| Abstrakt: |
Introduction. The cochlear implant (CI) today is highly accepted in unilateral hearing loss; therefore, if it is used in asymmetric bilateral hearing loss should not be questioned. The time of evolution of hearing loss and discrimination skills are predictors for successful IC, but use in ears with congenital hearing loss in post lingual patients is still controversial. Objectives: To describe our experience and results in implanted patient with asymmetric postlingual hearing loss. Materials and Methods used: Case Summary: woman, 32 years old, with right congenital profound hearing loss, hearing aid never implemented, with normal language development. In January 2013 she suffers sudden left hearing loss, severe to profound, without recovery and progressive, without satisfactory performance with hearing aid. Results: Cochlear implant was carried out in March / 2015 and was derived to rehabilitation therapy. Prior to cochlear implant she had Geers and Moog category 1 and after therapy for 16 months, she has Category 5, only using CI. Now, if she use hearing aid and CI, she reach Geers and Moog 6. Conclusion: the side to make the surgery was a difficult choice. We didn't surgery in the recently deaf side because it still has gain with the use of hearing aid. Cochlear implant was introduced in her right ear, with congenital hearing loss without prior stimulation. As carrier of post lingual hearing loss, we can analyze and compare hearing results with researchs that focus in CI and unilateral hearing loss, because she always had a stimulated central auditory pathwayn by her left ear until five years ago. In that way, her late implantation does not affect the positive final results. Until now, CI has given a significant improvement in the understanding of language, especially in situations with more than one speaker, bring to her a better quality of life. [ABSTRACT FROM AUTHOR] |
