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- W2063925940 abstract "Le but de cette étude était d’analyser de façon rétrospective les performances, les facteurs prédictifs et les complications de l’implant cochléaire dans une population de sujets adultes présentant une surdité post-linguale. Entre 1990 et 2003, 134 patients adultes ont été implantés, de façon unilatérale chez 129 d’entre eux et bilatérale chez 5 d’entre eux. Le bénéfice auditif à 6, 12, 24 et 36 mois a été analysé ainsi que les performances à 12 mois en fonction de l’étiologie, de l’âge, de la lecture labiale et de la stratégie de codage. L’implant cochléaire apporte un bénéfice auditif important dès 6 mois postopératoire par comparaison aux performances avant l’implantation (p < 0,0001), quels que soient l’âge du sujet, l’étiologie et la qualité de la lecture labiale avant l’implantation. Les performances sont inférieures en cas de méningite (p < 0,01), mais le pourcentage d’amélioration est similaire aux autres étiologies. Les complications graves sont très rares avec un cas de parésie faciale régressive dans 1 cas. L’implant cochléaire apporte un bénéfice important et rapide, avec une morbidité très faible, quels que soient l’âge des sujets, l’étiologie et la qualité de la lecture labiale. The aim of this study was to analyse performance of cochlear implants in a retrospective series of adults with postlingually in order to search for predictive factors and identify complications. Between 1990 and 2003, 134 adult patients were implanted: 129 patients on one side and 5 patients on both sides. Hearing benefit at 6, 12, 24 and 36 months and performance at 12 months were analyzed as function of the etiology, age at implantation, lipreading and speech coding strategy. Compared to performances before implantation, cochlear implants provided significant and rapid improvement at 6 months (p < 0.0001). The results were not correlated with age at implantation, etiology or lipreading ability before implantation. Performances were worse in patients with meningitis (p < 0.01), but the percentage of improvement was similar between the different etiologies. Major complications were rare: one case of regressive postoperative facial nerve weakness. Cochlear implants provide sifnificant and rapid improvement, with low morbidity. Results are not correlated with age at implantation, etiology or lipreading ability." @default.
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- W2063925940 date "2006-04-01" @default.
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- W2063925940 title "Performances et complications de l’implant cochléaire chez 134 patients adultes implantés depuis 1990" @default.
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- W2063925940 doi "https://doi.org/10.1016/s0003-438x(06)76645-2" @default.
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