Cochlear Implants Surgery in India, Doctors & Costs

For people suffering from age-related hearing loss, the doctors may suggest getting cochlear implants, which are an electronic, hearing aid device responsible to retain hearing partially. Cochlear implants can also be a good option for people suffering from intense hearing loss due to the damage in the inner-ear and want to try an effective hearing aid for restoring hearing capability.

Do not confuse Cochlear implants with hearing aids. Hearing aids function in a way that they amplify the incoming sound whereas a cochlear implant is able to bypass the damaged portions of the ear so as to transmit the sound signals to the auditory (hearing) nerve. Cochlear implants consist of a sound processor which is implanted behind the ear. The processor captivates the sound signals and then delivers them to a receiver which is implanted behind the ear under the skin. The receiver then sends these sound signals to the inner ear (cochlea), where the electrodes are implanted. These sound signals are responsible for stimulating the auditory nerve, which is a bundle of nerve fibres that carries hearing information between the cochlea the brain. After the information reaches the brain, the brain interprets them into sound. However, the sounds that are produced would not be just like normal hearing. It may take a little time to train and to learn on interpreting sound signals which the cochlear implant sends. After almost a year of use, people who have gotten cochlear implants make a significant improvement in understanding speech.

Advantages of a Cochlear Implant

There are several advantages of getting a cochlear implant that you may enjoy. These may include:

• You would be able to hear speech at an almost normal level.
• You would be able to understand speech without lip reading.
• You would easily be able to talk and listen on the phone.
• You would be able to hear music in a better way.
• Your hearing senses improve as you may be able to differentiate between types of sounds, including soft, medium, and loud ones.
• You may able to regulate the pitch of your own voice.

Recommended Doctors for Cochlear Implant Surgery in India

CureIndia helps you choose the right doctor for your medical treatment. Most of the doctors in our associated hospitals have been internationally trained and are active members of many international medical councils and associations. Let's hear from some of the most reputed ENT and Cochlear Implant Surgeon in India.

1) Dr. (Prof) J M Hans

2) Dr. Kunal Nigam

3) Dr. Rohit Uday Prasad

4) Dr. Shomeshwar Singh

Most trusted Cochlear Implant Companies of the World

1) Cochlear (Australia)

Cochlear is a global leader in implantable hearing solutions with a global workforce of around 4000 people. Cochlear claims to have provided more than 60000 implantable devices for people of all ages to help the lead a healthy life.

Some of the most successful Cochlear implants from the company are as follows: -

• Cochlear Nucleus CP802
• Cochlear Nucleus 6
• Cochlear Nucleus 7
• Cochlear Nucleus Kanso
• Cochlear Nucleus® Kanso® 2

2) MED-EL (Austria)

MED-EL is a private Austrian medical technology company specializing in hearing implants and devices. They develop and manufacture products including cochlear implants, middle ear implants and bone conduction systems.

Some of the leading Cochlear implant systems provided by MED-EL are:-

• MEDEL SONATA
• MEDEL CONCERTO
• MEDEL SYNCHORNY

Audio Processors

• OPUS
• RONDO
• SONNET

3) Advanced Bionics Corporation ( Los Angeles, USA)

Advanced Bionics is a global leader in developing the most advanced cochlear implant systems in the world. AB develops cutting-edge cochlear implant technology that restores hearing to those with severe-to-profound hearing loss.

Some of the innovative solutions from AB for Adults and Kids are :-

• MARVEL CI(Naída™ CI M for Adults)
• MARVEL CI(SKY CI M for Kids)

4) Neubio (Switzerland

Neubio AG was set up in 2017 in Switzerland and is known for providing “Out of the Box” thinking in the way Cochlear Implants are perceived worldwide, be it being safer implant, analog signals or unconventional designs of the external units.

• Neubio Bold Cochlear Implant with Bold BRAVO
• Neubio Bold Cochlear Implant with Bold DUO

Cochlear Implant Price In India

The cost of Cochlear implants depends upon a lot of factors. A parent or adult should consider all these factors before finalizing a Cochlear implant for their child or themselves. Some of the most important factors are: -

1. The Cochlear implant manufacturer, i.e. Cochlear, MED-EL, Advanced Bionics, Neubio
2. The choice of audio processor.
3. Unilateral or Bilateral Cochlear Implants
4. MRI Compatibility - Whether the implant needs to be 1.5 Tesla or 3 Tesla MRI compatible.
5. Hospital - The choice of hospital also can affect the cost of the Cochlear Implant procedure. The cost of a Cochlear implant procedure in a multispecialty JCI accredited hospital would be more than in a smaller NABH accredited hospital.
6. Surgeon - A more experienced surgeon is going to cost slightly more than a relatively less experienced surgeon.

Who is a Candidate for a Cochlear Implant?

Both children and adults can show the candidacy to get cochlear implants. But the eligibility may depend on the extent of the hearing loss. Cochlear implant candidacy is usually determined on a case-by-case basis.

Children are considered viable candidates to get a cochlear implant when they:

• Have a significant hearing loss in both ears.
• Do not gather an advantage through the use of hearing aids.
• Have overall good health and are free of medical conditions that would not compromise surgery.
• Understand the impact of the successful use of cochlear implants.
• Have support from an educational program that will emphasize the development of auditory skills.

Adult candidates are generally eligible for a cochlear implant if they:

• Have severe or profound hearing loss in both ears.
• Get little or no benefit from hearing aids.
• Have no medical problems that could put them at risk during surgery.
• Have a strong desire to be part of the hearing world and communicate through listening, speaking, and speechreading.

Is it possible to hear normally with a Cochlear Implant?

Cochlear implants produce a distinct sound from that produced by the human ear. This is due to the fact that a constrained number of electrodes are responsible for performing the functions normally carried out by hundreds of hair cells in a typical cochlea. As a result, you may expect that the noises you hear as a youngster will not be completely natural.

Cochlear implants, in contrast, allow a person to hear sounds that they would otherwise be unable to hear. It won't take long for newborns who have never heard noises before to begin developing new neural connections in their brains to process them. Therapy, practice and the best cochlear device may help all children learn to comprehend these sounds to improve their understanding of spoken language.

Causes of Hearing Loss

There are several causes of hearing loss. These may range from several medical conditions that develop overage, while some can be congenital (present at birth)

• Diabetes
• Poor circulation
• Exposure to loud noises
• Use of certain medications
• The  family history of hearing loss
• Smoking
• Change in the structure of the ear
• Damage to the nerves present in the ear
• Congenital issues, an impaired ear structure may be present from the birth, which may cause hearing problems from the start.

What is the process through which a cochlear implant operates?

Hearing aid and a cochlear implant are two very different things. Hearing aids increase the volume of sounds, so those with hearing loss may still hear. The auditory nerve is stimulated directly via Cochlear Implants, which bypass damaged parts of the ear. The auditory nerve carries the implant's impulses to the brain, where the signals are recognized as sound. For those with cochlear implants, learning to hear again may be challenging. For many individuals, on the other hand, the ability to hear warning signs, other noises in the surrounding environment, and human speech are essential.

Cochlear Implants Surgery

In the cochlear implants surgery, the surgeon first injects anaesthesia to numb the portion where the surgery will take place, the ear. Once the anaesthesia starts functioning, the doctor starts by making an incision behind the ear and cuts in a way in order to create a slight depression in the portion of skull one (mastoid) where the internal device would be placed. The surgeon will then makes a tiny hole in the cochlea of the ear and passes through the electrode array of the internal device. The incision is finally closed using stitches after the placement of the internal device. 

After this the doctor or the concerned audiologist proceeds to activate the cochlear implant via the following steps:

• Adjust the sound processor to fit you.
• Check the various components of the cochlear implant in order for their proper functioning 
• Determine what sounds you hear
• Give you information on the proper care and use of the device

Cochlear Implants for Children

A cochlear implant may help children of any age, but the advantages are greater for those who get it before they start to talk. As a result, their brains are more open to sound and speech development from an early age, when they first encounter sounds for the first time. With cochlear implants, the communication and language skills of profoundly deaf children are often on a level with normal-hearing kids; in many circumstances.

If a child's hearing loss began before birth, it is more probable that a cochlear implant device will let them hear again. Surgery to implant a cochlear device is now regarded as a normal operation and is often carried out during the 1st year of a person's existence. That's because surgical methods and implant technology are continually evolving because of the positive results of early-stage pediatric implants.

Speech, Language and Reading Therapy after Cochlear Implantation

There is a proper rehabilitation for people who have had cochlear implant surgery. This is done to train the brain to understand different types of sounds which are heard through the cochlear implant. The voices you will hear from the cochlear implants will be different from what you would have heard before the implant. It will take the brain some time to properly identify what these sounds mean. This process is gradual and shows the best results if you wear the speech processor continuously during waking hours.

Results of Cochlear Implant

The outcomes of surgery to insert a cochlear implant might vary greatly from patient to patient. Several variables may impact the success of cochlear implantation, including the age at which hearing loss occurred and how long it has been since the procedure. If a kid is born with considerable hearing loss, obtaining a cochlear implant as soon as possible usually yields the greatest outcomes.

When it comes to adults, the greatest outcomes are often connected with a time of significant hearing loss that was shorter before the implantation of the cochlear device. However, both types of adults typically benefit from cochlear implants, and persons with little or no familiarity with sound are likely to gain less from cochlear implants. Among the possibilities for what may happen is:
Hearing is more clear. It is possible that persons who fulfil the hearing requirements for cochlear implantation would ultimately have improved hearing after using the device.

Tinnitus has improved. Tinnitus is not the major reason for receiving a cochlear implant. However, it may be reduced or alleviated in some cases while the device is in operation. In most cases, tinnitus will not be worsened.

Conclusion

You may be a worthy choice for a cochlear implant if normal hearing aids cannot help you hear or speak better or if you have hearing problems that are not treatable with a regular hearing aid. To determine whether it's a good match, you'll need to consult with your doctor. Before making a choice, talk to your doctor about the advantages and disadvantages of the treatment. Electrical impulses are sent to the brain through the cochlea-implanted device, which processes the sounds you hear.

An audiologist may only prescribe hearing aids after a thorough examination of your hearing and hearing loss. Rehabilitating the auditory system after surgery is essential. Your viewpoint and success with the cochlear implant depend on this.

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