Electric charge requirements of pediatric cochlear implant recipients enrolled in the Childhood Development After Cochlear Implantation study

Otol Neurotol. 2008 Feb;29(2):143-8. doi: 10.1097/MAO.0b013e318161aac7.

Abstract

Objective: To evaluate mapping characteristics of children with cochlear implants who are enrolled in the Childhood Development After Cochlear Implantation (CDACI) multicenter study.

Study design: Longitudinal evaluation during 24 months of speech processor maps of children with cochlear implants prospectively enrolled in the study.

Setting: Six tertiary referral centers.

Subjects: One hundred eighty-eight children enrolled in the CDACI study who were 5 years old or younger at the time of enrollment. Of these children, 184 received unilateral implants, and 4 received simultaneous bilateral implants.

Intervention: Children attended regular mapping sessions at their implant clinic as part of the study protocol. Maps were examined for each subject at 4 different time intervals: at device activation and 6, 12, and 24 months postactivation.

Main outcome measures: Mean C/M levels (in charge per phase) were compared for 4 different time intervals, for 3 different devices, for 6 different implant centers, and for children with normal and abnormal cochleae.

Results: All 3 types of implant devices demonstrate significant increases in C/M levels between device activation and the 24-month appointment. Significant differences in mean C/M levels were noted between devices. Children with cochlear anomalies demonstrate significantly greater C/M levels than children with normal cochleae.

Conclusion: The CDACI study has enabled us to evaluate the mapping characteristics of pediatric patients who use 3 different devices and were implanted at a variety of implant centers. Analysis of such data enables us to better understand the mapping characteristics of children with cochlear implants.

Publication types

  • Multicenter Study
  • Research Support, N.I.H., Extramural

MeSH terms

  • Child
  • Child, Preschool
  • Cochlear Implantation
  • Cochlear Implants / statistics & numerical data*
  • Data Interpretation, Statistical
  • Electronics
  • Female
  • Functional Laterality / physiology
  • Humans
  • Infant
  • Longitudinal Studies
  • Male
  • Psychophysics
  • Reference Values
  • Time Factors