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Cuban cochlear implant program: Eight years of experiences with deaf and deafblind children
Paz Cordovés A. , Sevila Salas M. , Bermejo Guerra S. , Hernández X. , Quintana S. , Álvarez Rivero B. ,
Guzmán Díaz A. , Martínez Y. , Bermejo Guerra B. , Lista L. , Charroó-Ruiz L.
'Hermanos Ameijeiras' Hospital, Havana, Cuba, 2'Marfán' Hospital, Havana, Cuba, 3Clínica Internacional de Salud La Pradera, Havana,
Cuba, 4Centro de Neurociencias de Cuba, La Havana, Cuba
Introduction: Since 2005 was created the "Cuban Cochlear Implant Program” (CCIP), with priority for deaf blind
children. It extends the number of specialties of the group, being possible a comprehensive work-care and
research for the benefit of children.
Objective: To describe the CICP work with deaf and deaf blind children, with emphasis on clinical and surgical
Methods: Retrospective study of deaf and deaf blind children who received a Cochlear Implant (CI) between
2005 and 2012 in the framework of the CCIP. From the medical and surgical database was extracted
Results: CCIP covering all provinces in Cuban. Ototoxicity was the main cause of deafness. The risk factors pre
/ peri-natal and Usher Syndrome were as major diseases and causal agents of deaf blindness. Hearing loss was
predominantly pre-lingually, was confirmed and characterized by electroaudiometría in all children. All children
received unilateral Cochlear Implant, with a mean age at implantation of 7.6 years, but particularly in the year
2012 have greatly lowered the age of implantation within the CCIP. In all cases surgery was without any
complications. After rehabilitation, in general, implanted children show improvements in communication through
speech, as well as in quality of life, including children who are deaf blind.
Conclusions: The CICP has achieved sustained work in the evaluation and implantation of deaf blind children,
successfully after hearing rehabilitation, all a result of a working protocol of our national group of Cochlear