scholarly journals Cochlear implant complications in Misrata Central Hospital

2020 ◽  
Vol 6 (3) ◽  
pp. 448
Author(s):  
Abdussalam Mohamed Jahan ◽  
Aisha Mohamed Abuzagaya ◽  
Mohamed Hussain Patel ◽  
Yousef Mohamed Eldanfur
Keyword(s):  
Cochlear Implant ◽  
Cochlear Implants ◽  
Reliable Method ◽  
Safe Procedure ◽  
Central Hospital ◽  
Profound Hearing Loss ◽  
Retrospective Data Analysis ◽  
Implant Complications ◽  
Complications Rate ◽  
Low Rate

<p class="abstract"><strong>Background:</strong> Cochlear implantation is a safe and reliable method for auditory restoration in patients with severe to profound hearing loss.</p><p class="abstract"><strong>Methods:</strong> Unilateral surgical procedures cochlear implants were performed in Misrata Central Hospital, Libya, between November 2012 to November 2016, involving 140 patients, retrospective data analysis was performed.  </p><p class="abstract"><strong>Results:</strong> Of 140 cochlear implantations analyzed; 130 were pre lingual, and 10 were post-lingual. The ratio of M:F were 3: 2, the total complications were seen in 24 cases (17.14%), major complications rate was (2.86%) 4 cases and minor complications rate was (14.28%) 20 cases.</p><p class="abstract"><strong>Conclusions:</strong> There was a low rate of complications, most of them been successfully managed, these results confirm that the cochlear implant is a safe procedure can be done for the profoundly deaf patient.</p>

scholarly journals Costs involved in using a cochlear implant in South Africa

2012 ◽  
Vol 59 (1) ◽  
Author(s):  
Gillian Robyn Kerr ◽  
Seppo Tuomi ◽  
Alida Müller
Keyword(s):  
South Africa ◽  
Cochlear Implant ◽  
Cochlear Implants ◽  
Cochlear Implantation ◽  
Consumer Price Index ◽  
Information Costs ◽  
Profound Hearing Loss ◽  
Short And Long Term ◽  
Implant System

Cochlear implantation is an expensive but effective lifelong intervention for individuals with a severe-to-profound hearing loss. The primary aim of this study was to survey the short- and long-term costs of cochlear implantation. Individuals (N=154) using cochlear implants obtained from the University of Stellenbosch-Tygerberg Hospital Cochlear Implant Unit in Cape Town, South Africa were surveyed using a questionnaire and patient record review. The questionnaire used a combination of closed and open-ended questions to gather both quantitative and qualitative information. Costs were categorised as short- and long-term costs. All costs were converted to constant rands (June 2010) using the Consumer Price Index to allow for comparison in real terms over time. In the first 10 years of implantation the average estimated costs incurred by adults totalled R379 626, and by children R455 225. The initial purchase of the implant system was the most substantial cost, followed by upgrading of the processor. Travel and accommodation costs peaked in the first 2 years. On average the participants spent R2 550 per year on batteries and spares. Rehabilitation for children cost an average of R7 200. Insurance costs averaged R4 040 per year, and processor repairs R3 000 each. In addition to the upfront expense of obtaining the cochlear implant system, individuals using a cochlear implant in South Africa should be prepared for the long-term costs of maintenance, accessing the unit, support services and additional costs associated with use. Knowledge of these costs is important to ensure that individuals are successful users of their cochlear implants in the long term.

Musical ear syndrome in adult cochlear implant patients

2013 ◽  
Vol 127 (9) ◽  
pp. 854-858 ◽  
Author(s):  
W-K Low ◽  
C A Tham ◽  
V-D D'Souza ◽  
S-W Teng
Keyword(s):  
Cochlear Implant ◽  
Cochlear Implants ◽  
Cochlear Implantation ◽  
Instrumental Music ◽  
Single Case ◽  
Well Being ◽  
Cross Sectional Survey ◽  
Profound Hearing Loss ◽  
Cross Sectional ◽  
Single Case Report

AbstractObjective:Except for a single case report, musical ear syndrome in cochlear implantees has not been studied. We aimed to study the prevalence and nature of musical ear syndrome among adult cochlear implant patients, as well as the effect on their emotional well-being.Study design, patients and intervention:A cross-sectional survey of patients aged 18 years and above who had received cochlear implants for profound hearing loss between 1997 and 2010.Results:Of the 82 patients studied, 18 (22 per cent) were found to have experienced musical ear syndrome. Seven and 11 patients had musical ear syndrome prior to and after cochlear implantation, respectively. The character of musical ear syndrome symptoms was described as instrumental music (n = 2), singing (6) or both (10). Fourteen patients reported an adverse emotional effect, with three expressing ‘intolerance’.Conclusions:In this study, 22 per cent of cochlear implantees experienced musical ear syndrome. These symptoms affected patients' emotional state, but most coped well. Musical ear syndrome can occur prior to and after cochlear implantation.

Contemporary Considerations for Cochlear Implantation for Children With Multiple Disabilities

2009 ◽  
Vol 19 (2) ◽  
pp. 69-74 ◽  
Author(s):  
Susan Waltzman
Keyword(s):  
Hearing Loss ◽  
Cochlear Implant ◽  
Cochlear Implants ◽  
Cochlear Implantation ◽  
Multiple Disabilities ◽  
Profound Hearing Loss ◽  
Contemporary Management

Abstract Due to advances in cochlear implant technology and the remarkable outcomes often achieved by persons with severe to profound hearing loss, cochlear implant candidacy criteria has expanded since the first children were implanted almost twenty years ago. Evidence of this can be seen in the increased willingness to provide cochlear implants for children with multiple disabilities. Over the last decade, several reports have appeared in the peer-reviewed literature describing cochlear implant outcomes of children with multiple disabilities. This paper will summarize those reports, discuss realistic expectations of implantation for children with multiple disabilities, and describe contemporary management protocols for the otologic, audiologic, and rehabilitative management of children with multiple disabilities.

Objective Measures and Programming Cochlear Implants

2009 ◽  
Vol 19 (2) ◽  
pp. 54-62
Author(s):  
Jack King
Keyword(s):  
Hearing Loss ◽  
Cochlear Implant ◽  
Cochlear Implants ◽  
Multiple Disabilities ◽  
Objective Measures ◽  
Behavioral Measures ◽  
Profound Hearing Loss ◽  
Outcomes For Children

Abstract Advances in cochlear implant technology have allowed for amazing outcomes for children with severe to profound hearing loss. As result, cochlear implants are now provided for some children prior to their first birthday and are also provided to children with multiple disabilities. Frequently, it is difficult to use conventional behavioral measures to set cochlear implant MAPs for these patients, so clinicians have often relied on objective measures as a guide to determining appropriate MAP levels. The following discussion reviews the advantages and limitations of using objective measures to administer audiological management for the pediatric cochlear implant patient.

Medical Management of Profound Sensorineural Hearing Loss

1995 ◽  
Vol 112 (5) ◽  
pp. P72-P72
Author(s):  
Steven A. Telian ◽  
Paul R. Kileny
Keyword(s):  
Hearing Loss ◽  
Cochlear Implant ◽  
Sensorineural Hearing Loss ◽  
Cochlear Implants ◽  
Medical Management ◽  
Management Strategy ◽  
Sensorineural Hearing ◽  
Educational Objectives ◽  
Profound Hearing Loss

Educational objectives: To determine appropriate management strategy for patients with severe-to-profound hearing loss and to determine cochlear implant candidacy and to counsel patients regarding cochlear implants.

scholarly journals Importance of Auditory Verbal Therapy/Speech Therapy after Cochlear Implantation: A Case Study

2018 ◽  
Vol 7 (3) ◽  
pp. 6-8
Author(s):  
Anna Vinu Varghese
Keyword(s):  
Cochlear Implant ◽  
Cochlear Implants ◽  
Speech Therapy ◽  
Single Case ◽  
Listening Skills ◽  
Profound Hearing Loss ◽  
The Past ◽  
Auditory Verbal Therapy ◽  
Post Therapy

Studies in the past years have shown that cochlear implant is the most effective management for profound hearing loss. Majority of the Cochlear Implant recipients are children. With the surgery done after early identification and with intensive speech therapy/ auditory verbal therapy, the speech and language skills as well as the listening skills can be improved. The present study shows the importance of AVT/Speech Therapy in habilitation children with Cochlear Implants by demonstrating the pre and post therapy results of subjective measures done in a single case, even with a gap in habilitation of 1.5 years. The study brings out notable results which correlate with previous studies published.

Implantable hearing interfaces

2018 ◽  
Author(s):  
Torsten Lehmann ◽  
André van Schaik
Keyword(s):  
Cochlear Implants ◽  
Neural Activity ◽  
Dynamic Range ◽  
Systems Design ◽  
Fundamental Operation ◽  
Profound Hearing Loss ◽  
Biomedical Implant ◽  
Dynamic Range Compression ◽  
Hearing Function ◽  
Key Aspects

The chapter Implantable hearing interfaces describes the fundamental operation of a commonly available biohybrid system, the cochlear implant, or bionic ear. This neuro-stimulating biomedical implant is very successful in restoring hearing function to people with profound hearing loss. The fundamental operation of the biological cochlea is described and parallels are drawn between key aspects of the biological system and the biohybrid implementation: dynamic range compression, translation of sound to neural activity, and tonotopic mapping. Critical considerations are discussed for simultaneously meeting biological, surgical, and engineering restrictions in successful biohybrid systems design. Finally, challenges in present and future cochlear implants are outlined and directions of current research given.

Long-Term Follow-Up of Early Cochlear Implant Device Activation

2021 ◽  
pp. 1-11
Author(s):  
Stefanie Bruschke ◽  
Uwe Baumann ◽  
Timo Stöver
Keyword(s):  
Speech Recognition ◽  
Side Effects ◽  
Cochlear Implant ◽  
Surgical Techniques ◽  
Control Group ◽  
First Year ◽  
Safe Procedure ◽  
Sound Processor

Background: The cochlear implant (CI) is a standard procedure for the treatment of patients with severe to profound hearing loss. In the past, a standard healing period of 3–6 weeks occurred after CI surgery before the sound processor was initially activated. Advancements of surgical techniques and instruments allow an earlier initial activation of the processor within 14 days after surgery. Objective: Evaluation of the early CI device activation after CI surgery within 14 days, comparison to the first activation after 4–6 weeks, and assessment of the feasibility and safety of the early fitting over a 12 month observation period were the objectives of this study. Method: In a prospective study, 127 patients scheduled for CI surgery were divided into early fitting group (EF, n = 67) and control group (CG, n = 60). Individual questionnaires were used to evaluate medical and technical outcomes of the EF. Medical side effects, speech recognition, and follow-up effort were compared with the CG within the first year after CI surgery. Results: The early fitting was feasible in 97% of the EF patients. In the EF, the processor was activated 25 days earlier than in the CG. No major complications were observed in either group. At the follow-up appointments, side effects such as pain and balance problems occurred with comparable frequency in both groups. At initial fitting, the EF showed a significantly higher incidence of medical minor complications (p < 0.05). When developing speech recognition within the first year of CI use, no difference was observed. Furthermore, the follow-up effort within the first year after CI surgery was comparable in both groups. Conclusions: Early fitting of the sound processor is a feasible and safe procedure with comparable follow-up effort. Although more early minor complications were observed in the EF, there were no long-term wound healing problems caused by the early fitting. Regular inspection of the magnet strength is recommended as part of the CI follow-up since postoperative wound swelling must be expected. The early fitting procedure enabled a clear reduction in the waiting time between CI surgery and initial sound processor activation.

scholarly journals Qualitative assessment of YouTube videos as a source of patient information for cochlear implant surgery

2021 ◽  
pp. 1-4
Author(s):  
C Thomas ◽  
J Westwood ◽  
G F Butt
Keyword(s):  
Cochlear Implant ◽  
Cochlear Implants ◽  
Qualitative Assessment ◽  
Supplementary Information ◽  
Implant Surgery ◽  
Critical Elements ◽  
Positive Elements ◽  
Cochlear Implant Surgery ◽  
Youtube Videos

Abstract Background YouTube is increasingly used as a source of healthcare information. This study evaluated the quality of videos on YouTube about cochlear implants. Methods YouTube was searched using the phrase ‘cochlear implant’. The first 60 results were screened by two independent reviewers. A modified Discern tool was used to evaluate the quality of each video. Results Forty-seven videos were analysed. The mean overall Discern score was 2.0 out of 5.0. Videos scored higher for describing positive elements such as the benefits of a cochlear implant (mean score of 3.4) and scored lower for negative elements such as the risks of cochlear implant surgery (mean score of 1.3). Conclusion The quality of information regarding cochlear implant surgery on YouTube is highly variable. These results demonstrated a bias towards the positive attributes of cochlear implants, with little mention of the risks or uncertainty involved. Although videos may be useful as supplementary information, critical elements required to make an informed decision are lacking. This is of particular importance when patients are considering surgery.

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