Radiological and Audiological Outcomes of the LISTENT LCI-20PI Cochlear Implant Device.
Otol Neurotol
; 42(4): 524-531, 2021 04 01.
Article
em En
| MEDLINE
| ID: mdl-33710992
ABSTRACT
OBJECTIVE:
To study the surgical results, intracochlear position of the electrode array (EA) and auditory performance of the LISTENT LCI-20PI cochlear implant device, and daily use status at 3 years. STUDYDESIGN:
A retrospective study.SETTING:
A single-tertiary referral center. PATIENTS Between January and December 2016, 20 patients underwent cochlear implantation using the LISTENT LCI-20PI (lateral wall EA). INTERVENTION Cochlear implantation. MAIN OUTCOMEMEASURES:
Measurement of cochlear size, extent of posterior tympanotomy, and insertion depth. Scalar position of the EA evaluated by 3D reconstruction. Auditory outcomes 1 year after implantation and daily use status at 3 years.RESULTS:
EAs were completely inserted in all cases with an insertion depth of 288â±â36.8 degrees. One year later, the average sentence recognition score (SRS) was 90â±â21.7%. EA scalar location was analyzed in 18 patients. Thirteen EAs (72.2%) were fully inserted into the scala tympani (ST) and 5 (27.8%) had shifted from the ST to the scala vestibuli (SV). There was no statistically significant difference in cochlear size, extent of posterior tympanotomy, or insertion depth between these two groups. EAs inserted by cochleostomy had a higher chance of scalar shift than those inserted via the round window (60% vs 15.4%, pâ=â0.099). SRS at 1 year with full ST insertion was significantly better than in those with scalar shift (99â±â1.3% vs 83â±â16.5%, pâ=â0.002). Three years after implantation, 92% of patients were daily users and 46% were telephone users.CONCLUSIONS:
The LISTENT LCI-20PI provided accredited hearing rehabilitation with a short insertion depth. Full insertion into the ST was associated with better cochlear implantation outcomes.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Implantes Cocleares
/
Implante Coclear
Tipo de estudo:
Observational_studies
/
Risk_factors_studies
Limite:
Humans
Idioma:
En
Ano de publicação:
2021
Tipo de documento:
Article