Evaluation Of Cochlear Implant Effect In Children With Sensorineural Deafness And Secretory Otitis Media

Objective Investigate the recovery of hearing and language after cochlear implantation in children with sensorineural deafness with secretory otitis media and whether there was any difference compared with children without secretory otitis media.Methods Follow-up study of the first affiliated hospital of Anhui Medical University from January 2015 to December 2017 with 30 patients with secretory otitis media and the sensory neurological deafness implanted in the cochlear implant,and the absence of secretion of the cochlear implant during the same period of follow-up 30 children with sensorineural deafness in otitis media with otitis media.Those with secretory otitis media were in group A,and those without secretory otitis media were in group B.Follow-up to the children's family members by phone was conducted to 24 months,and the Cochlear Implantation of the two groups of children was performed using Categories of auditory performance(CAP-II)and Speech intelligibility rating(SIR)The hearing and speech rehabilitation were scored,and the rehabilitation of the two groups of children were compared for statistical analysis.Results There were no postoperative complications in children with sensorineural deafness with secretory otitis media after implantation of cochlear implant.Preoperative group A had CAP-II 0.87±1.07,SIR 1.07±0.37,postoperative CAP-II 5.07± 0.91,SIR 3.73±0.87,CAP-II and SIR in group A were statistically tested P<0.01 after statistical analysis.Preoperative group B CAP-II 0.93±1.17,SIR 1.10±0.40,postoperative CAP-II 5.23±0.77,SIR 3.77±0.73,CAP-II and SIR in group B were statistically tested after surgery.P<0.01 was statistically significant.Group A and group B were preoperatively and postoperative CAP-II and SIR were counted.The test P>0.05 was not statistically significant.Hearing and language skills were improved in patients with secretory otitis media after cochlear implantation,and there was no statistically significant difference in auditory and speech recovery compared with children with cochlear implants without otitis media.Conclusion One stage cochlear implantation is safe and feasible for children with secretory otitis media,and secretory otitis media has no effect on the recovery of auditory and speech after implantation in cochlear implants.