The French Cochlear Implant Registry (EPIIC): Perception and language results in infants with cochlear implantation under the age of 24 months - 27/09/20
, F. Simon a, K. Aubry b, P. Bordure c, A. Bozorg-Grayeli d, O. Deguine e, C. Eyermann f, V. Franco-Vidal g, B. Godey h, N. Guevara i, A. Karkas j, N. Klopp k, M. Labrousse l, J.-P. Lebreton m, Y. Lerosey n, E. Lescanne o, R. Marianowski p, F. Merklen q, K. Mezouaghi r, T. Mom s, S. Moreau t, I. Mosnier u, N. Noël-Petroff v, C. Parietti-Winkler c, P. Piller ae, C. Poncet w, E. Radafy x, S. Roman y, S. Roux-Vaillard z, S. Schmerber aa, L. Tavernier ab, E. Truy ac, C. Vincent ad, A. De Lamaze aBienvenue sur EM-consulte, la référence des professionnels de santé.
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| Iconographies | 6 |
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Abstract |
Objective |
Multi-centre study of the National French Registry (EPIIC) of patients with cochlear implants, focusing on infants who were operated-on under the age of 24 months between 2012 and 2016.
Patients and methods |
A total of 615 profoundly deaf infants, who received cochlear implants (CIs) before their second birthday, were included in the registry by different CI centers. Epidemiological, surgical, speech therapy and school, follow-up data were included in the registry, 12, 24, 36 and 48 months thereafter. The following parameters were studied: type of implantation (uni- or bilateral), complications, cause of deafness, category of auditory perception (CAP), Open-set word recognition score (OSW), speech intelligibility rating, lexical comprehension with EVIP (Peabody), communication mode and type of schooling. Bilateral simultaneous CI (BiCI) and unilateral CI (UniCI) groups were compared.
Results |
There were 744 implantations. The explantation-reimplantation rate, within the four-year follow-up, was just 3.6%. Mean implantation age was 16.0 months, and similar in the two groups (BiCI/UniCI). A total of 51% of children had their first implant between 12 and 18 months, and 15% before 12 months. Implantation was unilateral in 52% of cases. Fifty-six percent of the bilateral procedures were sequential, with a mean delay of 16.8 months for the second implantation. The cause of deafness was unknown in 52% of cases. Of the 48% (297/615) of attributed cases, 32% had clear genetic causes. The remaining deafness was due to cytomegalovirus (CMV, 8%), inner-ear malformation (5%) and meningitis (3%). The main complications were from infections (47%) and internal device failure (25%). Four years post-operation, 84% of the UniCI and 75% of BiCl groups had a CAP≥5, and 83% of UniCl and 100% BiCI had OSW≥80%. Furthermore 74% of UniCI and 77% of BiCI communicated orally and 85% of UniCI and 90% of BiCI integrated into mainstream schooling.
Conclusion |
The French Registry of cochlear implants (EPIIC) is the only such national registry in the world. Our analysis illustrates the immediate benefits of, either single or double, cochlear implantation for language, perception skills and schooling.
Le texte complet de cet article est disponible en PDF.Keywords : Cohort, Child, Cochlear implant, National registry, Oral language, Perception
Plan
Vol 137 - N° S1
P. S11-S18 - septembre 2020 Retour au numéro
Article précédent
- The French Cochlear Implant Registry (EPIIC): General indicators
- F. Gauvrit, M. Risoud, K. Aubry, P. Bordure, A. Bozorg-Grayeli, O. Deguine, C. Eyermann, V. Franco-Vidal, B. Godey, N. Guevara, A. Karkas, N. Klopp, M. Labrousse, J.- P. Lebreton, Y. Lerosey, E. Lescanne, N. Loundon, R. Marianowski, F. Merklen, K. Mezouaghi, T. Mom, S. Moreau, I. Mosnier, N. Noël-Petroff, C. Parietti, P. Piller, C. Poncet, E. Radafy, S. Roman, S. Roux-Vaillard, S. Schmerber, L. Tavernier, E. Truy, C. Vincent
- The French National Cochlear Implant Registry (EPIIC): Cochlear implantation in adults over 65 years old
- I. Mosnier, E. Ferrary, K. Aubry, P. Bordure, A. Bozorg-Grayeli, O. Deguine, C. Eyermann, V. Franco-Vidal, B. Godey, N. Guevara, A. Karkas, N. Klopp, M. Labrousse, J.-P. Lebreton, Y. Lerosey, E. Lescanne, N. Loundon, R. Marianowski, F. Merklen, K. Mezouaghi, T. Mom, S. Moreau, N. Noël-Petroff, C. Parietti-Winkler, P. Piller, C. Poncet, E. Radafy, S. Roman, S. Roux-Vaillard, S. Schmerber, L. Tavernier, E. Truy, C. Vincent, O. Sterkers
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