{Reference Type}: Clinical Trial
{Title}: Patient-Reported Outcomes From the United States Clinical Trial for a Hybrid Cochlear Implant.
{Author}: Kelsall DC;Arnold RJG;Lionnet L;
{Journal}: Otol Neurotol
{Volume}: 38
{Issue}: 9
{Year}: 10 2017
{Factor}: 2.619
{DOI}: 10.1097/MAO.0000000000001517
{Abstract}: To assess patient-reported outcomes (PROs) in individuals with significant residual low-frequency hearing and severe-to-profound high-frequency sensorineural hearing loss (SNHL) who received the hybrid cochlear implant (CI).<BR>Prospective, multicenter, nonrandomized, single-arm repeated measures, single-subject design.<BR>Tertiary centers, ambulatory care.<BR>Fifty adults with severe-to-profound high-frequency SNHL and residual low-frequency hearing with aided word recognition scores between 10 and 60% in the ear to be implanted, and in the contralateral ear greater than or equal to implant ear less than or equal to 80%.<BR>Therapeutic; hybrid CI.<BR>Speech, spatial and qualities of hearing scale (SSQ), device use questionnaire (DUQ), University of Washington Clinical Assessment of Music Perception (UW-CAMP) assessed preoperatively and after 6 and 12 (SSQ and DUQ only) months of hybrid CI use.<BR>Significant improvements in mean SSQ ratings were demonstrated at 6 and 12 months postactivation overall and for domains related to speech hearing, spatial hearing, and sound quality. Significant improvement was also found for overall satisfaction on the DUQ and across a number of specific listening situations in addition to aspects related to social engagement. UW-CAMP pitch discrimination and melody and timbre recognition abilities were not compromised postoperatively, allowing hybrid subjects to maintain superior music perception abilities than typically observed with standard CIs.<BR>Patients who received the hybrid CI demonstrated significant PRO benefits on the SSQ and the DUQ after 6 and 12 months of CI use. In addition, given the opportunity to maintain useful low-frequency acoustic hearing, patients retained music listening abilities, as assessed by the UW-CAMP.