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Cochlear implantation and alcohol misuse.

Lyndsay Fraser, Mary Shanks, Peter Wardrop

    Cochlear Implants International
    |June 29, 2014
    PubMed
    Summary
    This summary is machine-generated.

    Patients with alcohol misuse history can achieve good outcomes with cochlear implantation and appropriate support. This study highlights their successful rehabilitation and auditory performance post-implantation.

    Keywords:
    AlcoholCochlear implantOutcomes

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    Area of Science:

    • Otolaryngology
    • Audiology
    • Addiction Medicine

    Background:

    • Increasing referrals of patients with alcohol misuse to cochlear implant centers.
    • Alcohol's role in hearing loss etiology and psychological sequelae in deaf patients.

    Purpose of the Study:

    • To evaluate cochlear implantation outcomes in patients with a history of alcohol misuse.
    • To assess the safety and efficacy of cochlear implants in this patient population.

    Main Methods:

    • Retrospective case-note review (1989-present).
    • Data collection on deafness etiology, alcohol habits, comorbidities, implant details, and complications.
    • Assessment of rehabilitation engagement and auditory performance using Bamford-Kowal-Bench (BKB) and Categories of Auditory Performance (CAP) scores.

    Main Results:

    • 14 patients with alcohol misuse history identified; 11 successfully implanted.
    • Varied etiologies of deafness, including unknown sensorineural hearing loss, ototoxicity, and head injury.
    • Good engagement with rehabilitation reported for most patients; functional auditory outcomes achieved (BKB 10-92, CAP 4-8).

    Conclusions:

    • Cochlear implantation is a viable option for patients with a history of alcohol misuse.
    • Successful outcomes are achievable with appropriate support, even with active alcohol misuse at implantation.
    • These patients demonstrate good engagement and functional hearing gains post-implantation.