Research on the communication and academic achievement of children receiving cochlear implants (Cl) shows that these children become functional members of the hearing community alongside other children with less severe hearing loss who wear hearing aids (HAs). The extent to which children with CIs have similar functional capabilities will be addressed in this research program. We will obtain data on non-speech auditory perception, speech perception, music perception, speech, language, reading skills and service provision for a group of 7 and 8 year old children fitted with unilateral, bimodal or bilateral CIs. These data will be compared qualitatively and quantitatively with mild to severe hard of hearing (HH) age mates.
This aim will lead to evidence-based clinical guidelines in determining candidacy criteria for cochlear implants or hearing aids. Recently, CIs that preserve residual acoustic hearing (hybrid devices) have been shown to provide hearing benefits to adults with some residual hearing but, these devices have not yet been used with children. In this study, children who are 5 to 15 years of age with moderate to severe hearing loss will receive a hybrid cochlear implant. Speech perception, speech production, language, music perception outcomes will be compared to bimodal and HH children.
This aim explores an alternative for children who have some residual hearing, but are not benefitting from conventional hearing aids, to simultaneously take advantage of electric stimulation and their natural acoustic hearing.
Aim 3 evaluates the feasibility implanting children with profound deafness with a short electrode in one ear and a standard-length electrode in the other ear. The purpose is an attempt to preserve regions of the cochlear partition future medical interventions in the ear with the short electrode. A within-subject design will evaluate equivalency between the ear with the short electrode array and the ear with the standard-length array on speech perception and electrophysiological measures.

Public Health Relevance

Advances in cochlear implant (Cl) technology and hearing aid fitting have resulted in improved outcomes for children receiving these devices. These improvements mean that the clinician as well as the child's parents are faced with a wider array of decisions. This project will obtain outcome data that will inform these decisions by comparing outcomes in children receiving different forms Cl technology and children using hearing aids.

Agency
National Institute of Health (NIH)
Institute
National Institute on Deafness and Other Communication Disorders (NIDCD)
Type
Specialized Center (P50)
Project #
5P50DC000242-28
Application #
8606844
Study Section
Special Emphasis Panel (ZDC1)
Project Start
Project End
Budget Start
2014-02-01
Budget End
2015-01-31
Support Year
28
Fiscal Year
2014
Total Cost
Indirect Cost
Name
University of Iowa
Department
Type
DUNS #
City
Iowa City
State
IA
Country
United States
Zip Code
Klein, Kelsey E; Wu, Yu-Hsiang; Stangl, Elizabeth et al. (2018) Using a Digital Language Processor to Quantify the Auditory Environment and the Effect of Hearing Aids for Adults with Hearing Loss. J Am Acad Audiol 29:279-291
Roembke, Tanja C; Wiggs, Kelsey K; McMurray, Bob (2018) Symbolic flexibility during unsupervised word learning in children and adults. J Exp Child Psychol 175:17-36
Roland Jr, J Thomas; Gantz, Bruce J; Waltzman, Susan B et al. (2018) Long-term outcomes of cochlear implantation in patients with high-frequency hearing loss. Laryngoscope 128:1939-1945
Shearer, A Eliot; Tejani, Viral D; Brown, Carolyn J et al. (2018) In Vivo Electrocochleography in Hybrid Cochlear Implant Users Implicates TMPRSS3 in Spiral Ganglion Function. Sci Rep 8:14165
Adunka, Oliver F; Gantz, Bruce J; Dunn, Camille et al. (2018) Minimum Reporting Standards for Adult Cochlear Implantation. Otolaryngol Head Neck Surg 159:215-219
Smith, Nicholas A; McMurray, Bob (2018) Temporal Responsiveness in Mother-Child Dialogue: A Longitudinal Analysis of Children with Normal Hearing and Hearing Loss. Infancy 23:410-431
Wu, Yu-Hsiang; Stangl, Elizabeth; Chipara, Octav et al. (2018) Characteristics of Real-World Signal to Noise Ratios and Speech Listening Situations of Older Adults With Mild to Moderate Hearing Loss. Ear Hear 39:293-304
Gantz, Bruce J; Dunn, Camille C; Oleson, Jacob et al. (2018) Acoustic plus electric speech processing: Long-term results. Laryngoscope 128:473-481
Kim, Jeong-Seo; Tejani, Viral D; Abbas, Paul J et al. (2018) Postoperative Electrocochleography from Hybrid Cochlear Implant users: An Alternative Analysis Procedure. Hear Res 370:304-315
Goman, Adele M; Dunn, Camille C; Gantz, Bruce J et al. (2018) PREVALENCE OF POTENTIAL HYBRID AND CONVENTIONAL COCHLEAR IMPLANT CANDIDATES BASED ON AUDIOMETRIC PROFILE. Otol Neurotol 39:515-517

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