Methods of Partial Deafness Treatment

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This book presents the revolutionary approach to the treatment of hearing loss proposed by Professor Henryk Skarżyński and developed in collaboration with the group of internationally recognized experts on clinical and experimental otolaryngology, otosurgery, and audiology. The authors present an in-depth look at different aspects of this comprehensive concept of treatment of partial and total deafness with hearing implants, and discuss the approaches to diagnostics and patient selection, results in different groups of patients, the surgical technique, and procedures. This book also covers audiological aspects, auditory training, patient's performance, and psychology.



This book is a comprehensive review of the method of partial and total deafness treatment developed and introduced into clinical practice by Professor Henryk Skarżyński. The publication is noteworthy for presenting a multifaceted approach to the subject from related science experts’ and clinicians’ point of view.


Author(s): Henryk Skarżyński, Piotr H. Skarżyński
Publisher: Routledge
Year: 2021

Language: English
Pages: 431
City: London

Cover
Half Title
Title Page
Copyright Page
Table of Contents
Preface
Editors
Contributors
1 The strategy of preservation of preoperative hearing and inner ear structures in hearing implant surgery
Introduction
Otosurgical method used in the strategy of preserving the preoperative hearing and inner ear structures
Conclusions
2 Audiological aspects of the partial deafness cochlear implantation with hearing preservation
Introduction
Assessment of the preservation of hearing after cochlear implantation
The possibilities of hearing preservation obtained in the partial deafness treatment program
Fitting of a cochlear implant system aimed at obtaining the optimal electric-acoustic stimulation of the auditory receptor
Assessment of speech discrimination improvement after applying the new method of partial deafness treatment
Discussion and conclusions
3 Intraoperative monitoring of hearing preservation with ECochG in treatment of partial deafness
Introduction
Insertion of the electrode using ECochG
Integrated system ECochG Advanced Bionics AIM™
Implementation of ECochG in the assessment of hearing preservation after cochlear implantation
Patient #1
Patient #2
Summary
4 Genetic biomarkers of neuroplasticity in the treatment of children with prelingual deafness with cochlear implantation
Introduction
Congenital deafness and its treatment in children younger than 2 years
Neuroplasticity in the auditory system
Synaptic plasticity – molecular grounds
Genetic biomarkers of the results of treatment of partial deafness with a cochlear implant
5 Otosurgical techniques in the application of various auditory implants
Introduction
Bone conduction implants –indications and inclusion criteria
Middle ear implants – indications and inclusion criteria
Bone conduction implants –surgical technique
Baha[sup(®) Connect
Baha[sup(®) Attract
Osia[sup(®) System
Bonebridge System
Middle ear implants – surgical technique
Vibrant Soundbridge ( VSB)
VSB used in the round window stimulation
Codacs [sup(®)]System
MET[sup(®)
Conclusions
6 Hearing preservation classification according to Skarz˙yn´ski et al. ( 2013)
Introduction
Hearring Group HP Classification System
Conclusions
7 Review of clinical material presented during demonstration surgeries
A. Children aged 0–9 years
1. Girl, 11 months – cochlear implant
2. Boy, 12 months – cochlear implant
3. Girl, 16 months – cochlear implant
4. Boy, 2 years – cochlear implant
5. Girl, 2 years – cochlear implant
6. Boy, 5 years – cochlear implant
7. Boy, 7 years – cochlear implant
8. Boy, 9 years – cochlear implant
9. Girl, 9 years – cochlear implant
10. Girl, 9 years – cochlear implant
B. Children and young people aged 10–18 years
11. Boy, 10 years – cochlear implant
12. Boy, 11 years – cochlear implant
13. Girl, 12 years – cochlear implant
14. Girl, 14 years – bone conduction implant
15. Boy, 16 years – cochlear implant
16. Boy, 16 years – bone conduction implant
17. Boy, 16 years – bone conduction implant
18. Boy, 16 years – cochlear implant
19. Girl, 16 years – bone conduction implant
C. Adults aged 18–69 years
20. Male, 19 years – bone conduction implant
21. Male, 20 years – cochlear implant
22. Female, 27 years – cochlear implant
23. Female, 29 years – cochlear implant
24. Female, 29 years – cochlear implant
25. Female, 33 years – cochlear implant
26. Male, 35 years – cochlear implant
27. Female, 36 years – cochlear implant
28. Female, 38 years – bone conduction implant
29. Female, 39 years – cochlear implant
30. Female, 40 years – cochlear implant
31. Female, 40 years – cochlear implant
32. Male, 40 years – cochlear implant
33. Male, 41 years – middle-ear implant
34. Male, 41 years – bone conduction implant
35. Female, 43 years – cochlear implant
36. Female, 43 years – bone conduction implant
37. Female, 44 years – bone conduction implant
38. Female, 44 years – cochlear implant
39. Female, 44 years – cochlear implant
40. Female, 46 years – cochlear implant
41. Male, 46 years – cochlear implant
42. Female, 47 years – cochlear implant
43. Female, 48 years – middle-ear implant
44. Female, 48 years – middle-ear implant
45. Female, 49 years – bone conduction implant
46. Female, 50 years – cochlear implant
47. Female, 50 years – cochlear implant
48. Female, 51 years – middle-ear implant
49. Male, 51 years – cochlear implant
50. Female, 52 years – cochlear implant
51. Male, 52 years – cochlear implant
52. Male, 53 years – cochlear implant
53. Male, 54 years – cochlear implant
54. Female, 55 years – cochlear implant
55. Male, 55 years – cochlear implant
56. Female, 56 years – cochlear implant
57. Male, 56 years – bone conduction implant
58. Male, 57 years – bone conduction implant
59. Male, 57 years – cochlear implant
60. Female, 58 years – cochlear implant
61. Male, 59 years – cochlear implant
62. Female, 60 years – cochlear implant
63. Male, 60 years – middle-ear implant
64. Male, 60 years – cochlear implant
65. Male, 61 years – cochlear implant
66. Female, 62 years – middle-ear implant
67. Female, 62 years – middle-ear implant
68. Male, 62 years – cochlear implant
69. Male, 62 years – cochlear implant
70. Male, 63 years – cochlear implant
71. Female, 64 years – cochlear implant
72. Female, 64 years – cochlear implant
73. Female, 64 years – bone conduction implant
74. Female, 64 years – cochlear implant
75. Female, 65 years – bone conduction implant
76. Male, 65 years – cochlear implant
77. Male, 65 years – cochlear implant
78. Male, 65 years – cochlear implant
79. Female, 59 years – middle-ear implant
80. Male, 66 years – cochlear implant
81. Male, 66 years – cochlear implant
82. Female, 67 years – cochlear implant
83. Female, 67 years – cochlear implant
84. Male, 67 years – cochlear implant
85. Female, 69 years – cochlear implant
86. Male, 69 years – cochlear implant
87. Male, 69 years – cochlear implant
D. Elderly patients
88. Female, 71 years – cochlear implant
89. Male, 73 years – cochlear implant
90. Female, 74 years – cochlear implant
91. Male, 76 years – cochlear implant
92. Female, 77 years – cochlear implant
93. Female, 77 years – cochlear implant
94. Female, 79 years – cochlear implant
95. Male, 79 years – cochlear implant
96. Male, 82 years – cochlear implant
97. Female, 84 years – cochlear implant
98. Male, 85 years – cochlear implant
8 Role of the pharmacology ( glucocorticoids) in hearing preservation in the partial deafness treatment ( PDT)
Introduction
Pharmacological characteristics, the role, pharmacological activity, and adverse effects of glucocorticoids
Pharmacokinetics of glucocorticoids and review of different animal model studies
Topical and systemic administration of glucocorticoids
Application of glucocorticoids in the cochlear implant procedure in patients with partial deafness in the WHC
Pharmacokinetic of glucocorticoids used in the study
Methodology: outcome measures and qualification criteria
Results and observations
Summary
9 Otoneurological aspects of cochlear implantation in partial and total deafness
Introduction
Impairment of vestibular function after cochlear implantation – possible mechanisms
Hearing preservation techniques and protection of the vestibular organ
Vestibular symptoms after cochlear implantation and specificity of vestibular disorders in CI recipients
Preoperative otoneurological testing
cVEMP, oVEMP
Caloric test
vHIT
Incidence of vestibular damage after Partial Deafness Treatment
Conclusions
10 The utility of the functional magnetic resonance imaging for assessment of brain functions in patients with partial deafness
Introduction – progress in the field of fMRI studies
Description of the fMRI technique
Application of the functional magnetic resonance in the auditory pathway studies
Technical solutions
The organization of the hearing pathway
Own studies of the auditory cortex responses in normal hearing
Evaluation of tonotopic organization of the auditory cortex
Assessment of the relationship between sound intensity and the auditory cortex activation
Own studies in patients with partial deafness
Structural studies of the auditory cortex
Summary
11 Audiological rehabilitation in the partial deafness treatment program strategy – eliminating participation limitations
Introduction
Patients with partial deafness – their specific difficulties and needs in hearing, language, and communication perspective
The goals of hearing rehabilitation
Characteristics of working with different groups of patients
Pediatric population – additional remarks
Summary
12 Auditory development and speech perception in children after partial deafness cochlear implantation
Introduction
Auditory development
Auditory development in CI children
Assessment of early auditory development of CI children
Partial Deafness
Cochlear Implantation without aiming for hearing preservation in children with PD
Preservation of hearing after cochlear implantation
Cochlear implantation with hearing preservation in children with PD
Early auditory development after cochlear implantation in children with PD
Speech discrimination in children with PD
Speech discrimination after CI in children with PD
Summary
13 Understanding the partial deafness – different perspectives: subjective, auditory perception and communication, psychological, and social
Introduction
Partial deafness from the subjective perspective
Partial deafness from the perspective of auditory perception of speech and communication
Partial deafness from the psychological perspective
Coping with hearing loss and psychosocial adaptation
Psychosocial functioning of patients with partial deafness using cochlear implants – study results
Partial deafness from the social perspective
Summary
14 Evaluation of partial deafness patients by means of auditory evoked potentials, otoacoustic emissions, and wideband tympanometry
Introduction
Application of evoked auditory brainstem responses ( ABR)
The method of auditory steady- state responses ( ASSR)
Application of otoacoustic emissions (OAEs)
Application of wideband tympanometry
Summary
15 Auditory cortex, partial hearing loss, and cochlear implants: selected observations and comments
Introduction
Early animal studies
Other animal studies
Other auditory structures
Top-down vs. bottom-up influences
Cross-modal adaptation
Implications for cochlear implant users
Looking back and looking forward: how research has evolved
Imaging
Imaging methods
fMRI
PET
fNIRS
DTI/ DKI
Duration of deafness impacting reorganization
Cross-modal reorganization
Reorganization following intervention
Evoked potentials
Lesion-edge studies
Further findings in adult patients
Cross-modal reallocation
Relevant findings in pediatric patients
Continuing research directions and clinical applications
Summary
Bibliography
Index