To evaluate the impact of prolonged unaided duration of deafness (DoD) on speech perception outcomes following cochlear implantation in adults.
✦ The floor
Discussion
Signed responses from readers of the wire.
Earlier cochlear implantation in adults with prolonged deafness is associated with better speech perception outcomes; clinicians should counsel patients that delays in seeking implantation may reduce post-operative benefit.
Quantifying the relationship between unaided deafness duration and CI outcomes strengthens the evidence base for timely referral and candidacy counseling in adult cochlear implant programs.
- 01Retrospective review in Laryngoscope examining adults who received cochlear implants after prolonged deafness.
- 02Longer unaided duration of deafness is associated with poorer post-implantation speech perception.
- 03Findings reinforce the clinical rationale for minimizing delays between hearing loss onset and cochlear implantation.
- 04Retrospective design limits causal inference; confounders such as etiology of deafness may influence results.
- 05Results support earlier referral pathways for adult CI candidates who are not using amplification.
Prolonged unaided duration of deafness negatively impacts speech perception outcomes following cochlear implantation in adults.
studypartially supported- PMID
- 42788698
- DOI
- 10.1002/lary.70945.
- Journal
- The Laryngoscope
- Publication type
- research_article
- Evidence level
- 4
- Population
- Adults with prolonged unaided deafness duration who underwent cochlear implantation
- Intervention
- Cochlear implantation following prolonged unaided deafness
- Comparator
- Shorter deafness duration cochlear implant recipients
Primary outcomes
Speech perception performance post-cochlear implantation