OBJECTIVES/HYPOTHESIS Although it is surgically more challenging, patients with bilateral tempora... more OBJECTIVES/HYPOTHESIS Although it is surgically more challenging, patients with bilateral temporal bone fractures (TBFs) are potential candidates for successful bilateral cochlear implantation (CI). This study aimed to investigate the feasibility of bilateral implantation in patients with sustained bilateral TBFs. STUDY DESIGN Retrospective database study. METHODS Seven patients with bilateral cochlear implants who were diagnosed with TBFs were included in this study. Preoperative radiological and audiological evaluations were performed. The outcomes of the CI were also investigated. RESULTS Hearing levels were restored to the mild-moderate range (<40 dB) for nearly all patients and they reported an improved quality of life. CONCLUSIONS CI in patients with TBF is safe and offers a solution for the restoration of hearing in a population who may experience sudden bilateral deafness. However, preoperative confirmation of intact auditory nerves and patent cochlea is essential to maximize the success of CI in this population. LEVEL OF EVIDENCE 4 Laryngoscope, 2021.
Indian Journal of Otolaryngology and Head & Neck Surgery, Mar 17, 2018
One of the concerns during the cochlear implant candidacy process is the presence of chronic otit... more One of the concerns during the cochlear implant candidacy process is the presence of chronic otitis media which could delay the implantation process. The aim of this study was to evaluate the surgical difficulties and the long-term complications in children with otitis media and to examine whether it is necessary to delay the implantation until the infection is resolved. The study used a comparative retrospective design based on chart review of all patients who received their implant(s) from January to December of 2012. A total of 200 patients were identified and were followed for 4 years post surgery. Patients were divided into three groups based on their history of otitis media (non-otitis media, chronic otitis media with effusion, and acute otitis media). Data included long-term complications, operative time and duration from first clinical visit to the time until implantation was received. None of study participants had long-term complications during the study period. The operative time was longer in the acute otitis media group with a difference of 45 min. The average delay in cochlear implantation due to the presence of otitis media in chronic group was more than 5 months. Pediatric patients with otitis media could be implanted in one stage safely and effectively.
Journal of The American Academy of Audiology, May 1, 2016
Purpose: The aim of this work is to examine the efficacy of using computer-based training program... more Purpose: The aim of this work is to examine the efficacy of using computer-based training program (Rannan) as an intervention approach to enhance sound detection and discrimination in Arabic-speaking children with cochlear implants (CIs). Research Design: A prospective study comparing performance between two groups of children. Participants were divided into two equal groups that were matched in age and programming strategies. Group I received the traditional clinic-based therapy and group II received the same traditional therapy approach in addition to a computer-based program. Study Sample: A total of 26 children with CIs in the age range of 3–6.5 yr were recruited from King Abdulaziz University Hospital. Data Collection and Analysis: Listening Progress Profile and Infant–Toddler Meaningful Integration Scale were used preoperatively, and to compare performance between the two groups at 1-, 3-, 6-, and 12-mo after device-fitting. Data were subjected to mixed analysis of variance. Results: Both assessment tools (Listening Progress Profile and Infant–Toddler Meaningful Integration Scale) revealed that group II scored higher than group I. Conclusion: The study demonstrated that using computer-based training in addition to the traditional rehabilitation therapy can serve as a facilitative tool to enhance the benefit achieved from CI.
Purpose: Computer-based applications became a popular option for auditory training, but their eff... more Purpose: Computer-based applications became a popular option for auditory training, but their efficacy can be compromised by lack of users' compliance. Serious games are a new emerging field that promotes the use of games for purposes other than entertainment. The purpose of this clinical focus article was to describe the design and development of a new serious game-based auditory training application that aims at enhancing perceptual learning of speech in cochlear implant (CI) recipients. Method: Using a participatory action research protocol, three phases were used in the process of development of this application to ensure its appropriateness for the target population. There were eight participants in Phase I, 16 participants in Phase II, and 51 participants in Phase III. In Phase III, participants were required to provide feedback using an online questionnaire after a 1-week trial period. Results: Participants' feedback and reflection from each phase were used to enhance the design and functionality of the final application. Results from Phase III demonstrated that greater than 90% of participants in both groups rated their satisfaction with several features of the games 4 or more on a 5-point Likert scale, with 1 being very dissatisfied and 5 being very satisfied . Differences in mean ratings for some features were significantly different between the two groups, perhaps reflecting differences in their auditory abilities. Conclusion: Results demonstrated that participants were highly satisfied with several features of the application, suggesting its potential to offer CI users a unique training opportunity by presenting repetitive and structured listening exercises using serious games.
Objective: To determine if cochlear implants recipients can be safely and effectively fitted with... more Objective: To determine if cochlear implants recipients can be safely and effectively fitted with their sound processor one day after their implant surgery. Design: All subjects were implanted with MED-EL Concerto cochlear implant. Subjects&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39; electrode impedance levels, maximum comfortable levels, and threshold levels were measured one day after surgery and compared to measurements obtained one month post implantation using the non-parametric Wilcoxon signed-rank test. Study sample: Twenty-nine participants in the age range of 1 to 42 years (average of 5 years). Results: No adverse events were reported post-operatively. Measures after one day of surgery were significantly less than those measured one month post implantation. Conclusion: Early activation of the implant did not impact the healing process of the incision site, suggesting that one-day activation of the implant is feasible for some patients when medically possible. The evolution of the impedance and stimulation levels were consistent with that reported in previous studies, which indicates that early activation did not interfere with the physiological changes taking place after implantation.
Purpose: Computer-based applications became a popular option for auditory training, but their eff... more Purpose: Computer-based applications became a popular option for auditory training, but their efficacy can be compromised by lack of users' compliance. Serious games are a new emerging field that promotes the use of games for purposes other than entertainment. The purpose of this clinical focus article was to describe the design and development of a new serious game-based auditory training application that aims at enhancing perceptual learning of speech in cochlear implant (CI) recipients. Method: Using a participatory action research protocol, three phases were used in the process of development of this application to ensure its appropriateness for the target population. There were eight participants in Phase I, 16 participants in Phase II, and 51 participants in Phase III. In Phase III, participants were required to provide feedback using an online questionnaire after a 1-week trial period. Results: Participants' feedback and reflection from each phase were used to enhance...
Journal of the American Academy of Audiology, 2021
Background Speech audiometry materials are widely available in many different languages. However,... more Background Speech audiometry materials are widely available in many different languages. However, there are no known standardized materials for the assessment of speech recognition in Arabic-speaking children. Purpose The aim of the study was to develop and validate phonetically balanced and psychometrically equivalent monosyllabic word recognition lists for children through a picture identification task. Research Design A prospective repeated-measure design was used. Monosyllabic words were chosen from children's storybooks and were evaluated for familiarity. The selected words were then divided into four phonetically balanced word lists. The final lists were evaluated for homogeneity and equivalency. Study Sample Ten adults and 32 children with normal hearing sensitivity were recruited. Data Collection and Analyses Lists were presented to adult subjects in 5 dB increment from 0 to 60 dB hearing level. Individual data were then fitted using a sigmoid function from which the 50%...
OBJECTIVES/HYPOTHESIS Although it is surgically more challenging, patients with bilateral tempora... more OBJECTIVES/HYPOTHESIS Although it is surgically more challenging, patients with bilateral temporal bone fractures (TBFs) are potential candidates for successful bilateral cochlear implantation (CI). This study aimed to investigate the feasibility of bilateral implantation in patients with sustained bilateral TBFs. STUDY DESIGN Retrospective database study. METHODS Seven patients with bilateral cochlear implants who were diagnosed with TBFs were included in this study. Preoperative radiological and audiological evaluations were performed. The outcomes of the CI were also investigated. RESULTS Hearing levels were restored to the mild-moderate range (<40 dB) for nearly all patients and they reported an improved quality of life. CONCLUSIONS CI in patients with TBF is safe and offers a solution for the restoration of hearing in a population who may experience sudden bilateral deafness. However, preoperative confirmation of intact auditory nerves and patent cochlea is essential to maximize the success of CI in this population. LEVEL OF EVIDENCE 4 Laryngoscope, 2021.
Indian Journal of Otolaryngology and Head & Neck Surgery, Mar 17, 2018
One of the concerns during the cochlear implant candidacy process is the presence of chronic otit... more One of the concerns during the cochlear implant candidacy process is the presence of chronic otitis media which could delay the implantation process. The aim of this study was to evaluate the surgical difficulties and the long-term complications in children with otitis media and to examine whether it is necessary to delay the implantation until the infection is resolved. The study used a comparative retrospective design based on chart review of all patients who received their implant(s) from January to December of 2012. A total of 200 patients were identified and were followed for 4 years post surgery. Patients were divided into three groups based on their history of otitis media (non-otitis media, chronic otitis media with effusion, and acute otitis media). Data included long-term complications, operative time and duration from first clinical visit to the time until implantation was received. None of study participants had long-term complications during the study period. The operative time was longer in the acute otitis media group with a difference of 45 min. The average delay in cochlear implantation due to the presence of otitis media in chronic group was more than 5 months. Pediatric patients with otitis media could be implanted in one stage safely and effectively.
Journal of The American Academy of Audiology, May 1, 2016
Purpose: The aim of this work is to examine the efficacy of using computer-based training program... more Purpose: The aim of this work is to examine the efficacy of using computer-based training program (Rannan) as an intervention approach to enhance sound detection and discrimination in Arabic-speaking children with cochlear implants (CIs). Research Design: A prospective study comparing performance between two groups of children. Participants were divided into two equal groups that were matched in age and programming strategies. Group I received the traditional clinic-based therapy and group II received the same traditional therapy approach in addition to a computer-based program. Study Sample: A total of 26 children with CIs in the age range of 3–6.5 yr were recruited from King Abdulaziz University Hospital. Data Collection and Analysis: Listening Progress Profile and Infant–Toddler Meaningful Integration Scale were used preoperatively, and to compare performance between the two groups at 1-, 3-, 6-, and 12-mo after device-fitting. Data were subjected to mixed analysis of variance. Results: Both assessment tools (Listening Progress Profile and Infant–Toddler Meaningful Integration Scale) revealed that group II scored higher than group I. Conclusion: The study demonstrated that using computer-based training in addition to the traditional rehabilitation therapy can serve as a facilitative tool to enhance the benefit achieved from CI.
Purpose: Computer-based applications became a popular option for auditory training, but their eff... more Purpose: Computer-based applications became a popular option for auditory training, but their efficacy can be compromised by lack of users' compliance. Serious games are a new emerging field that promotes the use of games for purposes other than entertainment. The purpose of this clinical focus article was to describe the design and development of a new serious game-based auditory training application that aims at enhancing perceptual learning of speech in cochlear implant (CI) recipients. Method: Using a participatory action research protocol, three phases were used in the process of development of this application to ensure its appropriateness for the target population. There were eight participants in Phase I, 16 participants in Phase II, and 51 participants in Phase III. In Phase III, participants were required to provide feedback using an online questionnaire after a 1-week trial period. Results: Participants' feedback and reflection from each phase were used to enhance the design and functionality of the final application. Results from Phase III demonstrated that greater than 90% of participants in both groups rated their satisfaction with several features of the games 4 or more on a 5-point Likert scale, with 1 being very dissatisfied and 5 being very satisfied . Differences in mean ratings for some features were significantly different between the two groups, perhaps reflecting differences in their auditory abilities. Conclusion: Results demonstrated that participants were highly satisfied with several features of the application, suggesting its potential to offer CI users a unique training opportunity by presenting repetitive and structured listening exercises using serious games.
Objective: To determine if cochlear implants recipients can be safely and effectively fitted with... more Objective: To determine if cochlear implants recipients can be safely and effectively fitted with their sound processor one day after their implant surgery. Design: All subjects were implanted with MED-EL Concerto cochlear implant. Subjects&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39; electrode impedance levels, maximum comfortable levels, and threshold levels were measured one day after surgery and compared to measurements obtained one month post implantation using the non-parametric Wilcoxon signed-rank test. Study sample: Twenty-nine participants in the age range of 1 to 42 years (average of 5 years). Results: No adverse events were reported post-operatively. Measures after one day of surgery were significantly less than those measured one month post implantation. Conclusion: Early activation of the implant did not impact the healing process of the incision site, suggesting that one-day activation of the implant is feasible for some patients when medically possible. The evolution of the impedance and stimulation levels were consistent with that reported in previous studies, which indicates that early activation did not interfere with the physiological changes taking place after implantation.
Purpose: Computer-based applications became a popular option for auditory training, but their eff... more Purpose: Computer-based applications became a popular option for auditory training, but their efficacy can be compromised by lack of users' compliance. Serious games are a new emerging field that promotes the use of games for purposes other than entertainment. The purpose of this clinical focus article was to describe the design and development of a new serious game-based auditory training application that aims at enhancing perceptual learning of speech in cochlear implant (CI) recipients. Method: Using a participatory action research protocol, three phases were used in the process of development of this application to ensure its appropriateness for the target population. There were eight participants in Phase I, 16 participants in Phase II, and 51 participants in Phase III. In Phase III, participants were required to provide feedback using an online questionnaire after a 1-week trial period. Results: Participants' feedback and reflection from each phase were used to enhance...
Journal of the American Academy of Audiology, 2021
Background Speech audiometry materials are widely available in many different languages. However,... more Background Speech audiometry materials are widely available in many different languages. However, there are no known standardized materials for the assessment of speech recognition in Arabic-speaking children. Purpose The aim of the study was to develop and validate phonetically balanced and psychometrically equivalent monosyllabic word recognition lists for children through a picture identification task. Research Design A prospective repeated-measure design was used. Monosyllabic words were chosen from children's storybooks and were evaluated for familiarity. The selected words were then divided into four phonetically balanced word lists. The final lists were evaluated for homogeneity and equivalency. Study Sample Ten adults and 32 children with normal hearing sensitivity were recruited. Data Collection and Analyses Lists were presented to adult subjects in 5 dB increment from 0 to 60 dB hearing level. Individual data were then fitted using a sigmoid function from which the 50%...
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