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publicado em 24/08/2010 às 22h00:00
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Cochlear implant hearing returns to patients with severe deafness

 
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Foto: Luana Lleras/UnB
Foto: Luana Lleras/UnB
Foto: Luana Lleras/UnB
Foto: Luana Lleras/UnB
The patient Gildelina Pinheiro de Souza, 62, who was completely deaf for 18 years The ENT Cochlear Implant Sector HUB, Andre Sampaio Apparatus used in cochlear implant UnB Gildelina Pinheiro de Souza fala sobre o uso do implante coclear
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The patient Gildelina Pinheiro de Souza, 62, who was completely deaf for 18 years
The ENT Cochlear Implant Sector HUB, Andre Sampaio
Apparatus used in cochlear implant UnB
Gildelina Pinheiro de Souza fala sobre o uso do implante coclear

In October 2008, the University Hospital of Brasília (HUB) has received certification for surgeries to implant the device that allows patients with severe hearing loss to hear again. Since then, 16 cochlear implant surgeries were performed at the hospital. The last was this Monday, August 23.

The cochlear implant is an electronic device that replaces the function of the inner ear. The device picks up sounds from the environment and generates an electrical impulse that stimulates the hearing nerve. This process makes the patient go to perceive sounds. The degree, type and duration of deafness are crucial to the gains after surgery, says the Department of ENT Cochlear Implant HUB, Andre Sampaio.

To apply for the surgery, the patient must complete a screening questionnaire with information about the hearing problem he has. An interdisciplinary team composed of physicians, audiologists, social workers, psychologists and radiologist evaluates the candidate's profile.

It is necessary that the patient is a child of up to five years or adult who has ever heard before. The procedure is highly complex and very expensive, André. We must be sure that we will offer benefits to those who really need it. Only the implant device costs $ 43 000. It is what is most modern in auditory rehabilitation for hearing impairment, the doctor says.

After being approved the first phase, the candidate is undergoing tests and evaluations of the entire team. The first consultation is held with the physician, who evaluates the disability, how it was acquired and the time the patient is not listening. If you found the necessity of surgery, speech therapists do tests to certify the conditions of auditory and language of the patient. Then begins a process that can last up to six months, with radiography, tomography, psychological assessments, questionnaires, among others.

One of the prerequisites is that the adult patient has preserved oral communication, so it is not necessary to relearn to speak or to hear after surgery. For those who never heard, in brain has already developed a distinct linguistic structure, explains psychologist Tanis Moreira. In general, the longer the duration of auditory deprivation, the worse the results, says André Sampaio. As children up to five years are still in the pre-language, the rehabilitation works as the first lesson, even if late.

The Patient

Gildelina Pinheiro de Souza, 62, was completely deaf for 18 years. After learning that the HUB performs the implant, made an appointment to apply for surgery. By doing the initial tests found that the eardrum had ruptured. Spent for reconstruction in September 2009, at the very University Hospital. And only now fulfilled all requirements to be operated. She is admitted to the hospital on Sunday to receive the implant at Monday, August 23.

Gildelina like dancing, walking and dating. And he confesses that deafness is a big problem in your life. When I was a child, had ear problems, pus came out, he recalls. As I was very poor, slept on the floor, which worsened the problem. She says that the ear itched a lot and sometimes dripping blood. The hearing loss was progressive. When he entered college, he attended only 15 days of the course in Accounting Sciences. The deafness was already deteriorated. All I could hear the teacher if he spoke in front of me, Bill. For shame and for thinking that would not do to follow through studies, Gildelina chose to leave university and went on giving lessons to children. Her hearing has decreased to zero in 1992.

Despite living in silence, I try to live my life, he says. Back to listening is a big dream. Do not miss anything in life like feel to hear. Gildelina recalls with nostalgia for simple pleasures such as watching television and listening to music of singer Roberto Carlos. I go to his concerts and I'm just looking. The ones I know, singing together, as I do not know, I am following with his eyes.

Conditions

The patient implanted sign a term commitment that will implement a treatment after the surgery. In the first year with the unit, it is necessary to make adjustment every two months. After the interval increases, until the once a year. The monitoring lasts an average of four years and it is important for the user to learn to listen with new ears. The sound is refined over time, says Tanis.

Source: UnB AGÊNCIA
   Palavras-chave:   Cochlear Implant    Hearing    Sudez    Certification    UnB    HUB   
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