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Cochlear implantation in Malawi: report of the first four cases

  • W Mulwafu (a1), D R Strachan (a2), R Bartlett (a3) and C Caron (a1)
Abstract
Abstract Objective:

This paper reports on the first four cochlear implant cases in Malawi.

Case reports:

Three patients were deafened from infectious diseases and one from an unknown cause. They all had post-lingual deafness. Six months after the last implant, they are all progressing well.

Conclusion:

Despite significant practical difficulties, it has proved possible, with the right support, to carry out cochlear implantation in one of the world's poorest countries. The project has also raised awareness of deafness in Malawi and highlighted significant public health issues relating to the aetiology of deafness in developing countries.

Copyright
Corresponding author
Address for correspondence: Dr Wakisa Mulwafu, Department of Surgery, College of Medicine, Private Bag 360, Blantyre, Malawi E-mail: wmulwafu2@gmail.com
References
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2 StevensG, FlaxmanS, BrunskillE, MascarenhasM, MathersCD, FinucaneM. Global and regional hearing impairment prevalence: an analysis of 42 studies in 29 countries. Eur J Public Health 2013;23:146–52
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4 KerrG, TuomiS, MüllerA. Costs involved in using a cochlear implant in South Africa. S Afr J Commun Disord 2012;59:1626
6 World Health Organization. WHO's work with countries: WHO Country Cooperation Strategies and Briefs. In: http://www.who.int/countryfocus/cooperation_strategy/ccsbrief_mwi_en.pdf [25 July 2017]
7 SaundersJ, BarrsD. Cochlear implantation in developing countries as humanitarian service: physician attitudes and recommendations for best practice. Otolaryngol Head Neck Surg 2011;145:74–9
8 ByaruhangaR, RolandJTJr, BunameG, KakandeE, AwubwaM, NdorelireC et al. A case report: the first successful cochlear implant in Uganda. Afri Health Sci 2015;15:1342–8
9 SuleimanAO, SuleimanBM, AbdulmajidUF, SuleimanMR, MustaphaAY, AfolabiOA et al. Paediatric cochlear implantation in north-western Nigeria: case report and review of our challenges. Int J Pediatr Otorhinolaryngol 2014;78:363–5
10 MulwafuW, EnsinkR, KuperH, FaganJ. Survey of ENT services in sub-Saharan Africa: little progress between 2009 and 2015. Glob Health Action 2017;10:1289736
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The Journal of Laryngology & Otology
  • ISSN: 0022-2151
  • EISSN: 1748-5460
  • URL: /core/journals/journal-of-laryngology-and-otology
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