Format

Send to

Choose Destination
Arch Otolaryngol Head Neck Surg. 2002 Jan;128(1):11-4.

Surgery and functional outcomes in deaf children receiving cochlear implants before age 2 years.

Author information

1
Department of Otolaryngology, University Hospital, Queen's Medical Center NHS Trust, Nottingham, England.

Abstract

OBJECTIVE:

To examine the feasibility of cochlear implantation in children younger than 2 years regarding surgery and functional outcomes.

DESIGN:

Prospective study.

SETTING:

Tertiary pediatric cochlear implant center.

PATIENTS:

A consecutive sample of 12 children younger than 2 years at the time of cochlear implantation (8 boys and 4 girls). The cause of hearing loss was meningitis in 6 children and congenital in 6.

INTERVENTIONS:

Multichannel cochlear implantation using the Nucleus C124M (Cochlear Co, Sydney, Australia) device. Functional outcome was assessed using the Listening Progress Profile and the Categories of Auditory Performance.

MAIN OUTCOME MEASURES:

Perioperative and postoperative surgical complications and functional outcome.

RESULTS:

Eight children had a completely patent cochlea. Four children required a 3- to 5-mm drilling to reach the scala tympani because of ossification after meningitis. Full insertion was achieved in 11 patients; the other child received 18 electrodes. One patient had temporary facial nerve weakness; 2 others had wound edema and serous discharge that resolved with conservative management. In the longer term, 1 child experienced a single episode of acute otitis media; another had recurrent episodes of otitis media. Mean Listening Progress Profile scores increased from 1 to 42 and median Categories of Auditory Performance scores increased from 0 to 5 at 2 years postsurgery. Comparison with the scores in the 2- to 5-year group showed no significant differences. No significant tuning difficulties were experienced with all children.

CONCLUSIONS:

Cochlear implantation is feasible in children younger than 2 years without significant surgical complications or particular tuning difficulties. Functional results 2 years after implantation were as good as or better than those of children who underwent implantation between ages 2 and 5 years.

PMID:
11784247
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Silverchair Information Systems
Loading ...
Support Center