Effectiveness of Cochlear Implant in Children with Profound Sensorineural Hearing Loss Below Poverty Line in Rural India: A Longitudinal Study
Sujoy Kumar Makar,
Nageshwar Rao,
Lenka,
Joyanta Basu
Issue:
Volume 7, Issue 2, December 2021
Pages:
6-10
Received:
12 November 2021
Accepted:
1 December 2021
Published:
11 December 2021
Abstract: The objective of the study was to measure the effectiveness of the aided auditory threshold and speech-language performance of children with cochlear implant use longer than 4 years in North-East region of rural India. Study design- A longitudinal study of ninety-three children with mean age of 3.8 years with standard deviation (SD) of 0.9 years (61 males and 32 females) with unilateral cochlear implant below poverty line in rural India and with 2 years intervention of post implant auditory verbal therapy were included in the study. This study was based on the assessment of outcomes of unilateral Cochlear Implantation while reviewing various measuring scoring systems like Categories of Auditory perception (CAP), Milestones for early communication development, Receptive Expressive Emergent Language Skill (REELS), Auditory Skills Checklist (ASC); for articulation assessment- available articulation test in local language and spontaneous speech sample and Aided audiogram thresholds. The results on the average of the post operative auditory global threshold (T0) just after cochlear implantation was 33.53±8.91dBSPL and after continuously using 4 years cochlear implant for auditory global threshold was 32.56±6.43dBSPL. The ASC revealed 46% were able to comprehend, CAP findings shows there is a significant difference (p=0.039, at p<0.05 level) in the auditory skills based on duration of hearing aid use before implantation. The difference between hearing aid user and non-hearing aid user was significant (p=0.034, p<0.05). The differences in the performance of children with Digisonic SP implantees group and Nucleus freedom implantees group in terms of aided auditory threshold and speech-language performance were not significant. Cochlear implant with auditory verbal therapy under ADIP scheme is evidence based treatment for children with profound hearing loss for speech and language acquisition and best hearing performance. This increased access to mainstream education, greater opportunities for employment, societal and economic benefits. In conclusion cochlear implant was beneficial to children with profound hearing loss, contributing to hearing performance and speech-language acquisition. However, there were indications of challenges with certain aspects of language, specifically receptive vocabulary and expressive grammar, suggested requirement of longer period intervention of post implant auditory verbal therapy. The results obtained seem to remain stable over the years.
Abstract: The objective of the study was to measure the effectiveness of the aided auditory threshold and speech-language performance of children with cochlear implant use longer than 4 years in North-East region of rural India. Study design- A longitudinal study of ninety-three children with mean age of 3.8 years with standard deviation (SD) of 0.9 years (6...
Show More
Helicobacter Pylori Serology in Patients with Chronic Nonspecific Pharyngitis
Syeda Jamila Ali Tirmizey,
Syed Muhammad Ali Tirmizey,
Muhammad Saleem,
Hafiz Sajjad Hyder Chatha,
Naeem Akhtar,
Faran Sarwar
Issue:
Volume 7, Issue 2, December 2021
Pages:
11-15
Received:
24 November 2021
Accepted:
31 December 2021
Published:
14 January 2022
Abstract: Sore throat is the most common complaint in ENT OPD with most of the patients suffering from pharyngitis. Chronic nonspecific pharyngitis is a very common presentation among these patients with majority experiencing only temporary relief with medications. Such patients commonly complain of burning in throat and retrosternal burning. In practice, this leads to recurrent visit of patient to the physician and otorhinolaryngologist with only temporary relief. Many of these patients have H. pylori colonization. Although H. pylori usually colonizes in gastric mucosa but there are some reports of extra gastric colonization including pharyngeal and laryngeal mucosa. To detect the presence of Helicobacter pylori there are a number of different investigations. These investigations include H. pylori serology, swab culture, stool culture and urease breath test. H. pylori serology is a very cost effective method for quick diagnosis of such patients. Eradication of H. pylori is essential for long lasting relief in these cases of chronic nonspecific pharyngitis. We have conducted a prospective clinical study of 173 patients with chronic nonspecific pharyngitis to show the relationship of pharyngitis with H. pylori infection. Patients were selected on the basis of inclusion criteria. The data showed a large number of patients with chronic nonspecific pharyngitis were positive for H. pylori serology and had relief with eradication therapy.
Abstract: Sore throat is the most common complaint in ENT OPD with most of the patients suffering from pharyngitis. Chronic nonspecific pharyngitis is a very common presentation among these patients with majority experiencing only temporary relief with medications. Such patients commonly complain of burning in throat and retrosternal burning. In practice, th...
Show More
