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Titre : | The benefits of preserving residual hearing following cochlear implantation : a systematic review (2021) |
Auteurs : | Simone Schaefer ; Maryam Sahwan ; Aleksandra Metryka ; Karolina Kluk ; Iain A. Bruce |
Type de document : | Article |
Dans : | International Journal of Audiology IJA (Vol. 60, n°8, Août 2021) |
Article en page(s) : | p. 561-577 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Adulte implanté ; Enfant implanté ; Implants cochléaires ; Préservation de l'audition ; Stimulation électro-acoustique (EAS) |
Résumé : |
Objective
Systematically review the current literature for evidence on the real-life benefits of hearing preservation cochlear implantation (HPCI) for children and adults. Design 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. Study sample 37 studies that matched criteria for review with 8/37 including children and 29/37 including adults. Results 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. Conclusion 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. |
Accès : | Contactez la bibliothèque d'Ixelles si le lien vers la ressource électronique ne fonctionne plus |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.tandfonline.com/doi/epub/10.1080/14992027.2020.1863484?needAccess=true |