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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| Published in: | The Laryngoscope Vol. 124; no. 7; pp. 1694 - 1699 |
|---|---|
| Main Authors: | , , , |
| Format: | Journal Article |
| Language: | English |
| Published: |
United States
Blackwell Publishing Ltd
01.07.2014
Wiley Subscription Services, Inc |
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| ISSN: | 0023-852X, 1531-4995, 1531-4995 |
| Online Access: | Get full text |
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| Abstract | 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 |
|---|---|
| AbstractList | 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 [PUBLICATION ABSTRACT] 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 To evaluate the effectiveness of bilateral cochlear implantation over unilateral implantation in children with sensorineural hearing loss.OBJECTIVES/HYPOTHESISTo evaluate the effectiveness of bilateral cochlear implantation over unilateral implantation in children with sensorineural hearing loss.Pubmed, Embase, and Web of Science.DATA SOURCESPubmed, Embase, and Web of Science.All studies comparing a bilateral cochlear implant group with a unilateral implant group were included.REVIEW METHODSAll studies comparing a bilateral cochlear implant group with a unilateral implant group were included.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.RESULTSTwenty-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.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.CONCLUSIONAlthough 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. To evaluate the effectiveness of bilateral cochlear implantation over unilateral implantation in children with sensorineural hearing loss. Pubmed, Embase, and Web of Science. All studies comparing a bilateral cochlear implant group with a unilateral implant group were included. 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. 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. |
| Author | Pourier, Vanessa E.C. van der Heijden, Geert J.M.G. Grolman, Wilko Lammers, Marc J.W. |
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| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/24390811$$D View this record in MEDLINE/PubMed |
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| Keywords | Cochlear implantation bimodal bilateral unilateral best-evidence synthesis hearing loss deafness systematic review |
| Language | English |
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| Notes | 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 |
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The effectiveness and cost-effectiveness of cochlear implants for severe to profound deafness in children and adults: a systematic review and economic model. Health Technol Assess 2009;13:1-330. Murphy J, Summerfield AQ, O'Donoghue GM, Moore DR. Spatial hearing of normally hearing and cochlear implanted children. Int J Pediatr Otorhinolaryngol 2011;75:489-494. Sparreboom M, Snik AFM, Mylanus EAM. Sequential bilateral cochlear implantation in children quality of life. Arch Otolaryngol Head Neck Surg 2012;138:134-141. Grieco-Calub TM, Saffran JR, Litovsky RY. Spoken word recognition in toddlers who use cochlear implants. J Speech Lang Hear Res 2009;52:1390-1400. Nittrouer S, Caldwell-Tarr A, Tarr E, Lowenstein JH, Rice C, Moberly AC. Improving speech-in-noise recognition for children with hearing loss: potential effects of language abilities, binaural summation, and head shadow. Int J Audiol 2013;52:513-525. Litovsky RY, Johnstone PM, Godar S, et al. 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A comparison of the perceptual evaluation of speech production between bilaterally implanted children, unilaterally implanted children, children using hearing aids, and normal-hearing children. Int J Audiol 2011;50:912-919. Sparreboom M, Snik AFM, Mylanus EAM. Sequential bilateral cochlear implantation in children: development of the primary auditory abilities of bilateral stimulation. Audiol Neurootol 2010;16:203-213. Beijen JW, Snik AFM, Mylanus EAM. Sound localization ability of young children with bilateral cochlear implants. Otol Neurotol 2007;28:479-485. Nittrouer S, Chapman C. The effects of Bilateral electric and bimodal electric-acoustic stimulation on language development. Trends Amplif 2009;13:190-205. Nittrouer S, Caldwell A, Lowenstein JH, Tarr E, Holloman C. Emergent literacy in kindergartners with cochlear implants. Ear Hear 2012;33:683-697. Grieco-Calub TM, Litovsky RY. Spatial acuity in 2-to-3-year-old children with normal acoustic hearing, unilateral cochlear implants, and bilateral cochlear implants. Ear Hear 2012;33:561-572. Mok M, Galvin KL, Dowell RC, McKay CM. Spatial unmasking and binaural advantage for children with normal hearing, a cochlear implant and a hearing aid, and bilateral implants. Audiol Neurootol 2007;12:295-306. Sparreboom M, Leeuw AR, Snik AFM, Mylanus EAM. Sequential bilateral cochlear implantation in children: Parents' Perspective and device use. Int J Pediatr Otorhinolaryngol 2012;76:339-344. Higgins JPT, Altman DG, Sterne JAC, editors. Chapter 8: Assessing risk of bias in included studies. In: Higgins J.P.T., Green S., eds. Cochrane Handbook for Systematic Reviews of Interventionswww.cochrane-handbook.org: The Cochrane Collaboration, 2011. Available at: www.cochrane-handbook.org. Eustaquio ME, Berryhill W, Wolfe JA, Saunders JE. Balance in children with bilateral cochlear implants. Otol Neurotol 2010;32:424-427. Grieco-Calub TM, Litovsky RY, Werner LA. Using the observer-based psychophysical procedure to assess localization acuity in toddlers who use bilateral cochlear implants. Otol Neurotol 2008;29:235-239. Mok M, Galvin KL, Dowell RC, McKay CM. Speech perception benefit for children with a cochlear implant and a hearing aid in opposite ears and children with bilateral cochlear implants. 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| References_xml | – reference: Baudonck N, Van Lierde K, D'Haeseleer E, Dhooge I. A comparison of the perceptual evaluation of speech production between bilaterally implanted children, unilaterally implanted children, children using hearing aids, and normal-hearing children. Int J Audiol 2011;50:912-919. – reference: Lammers MJW, Venekamp RP, Grolman W, van der Heijden GJMG. Bilateral cochlear implantation in children and the impact of the inter-implant interval. Laryngoscope 2013:doi: 10.1002/lary.24395. – reference: Schafer EC, Thibodeau LM. Speech recognition in noise in children with cochlear implants while listening in bilateral, bimodal, and FM-system arrangements. Am J Audiol 2006;15:114-126. – reference: Bond M, Mealing S, Anderson R, et al. The effectiveness and cost-effectiveness of cochlear implants for severe to profound deafness in children and adults: a systematic review and economic model. Health Technol Assess 2009;13:1-330. – reference: Beijen JW, Snik AFM, Mylanus EAM. Sound localization ability of young children with bilateral cochlear implants. Otol Neurotol 2007;28:479-485. – reference: Slavin RE. Best evidence synthesis: an intelligent alternative to meta-analysis. J Clin Epidemiol 1995;48:9-18. – reference: Nittrouer S, Caldwell A, Lowenstein JH, Tarr E, Holloman C. Emergent literacy in kindergartners with cochlear implants. Ear Hear 2012;33:683-697. – reference: Boons T, Brokx JPL, Frijns JHM, et al. Effect of pediatric bilateral cochlear implantation on language development. Arch Pediatr Adolesc Med 2012;166:28-34. – reference: Murphy J, Summerfield AQ, O'Donoghue GM, Moore DR. Spatial hearing of normally hearing and cochlear implanted children. Int J Pediatr Otorhinolaryngol 2011;75:489-494. – reference: Mok M, Galvin KL, Dowell RC, McKay CM. Spatial unmasking and binaural advantage for children with normal hearing, a cochlear implant and a hearing aid, and bilateral implants. Audiol Neurootol 2007;12:295-306. – reference: Lammers MJ, Grolman W, Smulders YE, Rovers MM. The cost-utility of bilateral cochlear implantation: a systematic review. Laryngoscope 2011;121:2604-2609. – reference: Sparreboom M, Snik AFM, Mylanus EAM. Sequential bilateral cochlear implantation in children quality of life. Arch Otolaryngol Head Neck Surg 2012;138:134-141. – reference: Tait M, Nikolopoulos TP, De Raeve L, et al. Bilateral versus unilateral cochlear implantation in young children. Int J Pediatr Otorhinolaryngol 2010;74:206-211. – reference: Eustaquio ME, Berryhill W, Wolfe JA, Saunders JE. Balance in children with bilateral cochlear implants. Otol Neurotol 2010;32:424-427. – reference: Grieco-Calub TM, Litovsky RY, Werner LA. Using the observer-based psychophysical procedure to assess localization acuity in toddlers who use bilateral cochlear implants. Otol Neurotol 2008;29:235-239. – reference: Sparreboom M, Snik AFM, Mylanus EAM. Sequential bilateral cochlear implantation in children: development of the primary auditory abilities of bilateral stimulation. Audiol Neurootol 2010;16:203-213. – reference: Hodges AV, Balkany TJ. Cochlear implants in children and adolescents. Arch Pediatr Adolesc Med 2012;166:93-94. – reference: Grieco-Calub TM, Litovsky RY. Spatial acuity in 2-to-3-year-old children with normal acoustic hearing, unilateral cochlear implants, and bilateral cochlear implants. Ear Hear 2012;33:561-572. – reference: Grieco-Calub TM, Saffran JR, Litovsky RY. Spoken word recognition in toddlers who use cochlear implants. J Speech Lang Hear Res 2009;52:1390-1400. – reference: Litovsky RY, Johnstone PM, Godar SP. Benefits of bilateral cochlear implants and/or hearing aids in children. 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| SubjectTerms | best-evidence synthesis bilateral bimodal Child Cochlear implantation Cochlear Implantation - methods Cochlear implants deafness Deafness - physiopathology Deafness - surgery hearing loss Humans Language Development Speech Perception systematic review Transplants & implants Treatment Outcome unilateral |
| Title | Bilateral cochlear implantation in children: A systematic review and best-evidence synthesis |
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