Cochlear implants: priority for children with dual sensory loss in Cuba

Authors

Keywords:

Implantes Cocleares, Pérdida Sensorial Dual, Sordoceguera, Neuroplasticidad

Abstract

Background: since 2005 the Cuban Cochlear Implant Program for deaf and deaf-blind children has been created, with priority for children with dual sensory loss.
Objective: is to describe the work of the Cuban Cochlear Implant Program with children with dual sensory loss.
Methods: a descriptive, retrospective study of children with dual sensory loss who received a cochlear implant between February 2005 and March 2013 in Cuba. The information to conform this descriptive report was obtained from the clinical histories and the database of the program; it also illustrates the first results on neuroplasticity obtained with the somatosensory evoked potential of the median nerve carried out with part of the pre-cochlear implant research study protocol in the Cuban Cochlear Implant Program.
Results: the program has benefited 27 children with dual sensory loss with cochlear implants, covering all provinces of the country. Six children presented an associated pathology, with pre/peri-natal factors and Usher Syndrome as the main causal agents of deaf-blindness. Hearing loss was pre-lingual in 24 children, confirmed and characterized by electro-audiometry. No malformations were found in the ear images. The implantation was unilateral, mostly the right ear, without surgical complications in all the children. While the neuroplasticity study shows somesthetic cortical reorganization in children with dual sensory loss.
Conclusions: the Cuban Cochlear Implant Program has achieved sustained work in the evaluation and implantation of children with dual sensory loss, a distinctive aspect being the research on neuroplasticity, which has provided evidence of somesthetic cortical representation pre-cochlear implantation in these children. This will be useful to assess cortical reorganization post- cochlear implant and correlate it with the use of the cochlear implant.

DeCS: COCHLEAR IMPLANTS; DEAF-BLIND DISORDERS; NEURONAL PLASTICITY; DISABLED CHILDREN; HEALTH PROGRAMS AND PLANS.

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Author Biographies

Antonio Simeón Paz-Cordovez, Universidad de Ciencias Médicas de La Habana. Hospital Clínico Quirúrgico Hermanos Ameijeiras.

Especialista de Segundo Grado en Otorrinolaringología y Cirugía de Cabeza y Cuello. Profesor e Investigador Auxiliar. Universidad de Ciencias Médicas de La Habana. Hospital Clínico Quirúrgico Hnos. Ameijeiras. Servicio de Otorrinolaringología y Cirugía de Cabeza y Cuello. Otocirujano

Lidia Charroó-Ruíz, Centro de Neurociencias de Cuba

Especialista de Segundo Grado en Neurofisiología Clínica. Master en Neurociencias. Profesora Auxiliar. Investigadora Auxiliar. Centro de Neurociencias de Cuba. Departamento de Neurofisiología Clínica

Sandra Bermejo-Guerra, Universidad de Ciencias Médicas de La Habana. Hospital Pediátrico Borrás-Marfán.

Especialista de Primer Grado en Otorrinolaringología y Cirugía de Cabeza y Cuello. Profesora Asistente. Universidad de Ciencias Médicas de La Habana. Hospital Pediátrico Borrás-Marfán. Servicio de Otocirugía e Implantes Cocleares. Audióloga

Manuel Enrique Sevila-Salas, Universidad de Ciencias Médicas de La Habana. Hospital Clínico Quirúrgico Hermanos Ameijeiras.

Especialista de Primer Grado en Otorrinolaringología y Cirugía de Cabeza y Cuello. Profesor Auxiliar. Universidad de Ciencias Médicas de La Habana. Hospital Clínico Quirúrgico Hnos. Ameijeiras. Servicio de Otorrinolaringología y Cirugía de Cabeza y Cuello. Otocirujano

Elisa Leyva-Montero, Universidad de Ciencias Médicas de La Habana. Hospital Clínico Quirúrgico Hermanos Ameijeiras.

Especialista de Segundo Grado en Otorrinolaringología y Cirugía de Cabeza y Cuello. Profesora e Investigadora Auxiliar. Universidad de Ciencias Médicas de La Habana. Hospital Clínico Quirúrgico Hnos. Ameijeiras. Servicio de Otorrinolaringología y Cirugía de Cabeza y Cuello. Audióloga

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Published

2021-07-17

How to Cite

1.
Paz-Cordovez AS, Charroó-Ruíz L, Bermejo-Guerra S, Sevila-Salas ME, Leyva-Montero E. Cochlear implants: priority for children with dual sensory loss in Cuba. Arch méd Camagüey [Internet]. 2021 Jul. 17 [cited 2025 Aug. 2];25(4):510-23. Available from: https://revistaamc.sld.cu/index.php/amc/article/view/8415

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Vol. 25 No. 4 (2021)

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Original Articles

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