Misguided Cochlear Implant Recommendation in a 3-Year-Old with Asymmetric Hearing Loss
Three/four months ago, a 3-year-old boy came to me at Shravya Clinic along with all his hearing test reports and CT & MRI scans. The diagnosis showed: • Right ear: Profound hearing loss (very severe, no hearing) • Left ear: Severe hearing loss (can hear loud voices) His parents told me that their child can hear loud voices even without hearing aids in the left ear. He was using hearing aids for the past 6 months , but there was not much improvement . The MRI scan showed: • Right ear: No cochlear nerve (the nerve that sends sound signals to the brain is absent) • Left ear: The nerve is not clearly visible. They had already visited an ENT hospital where cochlear implant surgeries are done, and the doctor there suggested an implant in the left ear (child was hearing loud sounds with that ear). But someone advised them to take a second opinion , so they came to see me. After checking all the reports and talking to the parents, I had a big question in mind : Wh...



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