Article
Primary Outcomes of Surgery and Rehabilitation of Cochlear Implant in Children with Abnormal White Matter
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Authors
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Shixun Zhong
- The First Affiliated Hospital of Chongqing Medical, Chongqing, China
| Published: | April 13, 2017 |
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Outline
Text
Introduction: Central white matter changes are at time noted in paediatric cochlear implantation candidates. There are controversies about the preoperative indications and postoperative results for these patients. Both doctors and patients sometimes face a dilemma when make a decision preoperatively. The aim of the present is to study the outcome of cochlear implant in children with abnormal matter, and to evaluate the rehabilitation result of these patients.
Methods: Among 120 patients who received cochlear implants from Jan. 2012 to Dec.2014 in our department, mild abnormality of white matter was found in 15 patients. Fifteen patients with normal white matter were enrolled randomly as control.?The outcomes of surgery and rehabilitation for one year of two groups were compared.
Results:
- 1.
- All electrodes were successfully implanted into cochleas.
- 2.
- No serious postoperative complications occurred.
- 3.
- No obvious difference in postoperative hearing threshold between two groups was found.
- 4.
- No significant differences in Categories of Auditory Performance (CAP) and Speech Intelligibility Rating (SIR) between two groups were found after 6~12-month follow up.
Conclusion: The primary postoperative outcome and speech and language rehabilitation results for the patients with abnormal white matter are similar to those with normal white matter. Cochlear implants could be implanted safely and effectively in patients with mildly abnormal white matter．
Key words: Sensorineural hearing loss, Cochlear implants, Abnormal white matter, Speech and language rehabilitation.
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