. Methods of subjective and objective hearing assessment are applied. Psycho-logical evaluation is aimed at assessing expectations of the patient/child’s parents, motivation, and intellect with regard to the presence of deficits that might pose difficulty in the course of further rehabilitation as well as accep-tance of this new type of stimulation. Speech and language evaluation takes into consideration the current level of speech development, articulation disorders related to hearing impairment, and the way to communicate with the environment. Final qualification requires imaging diagnostics of the head/ears (CT and/or MRI). Our surgi-cal experience allowed for implanting children with various congenital anomalies of the inner ear. Inflammation within the tympanic cavity and air-filled spaces of the mastoid process might require removal of inflammatory foci prior to surgery or selection of different surgical approach.
Authors and Affiliations
Michał Karlik, Bożena Wiskirska-Woźnica, Alicja Sekula
Keywords
Related Articles
- EP ID EP187123
- DOI -
- Views 147
- Downloads 0
Wyniki słuchowych potencjałów wywołanych pnia mózgu u pacjentów z nerwiakiem nerwu słuchowego
Nerwiaki nerwu słuchowego stanowią około 6% wszystkich guzów wewnątrzczaszkowych, około 30% guzów pnia mózgu oraz około 85% guzów okolicy kąta mostowo-móżdżkowego. Kolejne 10% stanowią oponiaki. Corocznie diagnozowanych...
Prognostic value of ABR-ECochG intraoperative morphology changes in term of hearing preservation in patients with Vestibular Schwannoma
Background: A vestibular schwannoma (VS) is a benign tumor that arises from the Schwann cells. Prompt diagnosis and the use of intraoperative monitoring of hearing (IM) during the removal of the tumor increases the proba...
Od Redaktora Naczelnego
Artykułredakcyjny/Editorial
Endoskopowa ocena zaburzeń połykania - FEES : procedura badania z oceną kwestionariuszową
Badanie endoskopowe połykania FEES (fiberoptic endoscopic examination of swallowing) należy do podstawowych badań instrumentalnych wykorzystywanych w diagnostyce dysfagii ustno-gardłowej. Składa się z trzech części: I. O...
Agreement between Epworth Sleepiness Scale and objective sleep parameters in patients with excessive daytime sleepiness
Obstructive sleep apnea (OSA) is a disease with a broad social impact. Excessive daytime sleepiness raises suspicion of OSA and together with polysomnography (PSG) is the basis for diagnosis. The Epworth Sleepiness Scale...