Parental insights on Hearing Aid Usage in the ear Contralateral to unilateral Cochlear Implant among Children

Int J Pediatr Otorhinolaryngol. 2023 Sep:172:111656. doi: 10.1016/j.ijporl.2023.111656. Epub 2023 Jul 10.

Abstract

Aim & objectives: The aim of the present study was in three-fold: (a) to analyze the factors that affect the hearing aid (HA) continuation/discontinuation in children with unilateral cochlear implant (CI); (b) to understand the parent's knowledge on binaural benefit; and (c) to find out any association between the hearing aid continuation/discontinuation with implant age and/or with duration of hearing aid use prior to surgery.

Method: The study involved 97 participants who were parents of children with unilateral cochlear implants. A questionnaire with 30 questions was used to explore HA use and certain related perceptions, and a Likert scale was used for ranking responses.

Results: & Discussion: Only 31.9% children were using HA consistently, post CI activation The principal factor for discontinuation of HA was its helpfulness prior CI whereas children wore HA only because they were instructed during counseling. Participants did not perceive functional benefit bimodal fitting due to superiority of CI performance and poor residual hearing. Also, it was found that there is no association between neither the implant age nor duration of HA use before CI with the HA continuation/discontinuation on Chi-square test.

Conclusions: The results suggest a need for structured comprehensive counseling and demonstration sessions to educate parents on binaural hearing to gain maximum benefits from non-invasive bimodal fitting.

Keywords: Bimodal fitting; Cochlear implant; Hearing aid.

MeSH terms

  • Child
  • Cochlear Implantation* / methods
  • Cochlear Implants*
  • Hearing / physiology
  • Hearing Aids*
  • Humans
  • Speech Perception* / physiology