Pediatric cochlear implantation: experience in Thai patients.
OBJECTIVE
This study was to evaluate the result of cochlear implantation in Thai pediatric patients from 1999-2003.


METHODS
A prospective, open-labeled study.


METHODS
University teaching hospital.


METHODS
Long term surgical and audiologic results comparison after cochlear implantation in 2 cases with Mondini anomality, 7 normal cochlea cases and a case of post meningitis post lingual child.


METHODS
Speech perception tests battery.


RESULTS
Among 10 children, 8 were implanted with Nucleus 22/24; the other two were implanted with Med-el device system. The pre-operated cochlea in 2 cases showed Mondini deformity; both had gushers during the operation with a good outcome. The other 8 cases had normal cochlea although one was deaf from bacterial meningitis. There were 3 re-implantations. Speech production and perception was improved faster in the two children implanted with Med-el than those implanted with Nucleus devices.


CONCLUSIONS
Cochlear implantation in Mondini cases can be successful in speech production and perception. Speech perception ability depended on the age of implantation and preoperative rehabilitation.
Kanchanalarp
Chanida
C
Department of Otolaryngology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok 10400, Thailand. niddk1@yahoo.com
Cheewaruangroj
Wichit
W
Kasemsuwan
Lalida
L
Thawin
Cheamchit
C
Sriwanyong
Siriparn
S
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D015834:Cochlear Diseases / Q000601:surgery*; D019929:Cochlear Implantation; D005260:Female; D006785:Hospitals, University; D006801:Humans; D008297:Male; D011446:Prospective Studies; D013060:Speech / Q000502:physiology*; D013067:Speech Perception / Q000502:physiology*; D013785:Thailand; D013997:Time Factors; D016896:Treatment Outcome