Functional Outcomes of Cochlear Implantation in Children with Bilateral Cochlear Nerve Aplasia

Goun Choe, Young Seok Kim, Seung Ha Oh, Sang Yeon Lee, Jun Ho Lee

Research output: Contribution to journalArticlepeer-review

Abstract

Background and Objectives: Many otologists face a dilemma in the decision-making process of surgical management of patients with cochlear nerve (CN) aplasia. The goal of this study is to provide fresh evidence on cochlear implantation (CI) results in patients with CN aplasia. Materials and Methods: We scrutinized functional outcomes in 37 ears of 21 children with bilateral CN aplasia who underwent unilateral or bilateral CI based on cross-sectional and longitudinal assessments. Results: The Categories of Auditory Performance (CAP) scores gradually improved throughout the 3-year follow-up; however, variable outcomes existed between individuals. Specifically, 90% of recipients with a 1-year postoperative CAP score ≤1 could not achieve a CAP score over 1 even at 3-year postoperative evaluation, while the recipients with a 1-year postoperative CAP score >1 had improved auditory performance, and 72.7% of them were able to achieve a CAP score of 4 or higher. Meanwhile, intraoperative electrically evoked compound action potential was not correlated with postoperative CAP score. Conclusions: Our results further refine previous studies on the clinical feasibility of CI as the first treatment modality to elicit favorable auditory performance in children with CN aplasia. However, special attention should be paid to pediatric patients with an early postoperative CAP score ≤1 for identification of unsuccessful cochlear implants and switching to auditory brainstem implants.

Original languageEnglish
Article number1474
JournalMedicina (Lithuania)
Volume58
Issue number10
DOIs
StatePublished - Oct 2022

Keywords

  • cochlear implantation
  • cochlear nerve aplasia
  • correction of hearing impairment
  • vestibulocochlear nerve diseases

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