Pain at the Cochlear Implant Site Requiring Device Removal in Pediatric Patients

2022 ◽  
Author(s):  
A. Eliot Shearer ◽  
Alicia Wang ◽  
Maranda Lawton ◽  
Catherine Lachenauer ◽  
Jacob R. Brodsky ◽  
...  
Keyword(s):  
Cochlear Implant ◽  
Pediatric Patients ◽  
Device Removal

The use of honey in cochlear implant associated wounds in pediatric patients

2018 ◽  
Vol 111 ◽  
pp. 80-83 ◽  
Author(s):  
Anya Costeloe ◽  
Nathan Douglas Vandjelovic ◽  
Michel Anthony Evans ◽  
Sonal S. Saraiya
Keyword(s):  
Cochlear Implant ◽  
Pediatric Patients

Long term speech perception after cochlear implant in pediatric patients with GJB2 mutations

2013 ◽  
Vol 40 (5) ◽  
pp. 435-439 ◽  
Author(s):  
Haruo Yoshida ◽  
Haruo Takahashi ◽  
Yukihiko Kanda ◽  
Shin-ichi Usami
Keyword(s):  
Speech Perception ◽  
Cochlear Implant ◽  
Pediatric Patients ◽  
Gjb2 Mutations

scholarly journals High Electrode Impedance Values in Pediatric Cochlear Implant Recipients May Imply Insufficient Auditory and Language Skills Development

2020 ◽  
Vol 9 (2) ◽  
pp. 506
Author(s):  
Faris F. Brkic ◽  
Sekib Umihanic ◽  
Alen Harcinovic ◽  
Lejla Piric ◽  
Fuad Brkic
Keyword(s):  
Cochlear Implant ◽  
Performance Test ◽  
Pediatric Patients ◽  
Language Skills ◽  
Primary Objective ◽  
Skills Development ◽  
Electrode Impedance ◽  
Monthly Basis ◽  
Tertiary Referral Center ◽  
One Year

Background: Measurements of electrode impedance values are routinely performed after cochlear implantation. The primary objective of the study was to determine if pediatric, prelingually deafened patients with different postoperative performances showed significantly different impedance values one year after implantation. Methods: This study comprised 42 pediatric cochlear implant recipients provided with the device in a single academic tertiary referral center between 1 January 2000, and 31 December 2016. Medical chart analysis was performed in order to assess evolution of impedance values during the first postoperative year on a monthly basis. Electrode impedance values measurements one year postoperatively were compared between children with successful and unsuccessful auditory and language skills development assessed using the EARS protocol (a name of a performance test). Furthermore, values were compared among recipients of different implant types and among different cochlear segments. Results: A gradual rise of average impedance values was found during the first months of implant use (1st month, 7.32 kΩ; 3rd month, 7.86 kΩ) with the peak at the 4th postoperative month (7.96 kΩ), followed by a gradual decrease towards the 12th month (6th month, 7.62 kΩ; 12th month, 6.86 kΩ). Lower values at the 12th postoperative month were observed in recipients with successful development compared to patients presented with unsuccessful development (6.22 kΩ vs. 7.82 kΩ; p = 0.001). Mean impedance values were different when compared among cochlear segments and among different implant types. Conclusion: High electrode impedance values one year after implantation in pediatric patients may imply insufficient auditory and language skills development. Further studies are needed in order to validate our results.

Routine Use of the Crystal Device Integrity Testing System in Pediatric Patients

2006 ◽  
Vol 17 (10) ◽  
pp. 722-732 ◽  
Author(s):  
Daniel L. Monin ◽  
Ken Kazahaya ◽  
Kevin H. Franck
Keyword(s):  
Cochlear Implant ◽  
Common Ground ◽  
Pediatric Patients ◽  
Rapid Assessment ◽  
Clinical Treatment ◽  
Testing System ◽  
Integrity Testing ◽  
The Future ◽  
Integrity Tests ◽  
Abnormal Results

Crystal Device Integrity Testing System (CITS), the first commercially available testing system of its type, allows rapid assessment of cochlear implant function by measuring averaged electrode voltages—the scalp-recorded fields generated by electrode currents. We describe our experience performing routine integrity tests on 44 pediatric cochlear implant patients using the CITS. We present our findings focusing on the monopolar and common ground scans to provide a framework from which CITS scans can be evaluated in the future. We also describe selected cases in which abnormal results using the CITS influenced clinical treatment, demonstrating the utility of performing routine integrity tests.

Enlarged Vestibular Aqueduct: Hearing Progression and Cochlear Implant Candidacy in Pediatric Patients

2021 ◽  
Vol 42 (1) ◽  
pp. 203-206
Author(s):  
Sarah E. Hodge ◽  
Nicholas J. Thompson ◽  
Lisa R. Park ◽  
Kevin D. Brown
Keyword(s):  
Cochlear Implant ◽  
Pediatric Patients ◽  
Enlarged Vestibular Aqueduct ◽  
Vestibular Aqueduct

scholarly journals Effect of IV Midazolam Premedication on the Recovery of Pediatric Patients after Isoflurane Anesthesia for Cochlear Implant Surgery

2019 ◽  
Vol 13 (1) ◽  
pp. 47-52
Author(s):  
Mona R. Hosny ◽  
Ashraf N. Saleh ◽  
Wail A. Abdelaal ◽  
Tahany M. Rabie
Keyword(s):  
Cochlear Implant ◽  
Pediatric Patients ◽  
Statistical Significance ◽  
Randomized Study ◽  
Saline Group ◽  
Double Blind ◽  
Implant Surgery ◽  
Isoflurane Anesthesia ◽  
Cochlear Implant Surgery ◽  
Midazolam Premedication

Purpose: Midazolam, given by varying routes, is widely used as a premedication. This study was performed to investigate the effect of IV midazolam premedication on the recovery characteristics from isoflurane anesthesia in pediatric patients undergoing cochlear implant surgery. Methods: In this double-blind randomized study, a total of 60 unilateral cochlear implants procedures were performed on 60 children aged 1 – 6 years. They were 29 males (48.3%) and 31 females (51.7%). Patients were randomly allocated in one of two groups (M and S). Each group included 30 participants. Patients in group M received 0.01 mg/kg IV midazolam in 2 ml of 0.9% saline, while patients in group S received equal volume of 0.9% saline, two minutes before induction. Recovery times from discontinuation of isoflurane were recorded. Postoperative pain was assessed using Objective Pain Discomfort Score (OPDS). Emergence Agitation (EA) was recorded based on Aono’s four-point scale. Results: There were statistically significant differences between patients pre-medicated with IV midazolam and those of the normal saline group as regards all measured recovery parameters (p<0.001). Patients in group M scored higher than those in Group S on the OPDS. Yet, this difference didn't show statistical significance (p=0.438) Among patients pre-medicated with midazolam, 17 (56.6%) suffered from EA compared to 12 (40%) patients from the other group. This difference did not reach statistical significance (p=0.196). Conclusion: Premedication with IV midazolam delayed recovery in pediatric patients undergoing moderately-long procedures when isoflurane was used as the inhalation anesthetic, while its effect on EA remains uncertain.

Pediatric Single-Sided Deafness: A Review of Prevalence, Radiologic Findings, and Cochlear Implant Candidacy

2021 ◽  
pp. 000348942110195
Author(s):  
Nicholas A. Dewyer ◽  
Sullivan Smith ◽  
Barbara Herrmann ◽  
Katherine L. Reinshagen ◽  
Daniel J. Lee
Keyword(s):  
Cochlear Implant ◽  
Cochlear Implantation ◽  
Pediatric Patients ◽  
Medical Center ◽  
Academic Medical Center ◽  
Cochlear Nerve ◽  
Imaging Characteristics ◽  
Common Etiology ◽  
Single Sided Deafness ◽  
Cochlear Nerve Deficiency

Objective: To characterize the prevalence, imaging characteristics, and cochlear implant candidacy of pediatric patients with single-sided deafness (SSD). Methods: An audiometric database of patients evaluated at a large tertiary academic medical center was retrospectively queried to identify pediatric patients (<18 years old) with SSD, defined as severe to profound sensorineural hearing loss in one ear and normal hearing in the other. Medical records of identified patients were reviewed to characterize the prevalence, etiology, and cochlear implant candidacy of pediatric patients with SSD. Results: We reviewed audiometric data obtained from 1993 to 2018 for 52,878 children at our institution. 191 (0.36%) had the diagnosis of SSD. Cochlear nerve deficiency (either hypoplasia or aplasia) diagnosed on MRI and/or CT was the most common etiology of SSD and was present in 22 of 88 (25%) pediatric SSD patients with available imaging data. 70 of 106 (66%) pediatric SSD patients with available imaging had anatomy amenable to cochlear implantation. Conclusions: Pediatric SSD is a rare condition and the most common etiology based on radiology is cochlear nerve deficiency. High resolution imaging of the temporal bone is essential to determine cochlear nerve morphology prior to consideration of cochlear implantation.

scholarly journals Pediatric Auditory Brainstem Implantation: Impact on Audiological Rehabilitation and Tonal Language Development

2018 ◽  
Vol 23 (2) ◽  
pp. 126-134 ◽  
Author(s):  
John Ka Keung Sung ◽  
Betty Pui Ki Luk ◽  
Terence Ka Cheong Wong ◽  
Jiun Fong Thong ◽  
Hoi Tung Wong ◽  
...  
Keyword(s):  
Hong Kong ◽  
Language Development ◽  
Cochlear Implant ◽  
Pediatric Patients ◽  
Auditory Brainstem ◽  
Speech Development ◽  
Vowel Identification ◽  
Tonal Language ◽  
Prelingual Deafness ◽  
The Impact

Objective: This is a retrospective review of the impact of an Auditory Brainstem Implant (ABI) on the audiological rehabilitation and tonal language development of pediatric patients with prelingual profound deafness in Hong Kong. Results: From January 2009 to February 2015, 11 pediatric patients with profound prelingual deafness received an ABI in Hong Kong (age range 1.67–3.75 years). Etiologies included Cochlear Nerve Deficiency in 7, Severe Cochlear Malformations in 2, and Retrocochlear Deafness in 2. All of them were rehabilitated in Cantonese, a dialect of Chinese. Standard pediatric cochlear implant outcome measurements were used in this study that comprised of the 7-Sound Detection, Syllable Identification, Vowel Identification, Consonant Identification, Tone Imitation, Tone Production and Speech Perception Category. Audiological rehabilitation and speech development outcomes were reviewed. Age-matched outcomes of pediatric cochlear implant users were used for comparisons. Conclusion: Encouraging results of speech development were found, especially with continued use of the ABI. There was considerable variation in outcomes. Children with coexisting developmental and nonauditory cognitive disabilities did not perform as well. Auditory brainstem implantation is a safe and beneficial treatment for profound prelingual deafness in Cantonese-speaking pediatric patients.

Letter to the Editor Concerning Skuk et al., “Parameter-Specific Morphing Reveals Contributions of Timbre and Fundamental Frequency Cues to the Perception of Voice Gender and Age in Cochlear Implant Users”

2020 ◽  
Vol 63 (12) ◽  
pp. 4325-4326 ◽  
Author(s):  
Hartmut Meister ◽  
Katrin Fuersen ◽  
Barbara Streicher ◽  
Ruth Lang-Roth ◽  
Martin Walger
Keyword(s):  
Cochlear Implant ◽  
Fundamental Frequency ◽  
Stimulus Type ◽  
Voice Perception ◽  
Letter To The Editor ◽  
Gender And Age ◽  
General Influence

Purpose The purpose of this letter is to compare results by Skuk et al. (2020) with Meister et al. (2016) and to point to a potential general influence of stimulus type. Conclusion Our conclusion is that presenting sentences may give cochlear implant recipients the opportunity to use timbre cues for voice perception. This might not be the case when presenting brief and sparse stimuli such as consonant–vowel–consonant or single words, which were applied in the majority of studies.

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