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Considerations for cochlear implantation in adults with Human Immunodeficiency Virus (HIV)
Dissertation (MA (Audiology))--University of Pretoria, 2021.
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| Format: | Thesis |
| Language: | English |
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University of Pretoria
2022
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| _version_ | 1867613715058130944 |
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| access_status_str | Open Access |
| author2 | le Roux, Talita |
| author_browse | le Roux, Talita |
| author_facet | le Roux, Talita |
| collection | Thesis |
| dc_rights_str_mv | © 2019 University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria. |
| description | Dissertation (MA (Audiology))--University of Pretoria, 2021. |
| format | Thesis |
| id | oai:repository.up.ac.za:2263/83146 |
| institution | University of Pretoria (South Africa) |
| language | English |
| last_indexed | 2026-06-10T12:40:32.922Z |
| license_str | Other — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from UPSpace — University of Pretoria Institutional Repository |
| publishDate | 2022 |
| publishDateRange | 2022 |
| publishDateSort | 2022 |
| publisher | University of Pretoria |
| publisherStr | University of Pretoria |
| record_format | dspace |
| source_str | UPSpace — University of Pretoria Institutional Repository |
| spelling | oai:repository.up.ac.za:2263/83146 Considerations for cochlear implantation in adults with Human Immunodeficiency Virus (HIV) le Roux, Talita danielle.muller7007@gmail.com Laurent, Claude Müller, Daniélle UCTD Cochlear implantation HIV/AIDS Disabling hearing loss Dissertation (MA (Audiology))--University of Pretoria, 2021. Previous observational studies have demonstrated that Human Immunodeficiency Virus (HIV)-positive (HIVpos) cochlear implant (CI) recipients are functional CI users, but have provided limited information regarding HIV-specific preoperative considerations, such as health status, pneumococcal vaccination, CD4+ cell count and viral load status. This study aimed to describe candidacy, audiological and surgical considerations for cochlear implantation in adults with HIV by reviewing data from a larger sample of HIVpos adult CI recipients. A retrospective chart review was employed for this study. Retrospective data (demographical, hearing loss, CI, medical and surgical data) was captured from the clinical patient files at two South African CI centres, namely the Pretoria Cochlear Implant Unit (PCIU) and the Johannesburg Cochlear Implant Centre (JCIC). The clinical patient files of 14 post-lingually deafened adult CI recipients (9 females and 5 males, mean age= 42.14 years, SD= 8.08; range= 23-50 years), were reviewed to describe preoperative CI candidacy considerations, cochlear implantation and surgical considerations, as well as postoperative audiological and medical considerations. Results of this study indicated that all 14 patients performed well with their cochlear implants, including two patients with a history of preoperative meningitis, three patients with less than 100% adherence to the recommended HIV-specific guidelines and one patient with postoperative electrode migration. A comprehensive preoperative audiological and medical test battery, adherence to current South African HIV-specific CI guidelines and a highly individualized surgical and medical risk assessment approach were efficacious in selecting the current PLWHA for CI surgery. HIV-specific considerations for determining CI candidacy in PLWHA were suggested to ensure functional postoperative outcome after cochlear implantation. None. Speech-Language Pathology and Audiology MA (Audiology) Unrestricted 2022-01-11T07:31:08Z 2022-01-11T07:31:08Z 2022-04 2021 Dissertation * A2022 http://hdl.handle.net/2263/83146 DOI: 10.25403/UPresearchdata.19316483 en © 2019 University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria. application/pdf University of Pretoria |
| spellingShingle | UCTD Cochlear implantation HIV/AIDS Disabling hearing loss Considerations for cochlear implantation in adults with Human Immunodeficiency Virus (HIV) |
| title | Considerations for cochlear implantation in adults with Human Immunodeficiency Virus (HIV) |
| title_full | Considerations for cochlear implantation in adults with Human Immunodeficiency Virus (HIV) |
| title_fullStr | Considerations for cochlear implantation in adults with Human Immunodeficiency Virus (HIV) |
| title_full_unstemmed | Considerations for cochlear implantation in adults with Human Immunodeficiency Virus (HIV) |
| title_short | Considerations for cochlear implantation in adults with Human Immunodeficiency Virus (HIV) |
| title_sort | considerations for cochlear implantation in adults with human immunodeficiency virus hiv |
| topic | UCTD Cochlear implantation HIV/AIDS Disabling hearing loss |
| url | http://hdl.handle.net/2263/83146 |