Speech perception in patients submitted to cochlear reimplantation.
Lucas Bevilacqua Alves da Costa, Leticia Cristina Vicente, Leandra Tabanez do Nascimento Silva and 4 others
PMID 38922246WHAT IT FOUND
Most cochlear implant users recover speech perception after reimplantation.
Children all recovered. Adults recovered less often. Younger age at first implant and longer total device use predicted better outcomes. Deprivation time did not affect recovery.
Key findings
0185.3% of the sample recovered, maintained, or continued progressing in auditory skills after reimplantation. All children recovered, while 77.4% of adults did.
02Age at first implant and total usage time of both devices were significantly associated with better speech perception recovery. Deprivation time showed no significant association.
03Among the 10 participants who did not satisfactorily recover, all were adults. Meningitis was present in four of these cases.
STILL TO COME
How it was doneWhat they foundWhat it means for SLPs
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What it does not show
Retrospective design relying on medical records. Single institution. Wide variation in age at first implant and device usage time. Exclusion of bilateral implant users and those with neurological impairments limits generalizability.
Declared interests
Nothing to declare.
The easy way to misread this
Do not assume that minimizing the time a patient spends without a functioning implant will improve their final speech perception outcome. The study found no significant association between deprivation time and recovery performance.