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[Cochlear implantation].

E Bendet1, M Wolf, M Hildesheimer

  • 1Dept. of Otolaryngology, Chaim Sheba Medical Center, Tel Hashomer.

Harefuah
|April 15, 1992
PubMed
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The Israeli cochlear implant program evaluated 74 candidates, with meningitis and aminoglycoside toxicity as primary causes of hearing loss. Most postlingual deaf recipients achieved good to excellent results, despite some psychosocial rejections and surgical complications.

Area of Science:

  • Otolaryngology
  • Neurosurgery
  • Audiology

Context:

  • The Israeli cochlear implant program commenced in June 1989.
  • Evaluation of 74 candidates for cochlear implantation.
  • Analysis of hearing loss causes and implantation outcomes.

Purpose:

  • To review the initial outcomes and challenges of the Israeli cochlear implant program.
  • To identify common causes of hearing loss in candidates.
  • To assess the success rates and complications in postlingual deaf patients.

Summary:

  • Meningitis (16) and aminoglycoside toxicity (9) were leading causes of hearing loss.
  • Psychosocial factors (40%) and audiological parameters (30%) led to candidate rejection.
  • 16 postlingual deaf patients received implants, with 43.7% excellent, 25.0% good, and 18.7% fair results.

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Impact:

  • Highlights the effectiveness of cochlear implantation in postlingual deafness.
  • Identifies key factors influencing candidate selection and outcomes.
  • Documents significant complications including facial nerve palsy and electrode misplacement.