Eva Mwangi – Importance of Artificial Intelligence and Advanced Hearing Technology on People living with Hearing Impairment

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Eva Mwangi is a highly experienced Consultant Audiologist and a distinguished expert in hearing and balance disorders. With extensive clinical training and a deep commitment to patient-centered care, she specializes in the diagnosis, management, and rehabilitation of auditory and vestibular conditions across all age groups. Eva is renowned for her evidence-based approach, advanced diagnostic skills, and dedication to improving quality of life for individuals with hearing loss, tinnitus, dizziness, and other balance-related issues. Her work combines clinical excellence with compassionate service, making her a respected authority in the field of audiology.

 

 

Eva Mwangi - Masters Thesis

Glucocorticoid Therapy in Cochlear Implantation

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Cochlear implant surgery is a successful procedure for auditory rehabilitation of patients with severe to profound hearing loss. However, cochlear implantation may lead to damage to the inner ear, which decreases residual hearing and alters vestibular function. It is now of increasing interest to preserve residual hearing during this surgery because this is related to better speech, music perception, and hearing in complex listening environments.

Thus, different efforts have been tried to reduce cochlear implantation-related injury, including periprocedural glucocorticoids because of their anti-inflammatory properties. Different routes of administration have been tried to deliver glucocorticoids. However, several drawbacks still remain, including their systemic side effects, unknown pharmacokinetic profiles, and complex delivery methods. In the present review, we discuss the role of periprocedural glucocorticoid therapy to decrease cochlear implantation-related injury, thus preserving inner ear function after surgery. Moreover, we highlight the pharmacokinetic evidence and clinical outcomes which would sustain further interventions.

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