TY - JOUR
T1 - Influence of age at revision cochlear implantation on speech perception outcomes
AU - Dillon, Margaret T.
AU - Adunka, Oliver F.
AU - Anderson, Meredith L.
AU - Adunka, Marcia C.
AU - King, English R.
AU - Buchman, Craig A.
AU - Pillsbury, Harold C.
N1 - Publisher Copyright:
Copyright 2015 American Medical Association. All rights reserved.
PY - 2015/3/1
Y1 - 2015/3/1
N2 - IMPORTANCE: This study reviewed whether advanced age should be a consideration when revision cochlear implantation is warranted. OBJECTIVE: To examine whether age at revision cochlear implantation is related to postrevision speech perception performance. DESIGN, SETTING, AND PARTICIPANTS: A retrospective analysiswas performed in an academic tertiary care center. Participants included 14 younger adults (<65 years) and 15 older adults (≥65 years) who underwent revision cochlear implantation. INTERVENTION: Revision cochlear implantation. MAIN OUTCOMES AND MEASURES: Speech perception performance, as measured with consonant-nucleus-consonant [CNC] words in quiet, at the best prerevision interval as well as the 3- and 6-month postrevision intervals were compared between the 2 cohorts. The CNC word test consists of 10 lists of 50 phonemically balanced monosyllabic words, scored with a range of 0%to 100% correct. RESULTS: Both cohorts experienced a restoration in speech perception scores after revision cochlear implantation compared with their best performance before the revision (mean [SD] CNC word test scores for the younger cohort: 43.9%[25.6%] before revision and 47.7% [21.3%] at 3 months and 47.6%[19.8%] at 6 months after revision; for the older cohort: 36.3%[19.1%] before revision and 35.3%[17.2%] at 3 months and 39.9%[16.3%] at 6 months after revision; F2,54 = 0.93; P = .40). There was no interaction between age at revision surgery and speech perception performance at each assessment interval (F2,54 = 0.51; P = .60). CONCLUSIONS AND RELEVANCE: In this study, age at revision cochlear implantation was not related to postrevision speech perception performance. Advanced age should not be considered a contraindication to revision cochlear implantation.
AB - IMPORTANCE: This study reviewed whether advanced age should be a consideration when revision cochlear implantation is warranted. OBJECTIVE: To examine whether age at revision cochlear implantation is related to postrevision speech perception performance. DESIGN, SETTING, AND PARTICIPANTS: A retrospective analysiswas performed in an academic tertiary care center. Participants included 14 younger adults (<65 years) and 15 older adults (≥65 years) who underwent revision cochlear implantation. INTERVENTION: Revision cochlear implantation. MAIN OUTCOMES AND MEASURES: Speech perception performance, as measured with consonant-nucleus-consonant [CNC] words in quiet, at the best prerevision interval as well as the 3- and 6-month postrevision intervals were compared between the 2 cohorts. The CNC word test consists of 10 lists of 50 phonemically balanced monosyllabic words, scored with a range of 0%to 100% correct. RESULTS: Both cohorts experienced a restoration in speech perception scores after revision cochlear implantation compared with their best performance before the revision (mean [SD] CNC word test scores for the younger cohort: 43.9%[25.6%] before revision and 47.7% [21.3%] at 3 months and 47.6%[19.8%] at 6 months after revision; for the older cohort: 36.3%[19.1%] before revision and 35.3%[17.2%] at 3 months and 39.9%[16.3%] at 6 months after revision; F2,54 = 0.93; P = .40). There was no interaction between age at revision surgery and speech perception performance at each assessment interval (F2,54 = 0.51; P = .60). CONCLUSIONS AND RELEVANCE: In this study, age at revision cochlear implantation was not related to postrevision speech perception performance. Advanced age should not be considered a contraindication to revision cochlear implantation.
UR - http://www.scopus.com/inward/record.url?scp=84925358090&partnerID=8YFLogxK
U2 - 10.1001/jamaoto.2014.3418
DO - 10.1001/jamaoto.2014.3418
M3 - Article
C2 - 25611857
AN - SCOPUS:84925358090
SN - 2168-6181
VL - 141
SP - 219
EP - 224
JO - JAMA Otolaryngology - Head and Neck Surgery
JF - JAMA Otolaryngology - Head and Neck Surgery
IS - 3
ER -