Download 13th International Conference on Cochlear Implants and Other

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Two cases of successful cochlear implantation following gunshot trauma to the head
Riley A. , Craddock L.C. , Cooper H.R.
University Hospitals Birmingham NHS Foundation Trust, Midlands Hearing Implant Programme, Birmingham, United Kingdom
Introduction: Two patients were referred to the Midlands Hearing Implant Programme (Adult Service) at the
Queen Elizabeth Hospital Birmingham (QEHB), UK for cochlear implantation following gunshot wounds to the
head. Based at the QEHB is the Royal Centre for Defence Medicine that provides medical support to military
operational deployments. The Trust also provides medical services to personnel evacuated from overseas. In
both cases the gunshot wound resulted in a profound loss of hearing in one ear. One patient retained normal
hearing in their contra-lateral ear whilst the other patient has a moderate high frequency hearing loss and is
aided in their contra-lateral ear. To date there are no other published reports in the literature of cochlear
implantation following gunshot wound to the head.
Methods: These patients, who are both outside traditional UK NICE Guidelines for a unilateral implant, received
a cochlear implant in their profoundly deafened ear.
Results: Medical, surgical and radiological case histories will be presented for both cases together with results
of successful cochlear implant use; including results of speech perception and spatial hearing, and questionnaire
results. The perceived benefits and any negative aspects will be reviewed. The challenges of isolating implant
performance from the better hearing ear will be discussed.
Discussion: These two cases are highly unusual; however, our experience of implanting these patients has
great implications for future research into cochlear implantation for profound, unilateral hearing loss in the UK.
Learning outcome: Presentation of outcomes of cochlear implantation in two unique cases following gunshot
wound to the head.