1 research outputs found
A case report: the first successful cochlear implant in Uganda.
Hearing impairment is a significant disability. According to the World
Health Organization (WHO), more than 80% of the world\u2019s
approximately 120 million people with hearing impairment live in
developing countries. Cochlear implant is the only therapeutic
intervention for those with severe-profound sensorineural hearing loss.
We are reporting an interesting case of the very first cochlear implant
operation carried out in Uganda. The patient was a 23 year old male
whose presenting complaint was inability to hear in the left ear for
three and a half years and in the right ear for one year. He had been
treated for TB(Tuberculosis) mastoiditis . After the 8 months of
treatment, the otorrhea persisted and he underwent a
tympanomastoidectomy on the same ear. He reported no familial history
of hearing loss. On examination, ENT examination revealed a small pars
flaccida retration pocket of the right tympanic membrane with
cholesteatoma. The left ear had an intact tympanic membrane. Pure tone
audiometry revealed profound sensorineural hearing loss in both ears(
see attached PTA results), CT scan of the temporal bone showed normal
inner ear anatomy bilaterally and mild sclerotic changes in both
mastoid bones. He then had surgery on his right ear which included
cochlear implantation. The cochlear implant (CI) was activated on the
first postoperative day remotely via internet with the help of the
cochlear implant team at New York University Cochlear Implant Center
and the patient was immediately able to appreciate some sounds. He
received a pneumococcal vaccine on the first postoperative day and was
discharged the following day