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African Health Sciences
Makerere University Medical School
ISSN: 1680-6905 EISSN: 1680-6905
Vol. 15, No. 4, 2015, pp. 1342-1348
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Bioline Code: hs15184
Full paper language: English
Document type: Case Report
Document available free of charge
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African Health Sciences, Vol. 15, No. 4, 2015, pp. 1342-1348
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A case report: the first successful cochlear implant in Uganda.
Byaruhanga, Richard; Roland Jr., J. Thomas; Buname, Gustav; Kakande, Emily; Awubwa, Michael; Ndorelire, Chris & Namwagala, Justine
Abstract
Hearing impairment is a significant disability. According to the World Health Organization (WHO), more than 80% of the
world’s 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.
Keywords
Cochlear implant; deafness
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