title: Outcomes of cochlear implantation in children with auditory neuropathy.
abstract: Ten children who were diagnosed with auditory neuropathy were matched with ten children who were diagnosed with other etiologies. All twenty children received cochlear implants at the Mayo Clinic in Rochester, Minnesota. Various measures were used to compare the outcomes for the two groups. We compared the children's unaided and aided audiograms, and measures of threshold and comfort levels. Performance on age appropriate speech perception tests was measured. Electrically elicited auditory brainstem response, predicted Neural Response Telemetry thresholds, and visually detected electrical stapedius reflexes were compared. Parental report of cochlear implant benefit was evaluated using either the Meaningful Auditory Integration Scale or the Infant-Toddler Meaningful Auditory Integration Scale depending on the age of the child. We also compared educational placement and communication mode. The results of this study demonstrated that there were no important differences in cochlear implant benefit between the two groups. In light of these findings, we support the use of cochlear implants as a viable option for selected children with auditory neuropathy.
authors.affiliation: Cochlear Implant Facility, Division of Audiology, Mayo Clinic, Rochester, Minnesota 55905, USA. peterson.anna@mayo.edu
authors.forename: Ann
authors.initials: A
authors.lastname: Peterson
authors.forename: Jon
authors.initials: J
authors.lastname: Shallop
authors.forename: Colin
authors.initials: C
authors.lastname: Driscoll
authors.forename: Alyce
authors.initials: A
authors.lastname: Breneman
authors.forename: Julie
authors.initials: J
authors.lastname: Babb
authors.forename: Ruth
authors.initials: R
authors.lastname: Stoeckel
authors.forename: Lee
authors.initials: L
authors.lastname: Fabry
mesh_terms: D001309:Auditory Threshold; D002648:Child; D002675:Child, Preschool; D019929:Cochlear Implantation / Q000379:methods; D003054:Cochlear Implants; D016057:Evoked Potentials, Auditory, Brain Stem; D005260:Female; D006311:Hearing Disorders / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D006320:Hearing Tests; D006801:Humans; D007223:Infant; D008297:Male; D017084:Otoacoustic Emissions, Spontaneous; D011474:Prosthesis Design; D013067:Speech Perception; D013068:Speech Production Measurement; D016896:Treatment Outcome