INTRAOPERATIVE NEURAL RESPONSE TELEMETRY AND PERCEPTION OF SPEECH IN PRELINGUAL COCHLEAR IMPLANT USERS
International Archives of Otorhinolaryngology
INTRAOPERATIVE NEURAL RESPONSE TELEMETRY AND PERCEPTION OF SPEECH IN PRELINGUAL COCHLEAR IMPLANT USERS
Autor Correspondente: Ramos DGSP | [email protected]
Resumos Cadastrados
Resumo Inglês:
OBJECTIVE: To correlate the responses from intraoperative neural response telemetry (NRT) with speech perception. METHODS: We selected 21 patients with severe to profound prelingual sensorineural hearing loss who underwent cochlear implantation with the Nucleus Freedom device at the Agamemnon Magalhães Hospital during the period from 2009-2011. The NRT measurements were performed using 9 electrodes per patient during surgery, and evaluation of speech perception was performed with specific tests after at least 1 year of continuous use of the cochlear implant. RESULTS: The mean age was 8.7 years, and ranged from 2 to 37 years. 38.08% of implanted patients were able to recognize words in closed contexts, while 9.52% were able to recognize open-set words. There was no statistically significant relationship between the development of speech perception and NRT for any electrode measured, despite a slight tendency for lower levels of current to evoke an ECAP in the latter. CONCLUSION: Despite the proven utility of ECAP in programming the speech processor for cochlear implant users, NRT measurements are not able to predict which patients have greater potential for speech perception.