Please use this identifier to cite or link to this item: http://hdl.handle.net/10553/76153
DC FieldValueLanguage
dc.contributor.authorFraysse, Bernarden_US
dc.contributor.authorRamos Macías, Ángel Manuelen_US
dc.contributor.authorSterkers, Olivieren_US
dc.contributor.authorBurdo, Sandroen_US
dc.contributor.authorRamsden, Richarden_US
dc.contributor.authorDeguine, Olivieren_US
dc.contributor.authorKlenzner, Thomasen_US
dc.contributor.authorLenarz, Thomasen_US
dc.contributor.authorRodriguez, Manuel Manriqueen_US
dc.contributor.authorVon Wallenberg, Ernsten_US
dc.contributor.authorJames, Chrisen_US
dc.date.accessioned2020-11-30T18:04:45Z-
dc.date.available2020-11-30T18:04:45Z-
dc.date.issued2006en_US
dc.identifier.issn1531-7129en_US
dc.identifier.otherWoS-
dc.identifier.urihttp://hdl.handle.net/10553/76153-
dc.description.abstractObjective: To assess the conservation of residual hearing in recipients of the Nucleus 24 Contour Advance cochlear implant (CI) and the benefits of combined electrical and acoustic stimulation.Study Design: Prospective multicenter study.Setting: Cl clinics in Western Europe.Patients: Adult candidates for conventional cochlear implantation with a minimum preoperative word recognition score of 10% in the ear to be implanted.Intervention: "Soft-surgery" protocol, including a 1- to 1.2-mm anterior and inferior cochleostomy hole with the electrode array, inserted 17 min using the "advance-off-stylet" technique. Patients with postoperative pure-tone hearing threshold levels (HTLs) of 80 dB hearing loss or less at 125 and 250 Hz and 90 dB hearing loss or less at 500 Hz were refitted with an in-the-ear hearing aid for combined ipsilateral electrical and acoustic (EI-Ac) stimulation.Main Outcome Measures: A questionnaire to collect information regarding surgery. Pure-tone HTLs measured at intervals. Word recognition tested in quiet and sentence recognition tested in noise at 10 and 5 dB signal-to-noise ratio (SNR).Hearing Conservation Results: HTL data were available for 27 patients. HTLs were conserved within 20 dB of preoperative levels for 33, 26, and 19% of patients for 125, 250, and 500 Hz, respectively. However, the recommended soft-surgery protocol was strictly followed in only 12 of 27 patients. For these 12 patients, hearing thresholds were conserved within 20 dB for 50, 50, and 33% of patients. Median threshold increases were 40 dB (250-500 Hz) for the whole group and 23 dB for the strict surgery group. Ten patients retained sufficient HTLs to enter the El-Ac user group.Speech Recognition Results: Group mean recognition scores for nine El-Ac users for words presented at 65 dB sound pressure level were 45% for Cl alone and 55% for Cl + ipsilateral hearing aid (p < 0.05, paired t). For sentences presented in noise at 5 dB SNR, mean word scores were 46% Cl alone and 56% Cl + ipsilateral hearing aid (p < 0.01, paired t).Conclusion: Hearing was conserved for conventional candidates for cochlear implantation where the recommended soft-surgery protocol was strictly followed. Combined ipsilateral electrical and acoustic stimulation provided considerable benefits for speech recognition in noise, equivalent to between 3 and 5 dB SNR, compared with Cl alone.en_US
dc.languageengen_US
dc.relation.ispartofOtology and Neurotologyen_US
dc.sourceOtology & Neurotology [ISSN 1531-7129], v. 27 (5), p. 624-633, (Agosto 2006)en_US
dc.subject32 Ciencias médicasen_US
dc.subject3201 Ciencias clínicasen_US
dc.subject.otherElectric-Acoustic Stimulationen_US
dc.subject.otherDead Regionsen_US
dc.subject.otherSpeech-Perceptionen_US
dc.subject.otherAdultsen_US
dc.subject.otherAidsen_US
dc.subject.otherIntelligibilityen_US
dc.subject.otherAmplificationen_US
dc.subject.otherPreservationen_US
dc.subject.otherBenefitsen_US
dc.subject.otherPeopleen_US
dc.subject.otherCochlear Implantsen_US
dc.subject.otherHearing Aidsen_US
dc.subject.otherSoft Surgeryen_US
dc.subject.otherElectroacoustic Stimulationen_US
dc.titleResidual hearing conservation and electroacoustic stimulation with the nucleus 24 contour advance cochlear implanten_US
dc.typeinfo:eu-repo/semantics/Articleen_US
dc.typeArticleen_US
dc.identifier.doi10.1097/01.mao.0000226289.04048.0fen_US
dc.identifier.scopus33746822371-
dc.identifier.isi000239528500010-
dc.contributor.authorscopusid7007176703-
dc.contributor.authorscopusid7103172103-
dc.contributor.authorscopusid7005874307-
dc.contributor.authorscopusid8365415100-
dc.contributor.authorscopusid7005892852-
dc.contributor.authorscopusid7003638549-
dc.contributor.authorscopusid6701775264-
dc.contributor.authorscopusid35227565300-
dc.contributor.authorscopusid57207051799-
dc.contributor.authorscopusid6602133240-
dc.contributor.authorscopusid7203017474-
dc.identifier.eissn1537-4505-
dc.description.lastpage633en_US
dc.identifier.issue5-
dc.description.firstpage624en_US
dc.relation.volume27en_US
dc.investigacionCiencias de la Saluden_US
dc.type2Artículoen_US
dc.contributor.daisngid287169-
dc.contributor.daisngid1190904-
dc.contributor.daisngid60063-
dc.contributor.daisngid2093142-
dc.contributor.daisngid6703523-
dc.contributor.daisngid552283-
dc.contributor.daisngid521637-
dc.contributor.daisngid11822-
dc.contributor.daisngid265406-
dc.contributor.daisngid26927469-
dc.contributor.daisngid7928295-
dc.description.numberofpages10en_US
dc.utils.revisionen_US
dc.contributor.wosstandardWOS:Fraysse, B-
dc.contributor.wosstandardWOS:Macias, AR-
dc.contributor.wosstandardWOS:Sterkers, O-
dc.contributor.wosstandardWOS:Burdo, S-
dc.contributor.wosstandardWOS:Ramsden, I-
dc.contributor.wosstandardWOS:Deguine, O-
dc.contributor.wosstandardWOS:Klenzner, T-
dc.contributor.wosstandardWOS:Lenarz, T-
dc.contributor.wosstandardWOS:Rodriguez, MM-
dc.contributor.wosstandardWOS:Von Wallenberg, F-
dc.contributor.wosstandardWOS:James, C-
dc.date.coverdateAgosto 2006en_US
dc.identifier.ulpgcen_US
dc.contributor.buulpgcBU-MEDen_US
dc.description.jcr1,339
dc.description.jcrqQ2
dc.description.scieSCIE
item.fulltextSin texto completo-
item.grantfulltextnone-
crisitem.author.deptGIR SIANI: Ingeniería biomédica aplicada a estimulación neural y sensorial-
crisitem.author.deptIU Sistemas Inteligentes y Aplicaciones Numéricas-
crisitem.author.deptDepartamento de Ciencias Médicas y Quirúrgicas-
crisitem.author.orcid0000-0002-4709-5559-
crisitem.author.parentorgIU Sistemas Inteligentes y Aplicaciones Numéricas-
crisitem.author.fullNameRamos Macías, Ángel Manuel-
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