The Role of Sex on Early Cochlear Implant Outcomes. Issue 10 (December 2019)

• Record Type: Journal Article
• Authors: Raymond, Mallory J.; Ballestas, Samir A.; Wise, Justin C.; Vivas, Esther X.
• Is Part Of: Otology & neurotology. Volume 40:Issue 10(2019)
• Publication Date: 2019-12
• Subjects: Cochlear implants -- Sex -- Speech recognition; Otology -- Periodicals; Ear -- Diseases -- Periodicals; Skull base -- Surgery -- Periodicals; 617.8005
• DOI: 10.1097/MAO.0000000000002402
• Languages: English
• ISSNs: 1531-7129

Abstract

Abstract : Objective: To determine the presence of sex differences in cochlear implant outcomes. Study Design: Retrospective chart review. Setting: Tertiary referral center. Patients: Adult patients having undergone cochlear implantation from 2009 to 2017. Intervention(s): Standard electrode length cochlear implantation. Main Outcome Measure(s): AzBio scores in quiet of the implanted ear at the 1 to 3 months and 6 to 9 months postoperative time points. Results: Of 55 patients with complete demographic and speech recognition testing, 36.4% (n = 20) were men. The mean age at time of surgery was 59.81 ± 16.54 years and the mean duration of hearing loss was 26.33 ± 18.54 years; there was no significant difference between men and women. The mean preoperative AzBio score was 11 ± 15.86% and there was no difference between men and women. Through 2 (sex) × 3 (time point) analysis of covariance (ANCOVA), there was no main effect of sex ( F [1, 48] = 0.74, p = 0.39, η 2 = 0.02) on postoperative AzBio scores, but there was a significant sex by time point interaction, ( F [1.77, 85.03] = 4.23, p = 0.02, η 2 = 0.08). At the 1 to 3 months postoperative time point, women exhibited higher relative improvement in AzBio scores than men (67 ± 27% versus 55 ± 31%). Further, this relative improvement increased and remained significant at the 6 to 9 months postoperative time point (women: 71 ± 22% versus 58 ± 30%). Conclusions: Sex may play a role in early speech recognition outcomes after adult cochlear implantation.