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Advanced Bionics<sup>and#174;</sup> Cochlear Implants in Patients with Prelingual Hearing Loss | OMICS International| Abstract
ISSN: 2161-119X

Otolaryngology: Open Access
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  • Research Article   
  • Otolaryngology 2014, Vol 4(2): 159
  • DOI: 10.4172/2161-119X.1000159

Advanced Bionics® Cochlear Implants in Patients with Prelingual Hearing Loss

Henrique Furlan Pauna1*, Guilherme Machado De Carvalho2, Alexandre Caixeta Guimarães3, Luiz Henrique Schuch3, Eder Barbosa Muranaka2, Walter Adriano Bianchini4, Agrício Nubiato Crespo5, Edi Lucia Sartorato6 and Arthur Menino Castilho4
1Resident at Otolaryngology, Head and Neck Department, , UNICAMP, Brazil
2MD, ENT Doctor at Otolaryngology, Head and Neck Department, , UNNICAMP, Brazil
3ENT Doctor at Otolaryngology, Head and Neck Department, , UNICAMP, Brazil
4ENT Doctor, Otologist, MD, PhD, Head Otology, Audiology and Implantable Ear Prostheses, , UNICAMP, Brazil
5ENT Doctor, MD, PhD, Head of Otolaryngology, Head and Neck Department, , UNICAMP, Brazil
6PhD, Head of CBMEG, UNICAMP, , Brazil
*Corresponding Author : Henrique Furlan Pauna, Otology, Audiology and Implantable Ear Prostheses, Ear, Nose, Throat and Head & Neck Surgery Department, PO BOX 6111, Postal Code: 13081-970, Sao Paulo, Brazil, Tel: +55 19 35217523, Fax: +55 19 35217563, Email:

Received Date: Jan 15, 2014 / Accepted Date: Feb 20, 2014 / Published Date: Feb 27, 2014


Introduction: Cochlear Implants (CI) have become standard in the treatment of prelingual, postlingual and perilingual deafness in children. Bilateral implants are considered standard for bilaterally affected children. Studies also find that the CI provides better access to speech for most children, and this access results in improved speech perception. In earlier times children who did not react to acoustic stimuli and were neither able to understand speech nor to acquire it spontaneously encountered severe discrimination, being dismissed as simple-minded or worse. Different studies broadly agree that one or two of every 1000 newborns have a hearing impairment that on current evidence warrants treatment or observation, i.e., permanent hearing loss with a lowering of the absolute threshold of hearing for speech perception by at least 35 dB. Approximately 50% of severe hearing impairments arising in the inner ear are thought to be hereditary in origin. When new Cochlear Implant (CI) sound processors are being introduced by the manufacturers, usually the newest generation implants benefit first from the new technology in order to release the full potential of the new hardware.

Objective: Evaluate the improvement of speech language and sound perception in patients with prelingual deafness that underwent cochlear implant using Advanced Bionics® device.

Method: Retrospective study of the medical records of the patients fitted with Advanced Bionics® cochlear implant in our institution between 2011 and 2012.

Results: Sixteen patients underwent to cochlear implantation using Advanced Bionics® devices. There were 43,75% prelingual and 43,75% postlingual patients with bilateral hearing loss. Mean age at implantation in the prelingual group was 3.6 years (ranged from 2 to 6 years). There was one case with medical history of deafness in family. All prelingual patients used hearing devices before the cochlear implant. The hearing levels improved after CI in all patients.

Conclusion: This study evaluated patients with pre-lingual deafness using the Advanced Bionics® cochlear implants demonstrated significant gains in neural stimulation and language development in children.

Citation: Pauna HF, Carvalho GM, Guimarães AC, Schuch LH, Muranaka EB, et al. (2014) Advanced Bionics® Cochlear Implants in Patients with Prelingual Hearing Loss. Otolaryngology 4:159. Doi: 10.4172/2161-119X.1000159

Copyright: © 2014 Pauna HF, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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