Cochlear implantation in patients with prelingual hearing loss

Abstract

Conclusion: The average age at the time of cochlear implantation is progressively being reduced. While cochlear obstruction and perilymph/cerebello-spinal fluid gusher were found in some cases, preoperative MRI and CT scans were predictive of such occurrences. The preoperative developmental quotient in the Cognitive-Adaptive Area was strongly correlated to the postoperative development in the Language-Social Area. Objective: To summarize the background, implant devices, intraoperative findings, and postoperative developmental quotients of prelingually deafened patients who underwent cochlear implantation. Methods: We conducted a retrospective chart review of 134 prelingually deafened cochlear implant recipients. Results: The median age at implantation was 3 years and 5 months. Most patients were born deaf without any known etiologies. In most cases, the transmastoid facial recess approach was utilized. Cochlear obstruction was identified in four patients, all of whom lost their hearing as a result of meningitis. Perilymph/cerebello-spinal fluid gusher was observed in six patients with inner ear anomalies. The preoperative developmental quotient for the Cognitive-Adaptive Area showed significant correlation with the postoperative developmental quotient in the Language-Social Area with a correlation coefficient of 0.71.

Keywords::

• Cochlear implant
• deaf
• children

Declaration of interest: This work was supported by Grants-in-aid for Young Scientists (B) from the Japan Society of the Promotion of Science 21791612. The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.