Quality of Life Following Cochlear Implantation in Patients With Menière's Disease
Background: Menière's disease (MD) is a disorder characterized by auditory and vestibular dysfunction that significantly deteriorates patients' quality of life (QoL). In addition to the management of vestibular symptoms, some patients with bilateral hearing loss meet criteria for cochlear...
| Autores: | , , , , , , , |
|---|---|
| Tipo de recurso: | artículo |
| Fecha de publicación: | 2021 |
| País: | España |
| Institución: | Universidad Autónoma de Madrid |
| Repositorio: | Biblos-e Archivo. Repositorio Institucional de la UAM |
| Idioma: | inglés |
| OAI Identifier: | oai:repositorio.uam.es:10486/716831 |
| Acceso en línea: | http://hdl.handle.net/10486/716831 https://dx.doi.org/10.3389/fneur.2021.670137 |
| Access Level: | acceso abierto |
| Palabra clave: | cochlear implant hearing loss labyrinthectomy matched-control evaluation Meniere's disease quality of life quality of sound vestibular neurectomy Medicina |
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Quality of Life Following Cochlear Implantation in Patients With Menière's DiseaseSánchez Cuadrado, IsabelCalvino, MiryamMorales-Puebla, Jose ManuelGavilán Bouzas, JavierMato, TeresaPeñarrocha, JulioPrim, Maria PilarLassaletta Atienza, Luis Maríacochlear implanthearing losslabyrinthectomymatched-control evaluationMeniere's diseasequality of lifequality of soundvestibular neurectomyMedicinaBackground: Menière's disease (MD) is a disorder characterized by auditory and vestibular dysfunction that significantly deteriorates patients' quality of life (QoL). In addition to the management of vestibular symptoms, some patients with bilateral hearing loss meet criteria for cochlear implantation (CI). Objectives: (1) To assess hearing results and QoL outcomes following CI in patients with MD. (2) To compare these results to a matched control group of patients who had undergone CI. (3) To analyse differences in MD patients who have undergone simultaneous or sequential labyrinthectomy or previous neurectomy. Methods: A retrospective analysis of a study group of 18 implanted patients with MD and a matched control group of 18 implanted patients without MD, who had CI at a tertiary referral center. Hearing and speech understanding were assessed via pure-tone audiometry (PTA) and disyllabic perception tests in quiet. QoL was assessed via the Nijmegen Cochlear Implant Questionnaire (NCIQ), the Glasgow Benefit Inventory (GBI), the Speech, Spatial and Qualities of Hearing Scale (SSQ12), and the Hearing Implant Sound Quality Index (HISQUI19). The impact of MD ablative surgeries was analyzed in the study group (MD group). Results: Mean pre-operative PTA thresholds were significantly lower in the MD group (103 vs. 121 dB). A significant improvement in hearing outcomes was observed following CI in both groups (p < 0.001), with a maximum Speech Discrimination Score of 64 and 65% disyllables at 65 dB for the MD and control group, respectively. Subjective outcomes, as measured by the NCIQ, GBI, SSQ12, and HISQUI19 did not significantly differ between groups. In the MD group, despite achieving similar hearing results, QoL outcomes were worse in patients who underwent simultaneous CI and labyrinthectomy compared to the rest of the MD group. Post-operative NCIQ results were significantly better in patients who had undergone a previous retrosigmoid neurectomy when compared to those who had undergone only CI surgery in the subdomains “basic sound perception” (p = 0.038), “speech” (p = 0.005), “activity” (p = 0.038), and “social interactions” (p = 0.038). Conclusion: Patients with MD and severe hearing loss obtain hearing results and QoL benefits similar to other CI candidates. Delayed CI after labyrinthectomy or vestibular neurectomy can be performed with similar or better results, respectively, to those of other cochlear implanted patients. Patients who undergo simultaneous CI and labyrinthectomy may achieve similar hearing results but careful pre-operative counseling is neededFrontiers MediaDepartamento de CirugíaFacultad de Medicina20212021-06-17research articlehttp://purl.org/coar/resource_type/c_2df8fbb1VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10486/716831https://dx.doi.org/10.3389/fneur.2021.670137reponame:Biblos-e Archivo. Repositorio Institucional de la UAMinstname:Universidad Autónoma de MadridInglésengopen accesshttp://purl.org/coar/access_right/c_abf2Attribution 4.0 Internationalhttp://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:repositorio.uam.es:10486/7168312026-06-23T12:46:27Z |
| dc.title.none.fl_str_mv |
Quality of Life Following Cochlear Implantation in Patients With Menière's Disease |
| title |
Quality of Life Following Cochlear Implantation in Patients With Menière's Disease |
| spellingShingle |
Quality of Life Following Cochlear Implantation in Patients With Menière's Disease Sánchez Cuadrado, Isabel cochlear implant hearing loss labyrinthectomy matched-control evaluation Meniere's disease quality of life quality of sound vestibular neurectomy Medicina |
| title_short |
Quality of Life Following Cochlear Implantation in Patients With Menière's Disease |
| title_full |
Quality of Life Following Cochlear Implantation in Patients With Menière's Disease |
| title_fullStr |
Quality of Life Following Cochlear Implantation in Patients With Menière's Disease |
| title_full_unstemmed |
Quality of Life Following Cochlear Implantation in Patients With Menière's Disease |
| title_sort |
Quality of Life Following Cochlear Implantation in Patients With Menière's Disease |
| dc.creator.none.fl_str_mv |
Sánchez Cuadrado, Isabel Calvino, Miryam Morales-Puebla, Jose Manuel Gavilán Bouzas, Javier Mato, Teresa Peñarrocha, Julio Prim, Maria Pilar Lassaletta Atienza, Luis María |
| author |
Sánchez Cuadrado, Isabel |
| author_facet |
Sánchez Cuadrado, Isabel Calvino, Miryam Morales-Puebla, Jose Manuel Gavilán Bouzas, Javier Mato, Teresa Peñarrocha, Julio Prim, Maria Pilar Lassaletta Atienza, Luis María |
| author_role |
author |
| author2 |
Calvino, Miryam Morales-Puebla, Jose Manuel Gavilán Bouzas, Javier Mato, Teresa Peñarrocha, Julio Prim, Maria Pilar Lassaletta Atienza, Luis María |
| author2_role |
author author author author author author author |
| dc.contributor.none.fl_str_mv |
Departamento de Cirugía Facultad de Medicina |
| dc.subject.none.fl_str_mv |
cochlear implant hearing loss labyrinthectomy matched-control evaluation Meniere's disease quality of life quality of sound vestibular neurectomy Medicina |
| topic |
cochlear implant hearing loss labyrinthectomy matched-control evaluation Meniere's disease quality of life quality of sound vestibular neurectomy Medicina |
| description |
Background: Menière's disease (MD) is a disorder characterized by auditory and vestibular dysfunction that significantly deteriorates patients' quality of life (QoL). In addition to the management of vestibular symptoms, some patients with bilateral hearing loss meet criteria for cochlear implantation (CI). Objectives: (1) To assess hearing results and QoL outcomes following CI in patients with MD. (2) To compare these results to a matched control group of patients who had undergone CI. (3) To analyse differences in MD patients who have undergone simultaneous or sequential labyrinthectomy or previous neurectomy. Methods: A retrospective analysis of a study group of 18 implanted patients with MD and a matched control group of 18 implanted patients without MD, who had CI at a tertiary referral center. Hearing and speech understanding were assessed via pure-tone audiometry (PTA) and disyllabic perception tests in quiet. QoL was assessed via the Nijmegen Cochlear Implant Questionnaire (NCIQ), the Glasgow Benefit Inventory (GBI), the Speech, Spatial and Qualities of Hearing Scale (SSQ12), and the Hearing Implant Sound Quality Index (HISQUI19). The impact of MD ablative surgeries was analyzed in the study group (MD group). Results: Mean pre-operative PTA thresholds were significantly lower in the MD group (103 vs. 121 dB). A significant improvement in hearing outcomes was observed following CI in both groups (p < 0.001), with a maximum Speech Discrimination Score of 64 and 65% disyllables at 65 dB for the MD and control group, respectively. Subjective outcomes, as measured by the NCIQ, GBI, SSQ12, and HISQUI19 did not significantly differ between groups. In the MD group, despite achieving similar hearing results, QoL outcomes were worse in patients who underwent simultaneous CI and labyrinthectomy compared to the rest of the MD group. Post-operative NCIQ results were significantly better in patients who had undergone a previous retrosigmoid neurectomy when compared to those who had undergone only CI surgery in the subdomains “basic sound perception” (p = 0.038), “speech” (p = 0.005), “activity” (p = 0.038), and “social interactions” (p = 0.038). Conclusion: Patients with MD and severe hearing loss obtain hearing results and QoL benefits similar to other CI candidates. Delayed CI after labyrinthectomy or vestibular neurectomy can be performed with similar or better results, respectively, to those of other cochlear implanted patients. Patients who undergo simultaneous CI and labyrinthectomy may achieve similar hearing results but careful pre-operative counseling is needed |
| publishDate |
2021 |
| dc.date.none.fl_str_mv |
2021 2021-06-17 |
| dc.type.none.fl_str_mv |
research article http://purl.org/coar/resource_type/c_2df8fbb1 VoR http://purl.org/coar/version/c_970fb48d4fbd8a85 |
| dc.type.openaire.fl_str_mv |
info:eu-repo/semantics/article |
| format |
article |
| dc.identifier.none.fl_str_mv |
http://hdl.handle.net/10486/716831 https://dx.doi.org/10.3389/fneur.2021.670137 |
| url |
http://hdl.handle.net/10486/716831 https://dx.doi.org/10.3389/fneur.2021.670137 |
| dc.language.none.fl_str_mv |
Inglés eng |
| language_invalid_str_mv |
Inglés |
| language |
eng |
| dc.rights.none.fl_str_mv |
open access http://purl.org/coar/access_right/c_abf2 Attribution 4.0 International http://creativecommons.org/licenses/by/4.0/ |
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info:eu-repo/semantics/openAccess |
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open access http://purl.org/coar/access_right/c_abf2 Attribution 4.0 International http://creativecommons.org/licenses/by/4.0/ |
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openAccess |
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application/pdf |
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Frontiers Media |
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Frontiers Media |
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reponame:Biblos-e Archivo. Repositorio Institucional de la UAM instname:Universidad Autónoma de Madrid |
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Universidad Autónoma de Madrid |
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Biblos-e Archivo. Repositorio Institucional de la UAM |
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Biblos-e Archivo. Repositorio Institucional de la UAM |
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