Biomedical subjects

H Bagus

Publications and source records attributed to H Bagus.

3 recordsLinked to original sources

PubMed2006

[A multicentre comparative study of the ESPrit and the Nucleus 22].

BACKGROUND: Cochlear implant recipients often report additional difficulty in comprehension of speech in noisy conditions and of softly spoken speech. The aim of this clinical study was to evaluate and compare the performance advantages offered by the ear level ESPrit 3G for experienced Nucleus Mini 22 cochlear implantees. PATIENTS AND METHODS: Twenty-eight German-speaking implanted subjects, who had had experience with either the Spectra 22 or the ESPrit 22 for at least 6 months, were evaluated with their current processor and the ESPrit 3G (on microphone, M, and whisper, W, settings) following a 4-week trial. Freiburger monosyllabic words (FMW) were used at soft and conversational levels in quiet conditions and Oldenburger sentences (OLSA) were used in noisy conditions to compare performance. Subjective impressions of sound quality and user aspects were evaluated and combined with data from 31 English-speaking subjects from a parallel study. RESULTS: In comparison to the previously worn processor, statistically significantly superior performance (p<0.001) was observed at soft and conversational levels in quiet conditions for FMW in 15 subjects when using the W setting and in noisy conditions for the OLSA in 21 subjects when using the M setting (p<0.001). The ESPrit 3G was preferred by 86% of subjects (51/59). CONCLUSION: The ESPrit 3G for Nucleus 22 users has the potential to further improve speech understanding in quiet conditions at soft intensity levels and also in noisy conditions at conversational levels relative to the currently worn speech processor, the Spectra 22 or the ESPrit 22, for the majority of subjects. Subjectively, together with the improvement in sound quality, the majority of subjects also reported improved ease of use and wearer comfort.

Adolescent↗

PubMed2001

[Cochlear implantation: relationship between speech development and insertion depth in children].

BACKGROUND: The goal in pediatric cochlear implantation is improved hearing leading to better speech development, which may allow their integration into mainstream schools. Whether the intracochlear position of the electrode array has an influence on speech development or not is controversially discussed. PATIENTS: Between 1996 and 1998 29 children ranging from 1.5 to 11.8 years (median 4 years) were provided with a Nucleus 22M or 24M cochlear implant system. Speech and language skills were assessed by a closed-set test (Mainzer test) and by the Schmid-Giovannini score for hearing development pre-implantation and at 6, 12, 18 and 24 months post-implantation. The position of the electrode array was determined by the surgical record and by a postoperative transorbital x-ray. Since the promontory has a thickness of one to two electrode bands, we defined deep insertion as more than 24 bands intracochlear. RESULTS: The patients were divided into 2 groups according to the insertion depth: Group 1 (n = 8) 24 bands (22 electrodes and 2 stiffening rings correspond to < or = 18 mm) or less and group 2 (n = 21) more than 24 bands intracochlear correspond to > 18 mm). The mean closed-set test scores 12 months post-implantation were 51.4% and 68.5% for group 1 and group 2, respectively. Schmid-Giovannini test scores were 8.7 for group 1 and 10.1 for group 2. There was no significant statistical difference in the closed-set and Schmid-Giovannini test scores. We observed incomplete insertion (i.e. less than 22 active bands are intracochlear) because of electrode extrusion in only one child. CONCLUSION: Speech development in children does not improve with deeper insertion of the cochlear implant electrode array.

Age Factors↗

PubMed2000

[Ambulatory rehabilitation after cochlear prosthesis implantation].

BACKGROUND AND OBJECTIVE: This study compares the results of the outpatient-based program of the Cochlear Implant Center Ruhr with inpatient-based rehabilitation, which is almost exclusively performed in Germany. PATIENTS/METHODS: The Department of Otorhinolaryngology at the University of Essen in Germany provided 52 patients with either 22- or 24-channel Nucleus cochlear implants from March 1996 to July 1999. Almost all patients (n = 49) were rehabilitated on an outpatient basis, which is the standard in many cochlear implant centers outside Germany. RESULTS: The longest follow-up period at the University of Essen Department of Otorhinolaryngology was 36 months. Minor complications occurred in 10% of the patients. After 24 months, the first three implanted patients were able to discriminate 100% of numbers and over 60% of syllables in the Freiburg speech discrimination test. The patients who developed an understanding of open speech were able to discriminate 31 words per minute with cochlear implant and without lipreading after 24 months. Children were seen to double their Schmid-Giovannini scores at 6 months postimplantation. CONCLUSIONS: The Essen outpatient-based cochlear implant program demonstrates results in speech development and speech understanding equal to those of centers providing inpatient rehabilitation. A special advantage is continuous rehabilitation with professionals known to the child for several years. In children especially, exhaustive commuting reduces school attendance and is a burden on the accompanying guardians. As an inpatient, however, the child is torn from his familiar environment. Parents with several children have particular difficulties in accompanying their child and indeed this may not always be possible.

Adult↗