Sequential bilateral cochlear implantation with long interval between surgeries in deaf-blind patient

Koroleva I.V.; Kuzovkov V.E.; Levin S.V.; Ogorodnikova E.A.; Ianov Iu.K.; Astashchenko S.V.

doi:https://doi.org/10.17116/otorino20198402129

Koroleva I.V.

St.-Petersburg scientific research Institute of ear, throat, nose and speech, Bronnitskaya 9, St.-Petersburg, Russia, 190013

Kuzovkov V.E.

Otdel diagnostiki i reabilitatsii narusheniĭ slukha Sankt-Peterburgskogo NII ukha, gorla, nosa i rechi

Levin S.V.

St.-Petersburg scientific research Institute of ear, throat, nose and speech, Bronnitskaya 9, St.-Petersburg, Russia, 190013

Ogorodnikova E.A.

Academician I.P. Pavlov Institute of Physiology, Russian Academy of Sciences, Saint-Petersburg, Russia, 199034

Ianov Iu.K.

Sankt-Peterburgskiĭ NII ukha, gorla, nosa i rechi

Astashchenko S.V.

St.-Petersburg scientific research Institute of ear, throat, nose and speech, Bronnitskaya 9, St.-Petersburg, Russia, 190013

Sequential bilateral cochlear implantation with long interval between surgeries in deaf-blind patient

Authors:

Koroleva I.V., Kuzovkov V.E., Levin S.V., Ogorodnikova E.A., Ianov Iu.K., Astashchenko S.V.

More about the authors

Journal: Russian Bulletin of Otorhinolaryngology. 2019;84(2): 29‑35

DOI: 10.17116/otorino20198402129

Read: 1760 times

Download PDF (RU)

Contact the author

Table of contents

To cite this article:

Koroleva IV, Kuzovkov VE, Levin SV, Ogorodnikova EA, Ianov IuK, Astashchenko SV. Sequential bilateral cochlear implantation with long interval between surgeries in deaf-blind patient. Russian Bulletin of Otorhinolaryngology. 2019;84(2):29‑35. (In Russ.)
https://doi.org/10.17116/otorino20198402129

Подписка 2026 Вестник оториноларингологии (Russian Bulletin of Otorhinolaryngology)

Использование инфографики авторами научных работ

Close metadata

Recommended articles:

Audiological aspects of rehabilitation after cochlear implantation in patients with inner ear malformations. Russian Bulletin of Otorhinolaryngology. 2024;(6):4-9

Candidacy and rehabilitation of adolescents during sequential bilateral cochlear implantation with a long-term interval between surgeries. Russian Bulletin of Otorhinolaryngology. 2025;(4):11-18

Abstract:

The efficacy of sequential bilateral cochlear implantation with long interval between surgeries (18 years) was investigated in deaf-blind patient (22 years old man, lost hearing and vision after meningitis at the age 2.5 years). At the age 4 years he got cochlear implant at right ear. His speech skills completely disappeared before the implantation. Auditory-speech rehabilitation with cochlear implant was successful — patient has good auditory, language, speech, cognitive skills. At the age 22 years patient made decision to get cochlear implant at the left ear after breakdown of internal part of cochlear implant at right ear in spite of successful reoperation. After activation of new processor (all electrodes were activated) the patient got daily auditory training with cochlear implant at left ear (Concerto/Opus 2, Medel) on the base of “auditory” method, in daily life patient uses 2 devices. After 1 month of using cochlear implant at left ear the patient recognized environmental sounds and music instruments, words and sentences in close set tests EARS battery, the score for OLSA test in quiet was 90%, but the perception in noise was complicated. The balance of parameters of fitting for 1-st and 2-nd processors and special auditory training with two cochlear implants provided the development of initial binaural interaction. Perilinqually deaf patients can achieve high effect after sequential bilateral cochlear implantation with long interval between surgeries. The necessary conditions are — preservation of electrical activity of auditory nerve, intensive structured auditory training with new «ear», patient’s motivation of using of cochlear implant at «new» ear.

Keywords:

deafness

cochlear implants

sequential bilateral cochlear implantation

auditory rehabilitation

Authors:

Koroleva I.V.

St.-Petersburg scientific research Institute of ear, throat, nose and speech, Bronnitskaya 9, St.-Petersburg, Russia, 190013

Kuzovkov V.E.

Otdel diagnostiki i reabilitatsii narusheniĭ slukha Sankt-Peterburgskogo NII ukha, gorla, nosa i rechi

Levin S.V.

St.-Petersburg scientific research Institute of ear, throat, nose and speech, Bronnitskaya 9, St.-Petersburg, Russia, 190013

Ogorodnikova E.A.

Academician I.P. Pavlov Institute of Physiology, Russian Academy of Sciences, Saint-Petersburg, Russia, 199034

Ianov Iu.K.

Sankt-Peterburgskiĭ NII ukha, gorla, nosa i rechi

Astashchenko S.V.

St.-Petersburg scientific research Institute of ear, throat, nose and speech, Bronnitskaya 9, St.-Petersburg, Russia, 190013

Close metadata

References:

Litovsky RY, Parkinson A, Arcaroli J, Peters R, Lake J, Johnstone P, Yu G. Bilateral cochlear implants in adults and children. Arch Otolaryngol Head Neck Surg. 2004;130(5):648-655. https://doi.org/10.1001/archotol.130.5.648
Koroleva IV. Rehabilitation of deaf children and adults after cochlear and brainstem implantation. SPb.: KARO; 2016. (In Russ.)
Peters BR, Wyss J, Manrique M. Worldwide trends in bilateral cochlear implantation. Laryngoscope. 2010;120(suppl 2):17-44. https://doi.org/10.1002/lary.20859
Green JD, Mills DM, Bell BA, Luxford WM, Tonokawa LL. Binaural cochlear implants. Am J Otol. 1992;13(6):502-506. Retreived from: http://www.biomedsearch.com/nih/Binaural-cochlear-implants/1449175.html
Kuhn-Inacker H, Shehata-Dieler W, Muller J, Helms J. Bilateral cochlear implants: a way to optimize auditory perception abilities in deaf children? Int J Pediatr Otorhinolaryngol. 2004;68(10):1257-1266. https://doi.org/10.1016/j.ijporl.2004.04.029
Litovsky RY, Parkinson A, Arcaroli J, Sammeth C. Simultaneous bilateral cochlear implantation in adults: a multicenter clinical study. Ear Hear. 2006;27(6):714-731. https://doi.org/10.1097/01.aud.0000246816.50820.42
Lammers MJ, van der Heijden GJ, Pourier VE, Grolman W. Bilateral cochlear implantation in children: a systematic review and best-evidence synthesis. Laryngoscope. 2014;124(7):1694-1699. https://doi.org/10.1002/lary.24582
Crowson MG, Semenov YR, Tucci DL, Niparko JK. Quality of life and cost-effectiveness of cochlear implants: a narrative review. Audiol Neurotol. 2017;22(4-5):236-258. https://doi.org/10.1159/000481767
Kuzovkov VE, Yanov YuK, Megrelishvili SM, Levin SV. Dvuchstoronniya (bilateralnaya) kochlearnaya implantacia. Rossiiskaya otorinolaringologiya. 2010;44(1):50-57. (In Russ.)
Goikhburg MV, Bakhshinyan VV, Tavartkiladze GA. The effectiveness of rehabilitation following bilateral cochlear implantation. Vestnik otorinolaryngologii. 2014;2:26-28. (In Russ.)
Daikhes NA, Diab KhM, Siraeva AR, Tarasova NV, Kondratchikov DS, Machalov AS, Pashchinina OA, Kuznetsov AO, Yusifov KD. The results of bilateral cochlear implantation in the children who survived meningitis. Vestnik otorinolaryngologii. 2017;82(6):39-43. (In Russ.)
Sharma A, Dorman MF, Kral A. The influence of a sensitive period on central auditory development in children with unilateral and bilateral cochlear implants. Hear Res. 2005;203(1-2):134-143. https://doi.org/10.1016/j.heares.2004.12.010
Portmann D, Felix F, Negrevergne M, Bourdin M, Lagourgue P, Coulomb-Faye F, Polanski FJ. Bilateral cochlear implantation in a patient with long-term deafness. Rev Laryngol Otol Rhinol (Bord). 2007;128(1-2):65-68. Retreived from: http://www.biomedsearch.com/nih/Bilateral-cochlear-implantation-in-patient/17633669.html
Koroleva IV, Ogorodnikova EA, Pak SP, Levin SV, Balyakova AA, Shaporova AV. Metodicheskie podkhody k otsenke dinamiki razvitiya protsessov slukhorechevogo vospriyatiya u detei s kokhlearnymi implantami. Rossiiskaya otorinolaringologiya. 2013;64(3):75-85. (In Russ.)