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CASE REPORT
Year : 2014  |  Volume : 20  |  Issue : 3  |  Page : 134-139

Our experience with cochlear implant surgery on Nigerians


1 Departments of Otorhinolaryngology, Head and Neck Surgery ,University of Jos and Jos University Teaching Hospital, Jos, USA
2 Department of Otorhinolaryngology, Head and Neck Surgery, University of Ibadan and University College Hospital, Ibadan, USA
3 Texas Ear, Nose and Throat, Houston, Texas, USA
4 Jacksonville Hearing and Balance Institute, Florida, USA

Correspondence Address:
Samuel Agida Adoga
Department of Otorhinolaryngology, Head and Neck Surgery, Jos University Teaching Hospital and University, 2084 Jos, Plateau State 930 001
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-7749.136871

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Over 250 million people suffer various degrees of hearing loss globally with 75.0% living in sub-Saharan Africa out of which about 2.8% resides in Nigeria. The degrees of hearing loss vary from mild to profound. Cochlear implant is the preferred treatment for profound hearing loss. However, the treatment for severe to profound hearing loss is very challenging in our environment. It is thus the aim of this communication to highlight our experience in the management of the profoundly deaf over an 8-year period. Six patients had cochlear implantation (CI) for profound hearing loss made up of four postlingual and two prelingual hearing loss implanted 17.5 and 1.8 years, respectively after onset of hearing loss. The first two were done as inpatients in Nigeria (2005); whereas, the rest were as day cases in USA (2012). Their ages ranged from 3 to 50 years with an average age of 29.8 years. Prophylactic antibiotic were administered to the Nigerian group, while the USA group had full 10 days antibiotic course. The Nigerian group had explantation, but one patient out of the Nigerian group later had successful implantation on the opposite ear in USA. The implantation in the United States group was uneventful. The prelingual deaf are still undergoing rehabilitation; whereas, all the previous postlingual deaf patients have resumed work. CI for the profoundly deaf is feasible in Nigeria with proper planning, collaboration between local and international teams. However, there is the need to ensure an optimal environment and personnel training for a highly successful cochlear implant program in Nigeria.


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