Did our cochlear implant program make any difference in the lives of our patients? achievements of 30 patients with long term follow-up averaging 20 years after cochlear implantation

Background: Cochlear implants are standard of care for the patients with sensorineural hearing loss not benefited from hearing aids Aims: Evaluate qualitatively the impact of cochlear implantation in the long-term. Materials-methods: Thirty middle-class patients with similar patterns of loss and social environment averaging 20 years post-implantation responded to 52 questions that evaluated psychosocial benefits from cochlear implantation. Results: All completed secondary education and 93% had postgraduate studies. Educational and workwise they are at the same level as their hearing counterparts. All use their cochlear implants and would recommend one to people who need it. They attribute their success to the implant, the rehabilitation program, their family, and a stimulating social environment. Despite their success, most experience difficulties relating with others (socially and at work) due to their hearing condition. They manage but work much harder than their hearing peers to achieve the same. Conclusions: We made a difference in the lives of these patients, however, there is more to be done. Significance: Early intervention, rehabilitation, plus family, and stimulating-environment are crucial in children with sensory deficits.