Skip to main navigation menu Skip to main content Skip to site footer

Self-Reported Voice-Related Quality of Life in Cochlear Implant Users

Calidad de vida relacionada con la voz autoinformada en usuarios de implantes cocleares



Open | Download


Section
Research Article

How to Cite
1.
Self-Reported Voice-Related Quality of Life in Cochlear Implant Users. Rev. Investig. Innov. Cienc. Salud [Internet]. 2023 Dec. 20 [cited 2024 Nov. 24];5(2):69-92. Available from: https://riics.info/index.php/RCMC/article/view/232

Dimensions
PlumX
Pasquale Bottalico
    Abel Plachno
      Charles Nudelman

        Objective. The aim of this study was to identify if cochlear implant (CI) users are perceiving a decrease in life quality due to voice problems. This study evaluated 43 CI user’s perception of their voice and how it affects their quality of life through a survey.

        Approach. Forty-three CI users responded to a survey regarding their demographics, details about their CI, the Hearing Health Quick Test (HHQT), the Voice Related Quality of Life (V-RQOL), and the Voice Handicap Index-10 (VHI-10). The survey responses were analyzed using univariate linear regression analysis.

        Results. Few of the CI users scored below the cut off for normal voice related quality of life. CI users averaged 93.4 out of 100 on the V-RQOL and only four scored abnormally for the VHI-10. Lower scores on the V-RQOL were correlated with the participants having an associate degree and with participants visiting friends, family, and neighbors less often due to hearing loss. The VHI-10 scores were correlated with gender, education levels, difficulty in social situations due to hearing loss, noise exposure, and tinnitus.

        Limitations of the study. The small n was the primary limitation of this study.

        Originality. This study was one of the first to examine the voice-related quality of life in CI users.

        Conclusions. Overall, respondents did not perceive much voice-related difficulty. However, they were more likely to perceive voice-related difficulty if they experienced difficulty hearing in noise and avoided social situations due to hearing loss.


        Article visits 343 | PDF visits 121


        1. National Institute on Deafness and Other Communication Disorders (NIDCD). Quick Statistics About Hearing [Internet]. 2021 Mar 25.. Available from: https://www.nidcd.nih.gov/health/statistics/quick-statistics-hearing
        2. Mildner V, Liker M. Fricatives, affricates, and vowels in Croatian children with cochlear implants. Clin Linguist Phon [Internet]. 2008 Jan;22(10–11):845–56. doi: http://dx.doi.org/10.1080/02699200802130557
        3. American Speech-Language-Hearing Association. Cochlear Implants. [Internet]. 2004. doi: http://doi.org/10.1044/policy.TR2004-00041
        4. Oticon Medical. Cochlear implants - a modern miracle | Oticon Medical. [Internet]. 2022. Available from: https://www.oticonmedical.com/us/cochlear-implants
        5. Cochlear™ Nucleus® Hearing Implants. Cochlear. [Internet]. 2022. [cited 2023 Aug 18]. Available from: https://www.cochlear.com/us/en/home/products-and-accessories/cochlear-nucleus-system/nucleus-implants
        6. van der Jagt MA, Briaire JJ, Verbist BM, Frijns JHM. Comparison of the HiFocus Mid-Scala and HiFocus 1J Electrode Array: Angular Insertion Depths and Speech Perception Outcomes. Audiol Neurootol. 2016;21(5):316-25. doi: http://dx.doi.org/10.1159/000448581
        7. MED-EL Pro. MED-EL Cochlear Implant Electrode Arrays. [Internet]. 2022 [cited 2023 Aug 18]. Available from: https://www.medel.pro/products/electrode-arrays
        8. Aronoff JM, Stelmach J, Padilla M, Landsberger DM. Interleaved processors improve cochlear implant patients' spectral resolution. Ear Hear. 2016;37(2):e85-e90. doi: http://dx.doi.org/10.1097/aud.0000000000000249
        9. Staisloff HE, Aronoff JM. Comparing methods for pairing electrodes across ears with cochlear implants. Ear Hear. 2021;42(5):1218-27. doi: https://doi.org/10.1097/AUD.0000000000001006
        10. MED-EL Pro. Why MED-EL: Cochlear Implants. [Internet] [cited 2023 Aug 18]. Available from: https://www.medel.pro/systems/cochlear-implant-system
        11. Iddings T. Cochlear Implants for Adults: Evaluation, Implantation and Outcomes. 2022 Oct 17.
        12. Eshraghi AA, Ahmed J, Krysiak E, Ila K, Ashman P, Telischi FF, et al. Clinical, surgical, and electrical factors impacting residual hearing in cochlear implant surgery. Acta Otolaryngol. 2017;137(4):384-8. doi: https://doi.org/10.1080/00016489.2016.1256499
        13. Zanetti D, Nassif N, Redaelli De Zinis LO. Factors affecting residual hearing preservation in cochlear implantation. Acta Otorhinolaryngol Ital. 2015;35(6):433-41. doi: https://doi.org/10.14639/0392-100X-619
        14. Schafer EC, Miller S, Manning J, Zhang Q, Lavi A, Bodish E, et al. Meta-Analysis of Speech Recognition Outcomes in Younger and Older Adults With Cochlear Implants. Am J Audiol. 2021;30(3):241-54. doi: https://doi.org/10.1044/2021_AJA-20-00141
        15. Forli F, Lazzerini F, Fortunato S, Bruschini L, Berrettini S. Cochlear Implant in the Elderly: Results in Terms of Speech Perception and Quality of Life. Audiol Neurootol. 2019;24(2):77-83. doi: https://doi.org/10.1159/000499176
        16. Bourn SS, Goldstein MR, Morris SA, Jacob A. Cochlear implant outcomes in the very elderly. Am J Otolaryngol. 2022;43(1):103200. doi: https://doi.org/10.1016/j.amjoto.2021.103200
        17. McRackan TR, Fabie JE, Bhenswala PN, Nguyen SA, Dubno JR. General Health Quality of Life Instruments Underestimate the Impact of Bilateral Cochlear Implantation. Otol Neurotol. 2019;40(6):745-53. doi: https://doi.org/10.1097/MAO.0000000000002225
        18. McRackan TR, Bauschard M, Hatch JL, Franko-Tobin E, Droghini R, Nguyen SA, et al. Meta-analysis of quality-of-life improvement after cochlear implantation and associations with speech recognition abilities. Laryngoscope. 2018;128(4):982-90. doi: https://doi.org/10.1002/lary.26738
        19. Luo X, Kern A, Pulling KR. Vocal emotion recognition performance predicts the quality of life in adult cochlear implant users. J Acoust Soc Am. 2018;144(5):EL429-35.. doi: https://doi.org/10.1121/1.5079575
        20. Moberly AC, Harris MS, Boyce L, Vasil K, Wuchini T, Pisoni DB, et al. Relating quality of life to outcomes and predictors in adult cochlear implant users: Are we measuring the right things? Laryngoscope. 2018;128(4):959-66. doi: https://doi.org/10.1002/lary.26791
        21. Abbs E, Aronoff JM, Kirchner A, O’Brien E, Harmon B. Cochlear Implant Users’ Vocal Control Correlates Across Tasks. J Voice. 2020;34(3): 490e.7-490e.10. doi: https://doi.org/10.1016/j.jvoice.2018.10.008
        22. Liu H, Behroozmand R, Larson CR. Chapter 9.3 - Audio-vocal interactions in the mammalian brain. In: Brudzynski SM, editor. Handbook of Behavioral Neuroscience. Vol 19. Elsevier; 2010. p. 393-402. doi: https://doi.org/10.1016/B978-0-12-374593-4.00036-X
        23. Zamani P, Bayat A, Saki N, Ataee E, Bagheripour H. Post-lingual deaf adult cochlear implant users’ speech and voice characteristics: Cochlear implant turned-on versus turned-off. Acta Otolaryngol. 2021;141(4): 367-73. doi: https://doi.org/10.1080/00016489.2020.1866778
        24. Frankford SA, Marks KL, Feaster TF, Doyle PC, Stepp CE. Symptom Expression Across Voiced Speech Sounds in Adductor Laryngeal Dystonia. J Voice. Forthcoming 2022. doi: https://doi.org/10.1016/j.jvoice.2022.10.002
        25. Medved DMS, Cavalheri LMR, Coelho AC, Fernandes ACN, da Silva EM, Sampaio AL.et al. Systematic Review of Auditory Perceptual and Acoustic Characteristics of the Voice of Cochlear Implant Adult Users. J Voice. 2021;35(6):934.e7-934.e16. doi: https://doi.org/10.1016/j.jvoice.2020.02.023
        26. Teixeira JP, Oliveira C, Lopes C. Vocal Acoustic Analysis – Jitter, Shimmer and HNR Parameters. Procedia Technol. 2013;9:1112-22. doi: https://doi.org/10.1016/j.protcy.2013.12.124
        27. Li G, Hou Q, Zhang C, Jiang Z, Gong S. Acoustic parameters for the evaluation of voice quality in patients with voice disorders. Ann Palliat Med. 2021;10(1):118-24. doi: https://doi.org/10.21037/apm-20-2102
        28. Ruff S, Bocklet T, Nöth E, Müller J, Hoster E, Schuster M. Speech Production Quality of Cochlear Implant Users with Respect to Duration and Onset of Hearing Loss. ORL. 2017;79(5): 282-294. doi: https://doi.org/10.1159/000479819
        29. An YS, Kim ST, Chung JW. Preoperative Voice Parameters Affect the Postoperative Speech Intelligibility in Patients with Cochlear Implantation. Clin Exp Otorhinolaryngol. 2012;5(suppl 1):S69-S72. Available from: https://www.e-ceo.org/journal/view.php?doi=10.3342/ceo.2012.5.S1.S69
        30. Aronoff JM, Kirchner A, Abbs E, Harmon B. When singing with cochlear implants, are two ears worse than one for perilingually/postlingually deaf individuals? J Acoust Soc Am. 2018;143(6):EL503-EL508. doi: https://doi.org/10.1121/1.5043093
        31. Kirchner A, Loucks TM, Abbs E, Shi K, Yu KS, Aronoff JM. Influence of bilateral cochlear implants on vocal control. J Acoust Soc Am. 2020;147(4):2423-31. doi: https://doi.org/10.1121/10.0001099
        32. Timmons Sund L, Collum JA, Bhatt NK, Hapner ER. VHI-10 Scores in a Treatment-Seeking Population With Dysphonia. J Voice [Internet]. 2023 Mar;37(2):290.e1-290.e6. doi: http://dx.doi.org/10.1016/j.jvoice.2020.12.017
        33. Rosen CA, Lee AS, Osborne J, Zullo T, Murry T. Development and validation of the voice handicap index-10. Laryngoscope. 2004;114(9):1549-56. doi: https://doi.org/10.1097/00005537-200409000-00009
        34. Hogikyan ND, Sethuraman G. Validation of an instrument to measure voice-related quality of life (V-RQOL). J Voice. 1999;13(4):557-69. doi: https://doi.org/10.1016/S0892-1997(99)80010-1
        35. Kupfer RA, Hogikyan EM, Hogikyan ND. Establishment of a Normative Database for the Voice-Related Quality of Life (V-RQOL) Measure. J Voice. 2014;28(4):449-51. doi: https://doi.org/10.1016/j.jvoice.2013.11.003
        36. Hsu H-W, Fang T-J, Lee L-A, Tsou Y-T, Chen SH, Wu C-M. Multidimensional evaluation of vocal quality in children with cochlear implants: a cross-sectional, case-controlled study. Clin Otolaryngol [Internet]. 2014 Feb;39(1):32–8. doi: http://dx.doi.org/10.1111/coa.12213
        37. Cappellaro J, Beber BC. Vocal Tract Discomfort and Voice-Related Quality of Life in Wind Instrumentalists. J Voice. 2018;32(3):314-18. doi: https://doi.org/10.1016/j.jvoice.2017.05.011
        38. Spina AL, Maunsell R, Sandalo K, Gusmão R, Crespo A. Correlation between voice and life quality and occupation. Braz J Otorhinolaryngol. 2009;75(2):275-9. doi: https://doi.org/10.1016/S1808-8694(15)30790-4
        39. Cantor Cutiva LC, Burdorf A. Factors Associated with Voice-Related Quality of Life among Teachers with Voice Complaints. J Commun Disord. 2014;52:134-42. doi: https://doi.org/10.1016/j.jcomdis.2014.05.003
        40. Lu D, Wen B, Yang H, Chen F, Liu J, Xu Y., et al. A Comparative Study of the VHI-10 and the V-RQOL for Quality of Life Among Chinese Teachers With and Without Voice Disorders. J Voice. 2017;31(4):509.e1-509.e6. doi: https://doi.org/10.1016/j.jvoice.2016.10.025
        41. Alarouj H, Althekerallah JM, AlAli H, Ebrahim MA, Ebrahim MAK. A Comparative Study Utilizing the Voice Handicap Index-10 (VHI-10) in Teachers and the General Population of Kuwait. J Voice. 2022;36(2):289.e1-289.e10. doi: https://doi.org/10.1016/j.jvoice.2020.05.006
        42. Moy FM, Hoe VCW, Hairi NN, Chu AHY, Bulgiba A, Koh D. Determinants and Effects of Voice Disorders among Secondary School Teachers in Peninsular Malaysia Using a Validated Malay Version of VHI-10. PLoS One. 2015;10(11):e0141963. doi: https://doi.org/10.1371/journal.pone.0141963
        43. Cohen SM, Turley R. Coprevalence and impact of dysphonia and hearing loss in the elderly. Laryngoscope. 2009;119(9):1870-3. doi: https://doi.org/10.1002/lary.20590
        44. Colby S, Orena AJ. Recognizing Voices Through a Cochlear Implant: A Systematic Review of Voice Perception, Talker Discrimination, and Talker Identification. J Speech Lang Hear Res. 2022;65(8):3165-94. doi: https://doi.org/10.1044/2022_JSLHR-21-00209
        45. Tourville JA, Guenther FH. The DIVA model: A neural theory of speech acquisition and production. Lang Cogn Process [Internet]. 2011 Aug;26(7):952–81. doi: http://dx.doi.org/10.1080/01690960903498424
        46. Guo M, Li S, Liu J, Sun F. Family Relations, Social Connections, and Mental Health Among Latino and Asian Older Adults. Research on Aging [Internet]. 2014 Feb 23;37(2):123–47. doi: http://dx.doi.org/10.1177/0164027514523298
        Sistema OJS 3.4.0.7 - Metabiblioteca |