Bilateral cochlear implantation in children: A systematic review and best-evidence synthesis
Objectives/Hypothesis To evaluate the effectiveness of bilateral cochlear implantation over unilateral implantation in children with sensorineural hearing loss. Data Sources Pubmed, Embase, and Web of Science. Review Methods All studies comparing a bilateral cochlear implant group with a unilateral...
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| Vydáno v: | The Laryngoscope Ročník 124; číslo 7; s. 1694 - 1699 |
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| Hlavní autoři: | , , , |
| Médium: | Journal Article |
| Jazyk: | angličtina |
| Vydáno: |
United States
Blackwell Publishing Ltd
01.07.2014
Wiley Subscription Services, Inc |
| Témata: | |
| ISSN: | 0023-852X, 1531-4995, 1531-4995 |
| On-line přístup: | Získat plný text |
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| Shrnutí: | Objectives/Hypothesis
To evaluate the effectiveness of bilateral cochlear implantation over unilateral implantation in children with sensorineural hearing loss.
Data Sources
Pubmed, Embase, and Web of Science.
Review Methods
All studies comparing a bilateral cochlear implant group with a unilateral implant group were included.
Results
Twenty‐one studies compared a bilateral cochlear implant group with a unilateral group. No randomized trials were identified. Due to the clinical heterogeneity, statistical pooling was not feasible and a best‐evidence synthesis was performed. The results of this best‐evidence synthesis indicate the positive effect of the second implant for especially sound localization and possibly for preverbal communication and language development. There was insufficient evidence to make a valid comparison between bilateral implantation and a bimodal fitting.
Conclusion
Although randomized trials are lacking, the results of our best‐evidence synthesis indicate that the second cochlear implant might be especially useful in sound localization and possibly also in language development.
Level of Evidence
Laryngoscope, 124:1694–1699, 2014 |
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| Bibliografie: | ark:/67375/WNG-C61KNLTT-W ArticleID:LARY24582 istex:0D3899631A254617E674BC6E09BE5D14F66E8C1C Wilko Grolman, MD, received unrestrictive research grants from Cochlear Ltd., Med‐El GmbH, and Advanced Bionics. The authors have no other funding, financial relationships, or conflicts of interest to disclose. ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 14 ObjectType-Review-3 content type line 23 ObjectType-Undefined-4 |
| ISSN: | 0023-852X 1531-4995 1531-4995 |
| DOI: | 10.1002/lary.24582 |