This Journey of Mine

2014 ◽  
Vol 21 (2) ◽  
pp. 46-55
Author(s):  
Cathy Kooser
Keyword(s):  
Hearing Loss ◽  
Cochlear Implant ◽  
Hearing Aids ◽  
Progressive Hearing Loss

For most of my life, I have lived with a progressive hearing loss that has recently resulted in my receiving a cochlear implant (CI). I have decided to share this story because patients' stories/narratives are a valuable way to increase clinicians' awareness of patients' needs and perspectives. This article speaks to my journey living with hearing loss and focuses on my personal reactions to the diagnosis of progressive hearing loss, the recommendation to wear hearing aids, and, finally, the realization that I was a cochlear implant candidate. Comments and suggestions are offered as to how professionals can best assist patients who may be traveling similar paths.

scholarly journals Two siblings with progressive, fluctuating hearing loss after head trauma, treated with cochlear implantation

2009 ◽  
Vol 124 (1) ◽  
pp. 86-89 ◽  
Author(s):  
M J F de Wolf ◽  
J Honings ◽  
F B M Joosten ◽  
L Hoefsloot ◽  
E A M Mylanus ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Hearing Loss ◽  
Case Report ◽  
Cochlear Implant ◽  
Head Trauma ◽  
Cochlear Implantation ◽  
Progressive Hearing Loss ◽  
Enlarged Vestibular Aqueduct ◽  
Vestibular Aqueduct ◽  
Fluctuating Hearing Loss

AbstractObjective:Description of two siblings with unexplained, progressive, perceptive hearing loss after head trauma.Design:Case report.Subjects:Two siblings aged six and eight years old with bilateral, intermittent but progressive hearing loss.Results:These patients had a c.1172G>A (p.Ser391Asn) mutation in the SLC26A4 gene, which has not previously been reported and which caused Pendred or enlarged vestibular aqueduct syndrome. The diagnosis was based on the perceptive hearing loss, computed tomography findings and mutation analysis. The patients were each fitted with a cochlear implant because of their severe, progressive, perceptive hearing loss with deep fluctuations. The results were good.Conclusion:Further testing for the presence of an enlarged vestibular aqueduct is recommended when children present with sudden progression in perceptive hearing loss, whether or not in combination with head trauma. Cochlear implantation is indicated in patients with persistent, progressive hearing loss that leads to deafness. Implantation can be undertaken successfully despite cochlear hypoplasia.

Pediatric Bilateral Sensorineural Hearing Loss: Minimum Test Battery and Referral Criteria for Cochlear Implant Candidacy Evaluation

2021 ◽  
pp. 019459982110273
Author(s):  
Samantha Anne ◽  
Kevin D. Brown ◽  
Donald M. Goldberg ◽  
Oliver F. Adunka ◽  
Margaret Kenna ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Language Development ◽  
Cochlear Implant ◽  
Sensorineural Hearing Loss ◽  
Hearing Aids ◽  
Early Years ◽  
Sensorineural Hearing ◽  
Speech And Language ◽  
Bilateral Sensorineural Hearing Loss ◽  
Speech And Language Development

Among the various cochlear implant systems approved by the Food and Drug Administration, current labeling for pediatric usage encompasses (1) bilateral profound bilateral sensorineural hearing loss in children aged 9 to 24 months and bilateral severe to profound sensorineural hearing loss in children older than 2 years; (2) use of appropriately fitted hearing aids for 3 months (this can be waived if there is evidence of ossification); and (3) demonstration of limited progress with auditory, speech, and language development. Pediatric guidelines require children to have significantly worse speech understanding before qualifying for cochlear implantation. The early years of life have been shown to be critical for speech and language development, and auditory deprivation is especially detrimental during this crucial time. Level of evidence: 2.

scholarly journals Psychosocial Impact of Assistive Devices and Other Technologies on Deaf and Hard of Hearing People

2021 ◽  
Vol 18 (14) ◽  
pp. 7259
Author(s):  
Estíbaliz Jiménez-Arberas ◽  
Emiliano Díez
Keyword(s):  
Hearing Loss ◽  
Standard Deviation ◽  
Cochlear Implant ◽  
Hearing Aids ◽  
Hard Of Hearing ◽  
Psychosocial Impact ◽  
Assistive Technologies ◽  
Assistive Devices ◽  
Adoption Process ◽  
Relevant Variable

Deaf and hard of hearing people use a variety of assistive devices and technologies as a strategy to mitigate, counter or compensate for life difficulties resulting from hearing loss. Although outcome measures are commonly used with hearing aids, few studies have explored the perceived psychosocial impact of other assistive devices and technologies or the factors leading to their abandonment or lack of use. Therefore, the main aim of this study was to assess the psychosocial impact of different assistive devices on deaf and hard of hearing people using the Psychosocial Impact of Assistive Devices Scale. The sample was made up of 291 individuals, 176 women and 115 men, with an average age of 56.12 years (standard deviation (SD) = 25.11), who were all users of different assistive devices. Overall, the results of the study showed that the use of assistive devices had a positive psychosocial impact, although this impact varied slightly depending on the specific type of device. Moreover, a relationship was identified between the psychosocial impact and the probability of future abandonment of a hearing aid or a cochlear implant. The results point to the importance of considering the psychosocial impact derived from the use of a device as a relevant variable in the adoption process of assistive technologies for deaf and hard of hearing people.

scholarly journals The Function of Cochlear Implant After Cardioversion in a Patient With Atrial Flutter: A Case Report

2021 ◽  
pp. 014556132110019
Author(s):  
Hong Chan Kim ◽  
Chung Man Sung ◽  
Hyung Chae Yang ◽  
Hyong-Ho Cho
Keyword(s):  
Hearing Loss ◽  
Older People ◽  
Cochlear Implant ◽  
Hearing Aids ◽  
Heart Rhythm ◽  
Electrical Shock ◽  
Implant Surgery ◽  
Increased Risk ◽  
Cochlear Implant Surgery ◽  
Before And After

Hearing loss in older people can cause communication impairments, decreased quality of life, social isolation, depression, and dementia. Cochlear implant surgery is an effective treatment for older patients with hearing loss who cannot achieve satisfactory audiologic outcomes with hearing aids. However, older people have an increased risk of heart disease and often take medications that affect heart rhythm. Herein, we report a case of an 80-year-old woman who underwent cardioversion at 50J after cochlear implant surgery. Electrical impedance before and after cardioversion showed only minor changes without abnormality, and the cochlear implant functioned well. We believe that the electronic circuits of the cochlear implant may have been relatively tolerant to the electrical shock from the external defibrillator. Typically, cardioversion should be avoided in cochlear implant recipients because it may damage the implant. If cardioversion cannot be avoided, we strongly recommend starting cardioversion at the lowest energy level (50 J) and removing the sound processor of the implant during the procedure.

Speech Perception Performance of Children with a Cochlear Implant Compared to that of Children with Conventional Hearing Aids: 1. The “Equivalent Hearing Loss” Concept

1997 ◽  
Vol 117 (5) ◽  
pp. 750-754 ◽  
Author(s):  
Ad F. M. Snik ◽  
Anneke M. Vermeulen ◽  
Jan P. L. Brokx ◽  
Cilia Beijk ◽  
Paul Van Den Broek
Keyword(s):  
Hearing Loss ◽  
Speech Perception ◽  
Cochlear Implant ◽  
Hearing Aids

scholarly journals Identification and Evaluation of Cochlear Implant Candidates with Asymmetrical Hearing Loss

2015 ◽  
Vol 20 (Suppl. 1) ◽  
pp. 87-89 ◽  
Author(s):  
Christophe Vincent ◽  
Susan Arndt ◽  
Jill B. Firszt ◽  
Bernard Fraysse ◽  
Pádraig T. Kitterick ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Cochlear Implant ◽  
Hearing Aids ◽  
Objective Assessment ◽  
Treatment Options ◽  
Bone Conduction ◽  
Round Table ◽  
Subjective Assessment ◽  
Data Set ◽  
Single Sided Deafness

Objective: Recommendation for cochlear implant (CI) treatment for individuals with severe to profound single-sided deafness (SSD) and asymmetrical hearing loss (AHL) is on the rise. This raises the need for greater consistency in the definition of CI candidacy for these cases and in the assessment methods of patient-related benefits to permit effective comparison and interpretation of the outcomes with both conventional and implantable options across studies. Method: During a dedicated seminar on implant treatment in AHL patients, the panellists of the closing round table reviewed the clinical experience presented with the aim to define clear audiometric characteristics for both AHL and SSD cases, as well as a common data set enabling consistent evaluation of hearing benefits in this population. Conclusions: The panellists agreed on a clear differentiation between AHL and SSD CI candidates, defining average pure-tone thresholds up to 4 kHz for better and poorer ears. Agreement was reached on a minimum set of assessment procedures, and included the necessity of trials with conventional CROS/BICROS hearing aids and bone conduction devices before considering CI treatment. Objective assessment of sound localisation abilities was identified as the most relevant criterion to quantify performance before and after treatment. In parallel, subjective assessment of overall hearing ability was recommended via the Speech, Spatial and Qualities of hearing questionnaire. Longitudinal follow-up of these parameters and the hours of daily use were considered essential to reflect the potential treatment benefits for this population. The consistency in the data collection and its report will further support health authorities in their decision on acceptable gains from available hearing loss treatment options.

scholarly journals Participation in regular classroom of student with hearing loss: frequency modulation System use

CoDAS ◽  
2014 ◽  
Vol 26 (4) ◽  
pp. 308-314 ◽  
Author(s):  
Regina Tangerino de Souza Jacob ◽  
Tacianne Kriscia Machado Alves ◽  
Adriane Lima Mortari Moret ◽  
Marina Morettin ◽  
Larissa Germiniani dos Santos ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Cochlear Implant ◽  
Hearing Impairment ◽  
Hearing Aids ◽  
Frequency Modulation ◽  
Original Version ◽  
Regular Classroom ◽  
Classroom Participation ◽  
Culturally Adapted ◽  
System Use

PURPOSE: Translate and adapt to Portuguese the Classroom Participation Questionnaire (CPQ) and compare the participation in regular classroom of students with hearing impairment with and without the use of frequency modulation (FM) System.METHODS: The translation and adaptation of CPQ included the translation into Portuguese, linguistic adaptation and review of grammatical and idiomatic equivalences. The questionnaire was administered to 15 children and teenagers using hearing aids (HA) and/or cochlear implant (CI), fitted with personal FM System.RESULTS: The translation of the English CPQ into the Portuguese instrument resulted in the "Questionário de participação em sala de aula" with the same number of questions as the original version; regarding linguistic adaptation, no difficulty was observed in the understanding of the items proposed in the application for students with hearing loss.CONCLUSION: The CPQ instrument was translated and culturally adapted for the Brazilian population, being named "Questionário de participação em sala de aula"in the Portuguese version. The study contributes to observation and monitoring of participation in regular classroom of students with hearing impairment using FM System. In general, students reported increased confidence and participation in the classroom with the use of FM System.

scholarly journals Management Options for Patients With Nasopharyngeal Carcinoma Undergoing Cochlear Implantation

2020 ◽  
pp. 014556132094727
Author(s):  
Chee-Yee Lee ◽  
Wei-Chieh Lin ◽  
Chung-Ching Lin ◽  
Chuan-Jen Hsu ◽  
Hung-Pin Wu
Keyword(s):  
Hearing Loss ◽  
Nasopharyngeal Carcinoma ◽  
Cochlear Implant ◽  
Otitis Media ◽  
Hearing Aids ◽  
Cochlear Implantation ◽  
Chronic Otitis Media ◽  
Management Options ◽  
Implant Surgery ◽  
Cochlear Implant Surgery

Objectives: Cochlear implantation (CI) has been successfully used to restore hearing in patients with severe to profound hearing loss. In addition to hearing loss, irradiated patients with nasopharyngeal carcinoma (NPC) also often have chronic otitis media and Eustachian tube (ET) dysfunction. These features may result in difficulties in CI. We conducted this study to review the management options for irradiated patients with NPC undergoing CI. Furthermore, we investigated the results of CI in irradiated patients with NPC with chronic otitis media and obstructive ET dysfunction, accordingly to different treatment strategies. Methods: We retrospectively reviewed the data of patients with NPC who underwent CI in our hospital between 2006 and 2020. All subjects were found to be eligible according to the following inclusion criteria: had NPC, received irradiation, underwent cochlear implant surgery, and had chronic otitis media with obstructive ET dysfunction. Results: A total of 9 patients with obstructive ET dysfunction and chronic otitis media underwent cochlear implant surgery. Seven patients with an inflamed ETs underwent a 2-stage operation. Two patients with obliterated ETs, we performed a single-stage CI surgery. Only 1 patient had otitis media effusion after the surgery. Conclusion: With the proper management of chronic otitis media and ET dysfunction, cochlear implant is an effective treatment for irradiated patients with NPC when conventional hearing aids failed.

Progressive Hearing Loss in Children

1981 ◽  
Vol 46 (3) ◽  
pp. 328-334 ◽  
Author(s):  
Katherine M. Reilly ◽  
Elmer Owens ◽  
Dennis Uken ◽  
Adeline Clingan McClatchie ◽  
Ronnie Clarke
Keyword(s):  
Hearing Loss ◽  
Hearing Aids ◽  
Hearing Aid ◽  
Progressive Hearing Loss ◽  
Progressive Loss ◽  
Limited Role ◽  
Hearing Aid Use

A sample of 20 children monitored for progressive hearing loss combined with 25 progressive loss cases were obtained. The effects of hearing aid use on progressive loss were examined in the context of etiology and other factors, particularly the time relations between hearing aid application and the period of progression. Results indicated a limited role played by hearing aids in progressive hearing loss. Hearing aid use was not implicated in 31 (69%) of the progressive loss subjects, questionably implicated in nine (20%), and probably implicated in five (11%). In the identification and monitoring of progressive hearing loss, it is unwise to conclude that hearing aid use is the cause of the deterioration without considering all other plausible factors.

scholarly journals Electric and Acoustic Stimulation in Cochlear Implant Recipients with Hearing Preservation

2018 ◽  
Vol 39 (04) ◽  
pp. 414-427 ◽  
Author(s):  
Christopher Welch ◽  
Margaret Dillon ◽  
Harold Pillsbury
Keyword(s):  
Hearing Loss ◽  
Speech Perception ◽  
Cochlear Implant ◽  
Hearing Aids ◽  
High Frequency ◽  
Low Frequency ◽  
Hearing Preservation ◽  
The United States ◽  
Acoustic Stimulation ◽  
Electric Hearing

AbstractHearing loss affects 30 million people in the United States, and a subset of these patients have normal low-frequency hearing and ski-sloped high-frequency hearing loss. For these patients, hearing aids alone may not provide adequate benefit. Cochlear implantation alone has been utilized to improve speech perception. The addition of high-frequency electric hearing to low-frequency acoustic hearing in these patients is beneficial. Technical improvements have allowed preservation of low-frequency hearing in cochlear implant recipients, allowing for electric and acoustic stimulation in the same ear with significant improvements in speech perception, sound localization, music appreciation, and quality of life.

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