Esther Harboun-Cohen

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Sleep apnea syndrome (SAS) in children has been identified only recently. Its incidence is unknown but seems to be rising. The cause is usually an obstruction (enlarged tonsils) that alters the fragile physiologic mechanisms responsible for maintaining the upper airways open when the child is sleeping. Diagnosis of SAS rests on clinical findings. The(More)
The programming of CIs is essential for good performance. However, no Good Clinical Practice guidelines exist. This paper reports on the results of an inventory of the current practice worldwide. A questionnaire was distributed to 47 CI centers. They follow 47600 recipients in 17 countries and 5 continents. The results were discussed during a debate.(More)
Cochlear implants (CI) are devices that become more and more sophisticated and adapted to the need of patients, but at the same time they become more and more difficult to parameterize. After a deaf patient has been surgically implanted, a specialised medical practitioner has to spend hours during months to precisely fit the implant to the patient. This(More)
43 children with a clinical suspicion of obstructive sleep apnea-hypopnea were studied. All children underwent clinical examination and a standardised questionnaire was completed by their parents in order to investigate the principal nocturnal and diurnal symptoms present. A sleep study was performed. In addition to methods designed to identify the stage of(More)
Amongst the various sites for stimulation of the internal ear, in monocanal-extra-cochlear system, the fenestra ovale has virtually never been used. The authors suggest a cup-shaped electrode placed at the end of an incudo-vestibular prosthesis, such as a teflon piston, after stapedectomy and interposition of connective tissue. The immediate advantage of(More)
OBJECTIVE An observation of a difficult-to-diagnose complication of the cochlear implant: recurring cutaneous extrusion of a cochlear implant is reported. PATIENTS AND METHODS The history of an adult patient with total deafness is reported. She received an implant in her right ear in 1988, which was then explanted because of absence of hearing results.(More)
An open operative technique was used in 36 (38%) of 95 patients with chronic cholesteatomatous otitis followed up by the same surgeon between 1986 and 1990. Although a good anatomical result was obtained in 88% of cases the functional result was less evident, since 57% of patients were left with a liminal tonal loss of less than 30 décibels. The reasons for(More)
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