Benefits of cochlear implantation in early-deafened adults: the Toronto experience.
OBJECTIVE
To present the results of a survey administered to a group of early-deafened cochlear implants adults and to report the level of perceived benefit.


METHODS
Prospective.


METHODS
Large tertiary referral centre.


METHODS
A 47-item questionnaire designed to evaluate cochlear implant use and benefit was sent to 42 early-deafened adult cochlear implant users. The questionnaire can be divided into seven subcategories: time of use, associated symptoms, communication, employment status and function, socialization, perceived benefit, and the impact on quality of life. Responses from 30 patients were received.


RESULTS
The majority of our patients use their cochlear implant all of their waking hours. The majority of patients continue to depend on lip-reading and hearing as their main mode of communication, although they reported improved lip-reading skills with their cochlear implant. Twenty-three patients (76.7%) were employed. Eleven patients had a change in employment subsequent to cochlear implantation, nine (81.8%) of whom attributed this to their cochlear implant. Our patients als reported greater independence, a greater sense of safety in their environment, and an improved social life. Twenty-nine patients (96.7%) said that they were satisfied with their implant, 28 (93.3%) said that they would go through the same process again, and 27 (90%) said that they would recommend it to a friend in a similar situation. Twenty-nine patients (96.7%) stated that the cochlear implant has had a positive effect on their quality of life. Family and peer support, prior auditory-verbal therapy, and a positive attitude were the most commonly cited factors in successful cochlear implant use.


CONCLUSIONS
Early-deafened adult cochlear implant users perceive significant benefit from cochlear implantation. Importantly, family and peer support, prior auditory-verbal therapy, and a positive attitude are considered important factors in maximizing this benefit.
Department of Otolaryngology, Sunnybrook & Women's College Health Science Centre, Toronto, Ontario.
Gerard H
GH
Chee
Jennifer E
JE
Goldring
David B
DB
Shipp
Amy H C
AH
Ng
Joseph M
JM
Chen
Julian M
JM
Nedzelski
D000328:Adult; D003054:Cochlear Implants; D003638:Deafness / Q000534:rehabilitation*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009864:Ontario; D017060:Patient Satisfaction; D011446:Prospective Studies; D012647:Self-Assessment; D011795:Surveys and Questionnaires