Title
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Functional outcome of sequential bilateral cochlear implantation in young children: 36 months postoperative results
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Author
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Abstract
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Objective To examine the effects of sequential bilateral cochlear implantation (CI) on the life of young children after 36 months of bilateral implant use. Method Thirty-five children were assessed prior to and 3 until 36 months after activation of the second CI. Main outcome measures were: the Categories of Auditory Performance (CAP), Speech Intelligibility Rating (SIR), communication mode, classroom placement, parent reports and the Würzburg questionnaire. Results were analysed separately for children younger and older than 6 years at the time of the second implantation. Results At the 3-year test interval, 80% of the younger children attended mainstream schools and were comprehensible for all listeners. They all used oral communication and almost 70% of them could have a conversation over the telephone. After 3 years of bilateral implant use less than 50% of the older children obtained the highest score on the SIR and CAP. Approximately 70% of them was integrated in mainstream schools and used oral communication. All parents reported a more natural communication and an improved quality of life. Conclusions Sequential bilateral implantation seems to offer a wide range of participation benefits to all children and facilitates the social intercourse with their hearing environment. |
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Language
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English
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Source (journal)
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International journal of pediatric otorhinolaryngology. - Amsterdam
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Publication
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Amsterdam
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2009
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ISSN
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0165-5876
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DOI
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10.1016/J.IJPORL.2009.01.009
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Volume/pages
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73
:5
(2009)
, p. 723-730
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ISI
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000265767800019
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Full text (Publisher's DOI)
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