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The benefits of preserving residual hearing following cochlear implantation: a systematic review.
- Source :
-
International Journal of Audiology . Aug2021, Vol. 60 Issue 8, p561-577. 17p. 1 Diagram, 12 Charts, 2 Graphs. - Publication Year :
- 2021
-
Abstract
- Systematically review the current literature for evidence on the "real-life" benefits of hearing preservation cochlear implantation (HPCI) for children and adults. Systematic search of Pubmed, MEDLINE, EMBASE, CINHAL and Cochrane Library for MesH terms hearing¸ preservation and cochlear implantation. Inclusion criteria were the "real-life" benefit of HPCI i.e. other than pre- and post-operative pure tone thresholds. Exclusion criteria were non-English language, conference abstracts, reviews and animal and cadaveric studies. Risk of bias was assessed using the Evidence Project Tool. 37 studies that matched criteria for review with 8/37 including children and 29/37 including adults. HPCI was associated with better speech perception in noise in 18/26 papers and better music perception in 4/5 papers. There was no significant benefit reported in speech perception in quiet (14/20 papers) or binaural cues (3/4 papers), nor was there convincing evidence of HPCI outperforming bimodal users (5/7 papers). QoL scores were high amongst HPCI patients (2/2 papers). Interpretation of findings was hindered by small study groups and significant heterogeneity in various parameters. Current literature on the "real-life" benefit of HPCI, although limited, supports the existence of meaningful benefit, especially in speech perception in noise and music perception. [ABSTRACT FROM AUTHOR]
- Subjects :
- *TREATMENT of hearing disorders
*COCHLEAR implants
*ONLINE information services
*CINAHL database
*SPEECH perception
*MEDICAL information storage & retrieval systems
*MEDICAL databases
*INFORMATION storage & retrieval systems
*HEARING levels
*SYSTEMATIC reviews
*TREATMENT effectiveness
*RESEARCH funding
*QUALITY of life
*AUDIOMETRY
*MEDLINE
*MUSIC
PHYSIOLOGICAL aspects of speech
Subjects
Details
- Language :
- English
- ISSN :
- 14992027
- Volume :
- 60
- Issue :
- 8
- Database :
- Academic Search Index
- Journal :
- International Journal of Audiology
- Publication Type :
- Academic Journal
- Accession number :
- 152009030
- Full Text :
- https://doi.org/10.1080/14992027.2020.1863484