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Post-lingual deafness: benefits of cochlear implants vs. conventional hearing aids
Authors:Aline Gomes Bittencourt  Liliane Satomi Ikari  Ana Adelina Giantomassi Della Torre  Ricardo Ferreira Bento  Robinson Koji Tsuji  Rubens Vuono de Brito Neto
Affiliation:1. MD, ENT (Fellow in ear and skull base surgery at Hospital das Clínicas in the Medical School of the University of São Paulo – FMUSP, Brazil);2. MD (Specialized in ENT) Medical School of the University of São Paulo – FMUSP, Brazil;3. Professor (Professor of ENT Practice at the Medical School of the University of São Paulo – FMUSP, Brazil);4. PhD in ENT at the University of São Paulo (Assisting Physician in the ENT Practice Course at Hospital das Clínicas in the Medical School of the University of São Paulo – FMUSP, Brazil);5. Professor (Associate Professor in the ENT Practce Course at the Medical School of the University of São Paulo – FMUSP, Brazil). Disciplina de Clínica Otorrinolaringológica do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo – FMUSP, Brasil
Abstract:The technological advances in cochlear implants and processing strategies have enabled subjects affected by severe to profound hearing loss to hear sounds and recognize speech in various different degrees. The variability of hearing outcomes in subjects with post-lingual deafness has been significant and cochlear implant indications have been extended to include an ever larger population.ObjectiveThis paper aims to look into the groups of post-lingual deafness patients to find where cochlear implants have yielded better outcomes than conventional hearing aids.Materials and MethodsReview the literature available on databases SciELO, Cochrane, MEDLINE, and LILACS-BIREME. The publications selected for review were rated as A or B on evidence strength on the day of the review. Their authors analyzed and compared hearing aids and cochlear implants in populations of post-lingually deaf patients. Study Design: Systematic review.ResultsEleven out of the 2,169 papers searched were found to be pertinent to the topic and were rated B for evidence strength. Six studies were prospective cohort trials, four were cross-sectional studies and one was a clinical trial.ConclusionThe assessment done on the benefits yielded by post-lingually deaf subjects from cochlear implants showed that they are effective and provide for better results than conventional hearing aids.
Keywords:cochlear implants  deafness  hearing aids  hearing loss  sensorineural
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