Cochlear implantation in adults with prelingual deafness. Part II. Underlying constraints that affect audiological outcomes

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50 Citations (Scopus)

Abstract

Objectives/Hypothesis: To discuss the underlying physiological and anatomical constraints on audio-logical performance of late-implanted prelingually deafened adult cochlear implant patients. Study Design: Retrospective review. Methods: Published literature on the topic of auditory pathway responses to prolonged congenital deafness was reviewed. In particular, the authors sought to identify the anatomical and physiological changes that take place in both the peripheral and central auditory pathways in response to prolonged deafness, as well as how they are altered by chronic electrical stimulation. Results: The currently available evidence suggests that the colonization of the auditory cortex by other sensory modalities is the main limiting factor in postimplantation performance, not the pathological degenerative changes of the auditory nerve, cochlear nucleus, or auditory midbrain. Conclusion: The reviewed evidence, although circumstantial, suggests that emphasizing aurally based educational programs before (with hearing aids) and after cochlear implantation could reduce the cortical colonization phenomenon and potentially improve postimplantation audiological performance of patients with long-term prelingual deafness.

Original languageEnglish (US)
Pages (from-to)1714-1719
Number of pages6
JournalLaryngoscope
Volume114
Issue number10
DOIs
StatePublished - Oct 2004

Fingerprint

Cochlear Implantation
Deafness
Auditory Pathways
Cochlear Nucleus
Cochlear Nerve
Auditory Cortex
Hearing Aids
Cochlear Implants
Mesencephalon
Electric Stimulation
Retrospective Studies

Keywords

  • Auditory plasticity
  • Cochlear Implants
  • Critical period
  • Long-term deafness

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

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abstract = "Objectives/Hypothesis: To discuss the underlying physiological and anatomical constraints on audio-logical performance of late-implanted prelingually deafened adult cochlear implant patients. Study Design: Retrospective review. Methods: Published literature on the topic of auditory pathway responses to prolonged congenital deafness was reviewed. In particular, the authors sought to identify the anatomical and physiological changes that take place in both the peripheral and central auditory pathways in response to prolonged deafness, as well as how they are altered by chronic electrical stimulation. Results: The currently available evidence suggests that the colonization of the auditory cortex by other sensory modalities is the main limiting factor in postimplantation performance, not the pathological degenerative changes of the auditory nerve, cochlear nucleus, or auditory midbrain. Conclusion: The reviewed evidence, although circumstantial, suggests that emphasizing aurally based educational programs before (with hearing aids) and after cochlear implantation could reduce the cortical colonization phenomenon and potentially improve postimplantation audiological performance of patients with long-term prelingual deafness.",
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AU - Pisoni, David B.

AU - Miyamoto, Richard T.

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N2 - Objectives/Hypothesis: To discuss the underlying physiological and anatomical constraints on audio-logical performance of late-implanted prelingually deafened adult cochlear implant patients. Study Design: Retrospective review. Methods: Published literature on the topic of auditory pathway responses to prolonged congenital deafness was reviewed. In particular, the authors sought to identify the anatomical and physiological changes that take place in both the peripheral and central auditory pathways in response to prolonged deafness, as well as how they are altered by chronic electrical stimulation. Results: The currently available evidence suggests that the colonization of the auditory cortex by other sensory modalities is the main limiting factor in postimplantation performance, not the pathological degenerative changes of the auditory nerve, cochlear nucleus, or auditory midbrain. Conclusion: The reviewed evidence, although circumstantial, suggests that emphasizing aurally based educational programs before (with hearing aids) and after cochlear implantation could reduce the cortical colonization phenomenon and potentially improve postimplantation audiological performance of patients with long-term prelingual deafness.

AB - Objectives/Hypothesis: To discuss the underlying physiological and anatomical constraints on audio-logical performance of late-implanted prelingually deafened adult cochlear implant patients. Study Design: Retrospective review. Methods: Published literature on the topic of auditory pathway responses to prolonged congenital deafness was reviewed. In particular, the authors sought to identify the anatomical and physiological changes that take place in both the peripheral and central auditory pathways in response to prolonged deafness, as well as how they are altered by chronic electrical stimulation. Results: The currently available evidence suggests that the colonization of the auditory cortex by other sensory modalities is the main limiting factor in postimplantation performance, not the pathological degenerative changes of the auditory nerve, cochlear nucleus, or auditory midbrain. Conclusion: The reviewed evidence, although circumstantial, suggests that emphasizing aurally based educational programs before (with hearing aids) and after cochlear implantation could reduce the cortical colonization phenomenon and potentially improve postimplantation audiological performance of patients with long-term prelingual deafness.

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