Cochlear implants

This type of implant is a permanent device surgically placed into the inner ear, specifically designed to provide enhanced hearing for those with significant hearing loss. The surgical procedure is conducted by otolaryngology surgeons and has been FDA approved for nearly two decades, showcasing remarkable advancements and technological improvements.

Both the FDA and the American Medical Association (AMA) recognize cochlear implants as safe and effective treatments for severe-to-profound sensorineural hearing loss. Many insurance programs provide coverage, at least partially, for cochlear implantation. Your audiologist, otolaryngology surgeon, and their office staff are well-versed in managing insurance-related matters.

Cochlear implants are suitable for appropriately identified adults and profoundly deaf children as young as 12 months old. Research indicates that early implantation in children leads to better long-term outcomes in terms of speech and language development. Following surgery, rehabilitation is crucial as the individual learns to associate sound signals with normal sounds.

Studies also suggest that adults who receive cochlear implants experience reduced loneliness, lower social anxiety, increased independence, enhanced social and interpersonal skills, and improved hearing compared to traditional hearing aids.

These implants are designed for individuals who do not benefit significantly from hearing aids. The cochlear implant bypasses the nonfunctional inner ear by converting sound into electrical impulses that directly stimulate the cochlear nerve. The device comprises an external part with a microphone, sound processor, and external coil, as well as an internal component that requires surgical implantation.

During the surgery, an internal receiver is placed beneath the skin behind the ear, along with a stimulating electrode array inserted into the cochlea. Audiologists adjust and control the electrical signals to optimize speech perception, with the brain interpreting these impulses as sound. However, not all patients are suitable candidates for surgery, and outcomes can vary among recipients.

It’s crucial to note that most cochlear implant recipients are deaf before implantation and have not achieved success with traditional hearing aids. Your audiologist can provide detailed information about cochlear implants and discuss whether they are a suitable option for your specific needs.