Cochlear Implant Surgery

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On this page you can choose the best doctors for Cochlear Implant Surgery in Germany and Austria. Our goal is to present you with the optimal selection of renowned doctors and their modern and gentle surgical and treatment methods when you are looking for specialists.

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Read about what a cochlear implant surgery entails, technologies including an external mic and speech processor, and alternatives to surgery. 2020-03-13 Cochlear Implant Surgery
All you need to now about Cochlear Implant Surgery

If a person goes through the process of hearing loss, and wants to compensate it, there is some special kind of hearing aid. Cochlear ear implants is the technology of the future that may solve the problem forever. What is it, and where a patient may go through this procedure?

Cochlear implants have been developed to imitate the function of a healthy inner ear (cochlea). They replace the function of the damaged hair cells within the cochlea so that you can hear more clearly.

Cochlear implants can provide access to sounds that you have never been able to hear before.

The Cochlear™ Nucleus® system consists of the following two main components:

What is Cochlear Implant?

This is a hearing implant that performs the functions of damaged parts of the inner ear. It may supply sense of hearing in case of serious hearing loss, but it does not restore it actually. An implant has two parts: internal and external. It is placed under the skin behind the ear, and its electrodes are put in cochlea or inner ear. The external part looks like hearing aid and sends received signals to electrodes.

When the microphone catches sound, it is converted into electrical signals and then are being transmitted by inner part of the device. Electrode stimulates hearing nerve and sends signals directly to where brain perceived and interprets them.

Cochlear implant and hearing aid are different things. While hearing aids makes sound louder (which won’t be a good idea for a child), implant bypasses distorted parts of the ear, e.g. hair cells, and sends signals right to the hearing nerve. Thus, it is a better option for patients who can’t use usual hearing aid for this or that reason.

How does the cochlear implant work?

Cochlear implants convert sound into electrical impulses that stimulate the auditory nerve in the cochlea (inner ear). So speech and sounds can be perceived again. A cochlear implant consists of two parts: the implant, which is surgically inserted behind the ear, and the speech processor (SP) with the transmitting coil, which is worn behind the ear like a hearing aid.

In the speech processor, received sound vibrations are converted into electrical signals via the microphone, which are forwarded after processing as an electrical pulse pattern via the cable to the coil. The coil held by magnetic force above the implant sends these coded signals via radio waves through the skin to the implant. This decodes the signals and forwards them via the electrode into the cochlea. These electrical impulses stimulate the auditory nerve, which subsequently generates so-called action potentials and forwards them to the brain. The brain receives the action potentials of the auditory nerve and recognizes them as an acoustic event (speech, sound, noise). In contrast to the cochlear implant, a hearing aid amplifies the sound and can rely on a sufficient number of functioning hair cells in the cochlea for sound transmission.

There are around 300,000 cochlear implant carriers worldwide, of which about 30,000 are in Germany. These are estimated numbers.

Who Are Recommended a Cochlear Implant?

This is a good solution for people suffering from sensorineural hearing loss in one or both ears. Who exactly may benefit from such ear surgery?

For whom is the cochlear implant suitable?

"If a person with a hearing impairment can no longer talk on the phone, that is, if he no longer has a speech understanding about hearing, he is eligible for a cochlear implant" says Professor Roland Laszig, Director of the University ENT Clinic Freiburg. The basic requirement for successful implantation is always a healthy auditory nerve. Whether the auditory nerve is intact can only be determined in an ENT clinic. A cochlear implant may be particularly useful for pre-or during language acquisition dormant adults. With reasonable expectations, deaf adults can also benefit from the cochlear implant.

How much does a cochlear implant installation cost?

The costs for a cochlear implant installation, including rehabilitation measures, are around 40,000 euros.

Details of cochlear implant surgery

Today, operation of cochlear implant insertion has become a routine thing in many advanced clinics. However, this is a difficult procedure that requires high professionalism of doctor and proper preparation.

Before a surgery, a patient is given general anesthesia to make sure he or she will not move. For anesthesia to be safe and easy to go through, a person should follow strict rules concerning eating and drinking. The surgery lasts about 2-4 hours, but together with preparations and recovery it requires 6 hours. The operation is performed as follows:

Although a person does not need hospitalization after the surgery, regular examinations and checking of hearing should be done to ensure that the device helps. This is not the end, though. It will take months until a person learns to use and perceive sound. During this time, regular visits to audiologist should be done.

Phase of the path to an cochlear implant. Subjects to be consider

1. Diagnosis

2. Adaptation

3. Appraisals

4. Joint decision

5. Operation

6. First adaptation

7. Learn to use the new hearing through the implant

8. Lifetime support and maintenance

Where to Go Through Cochlear Implant Surgery?

Where to get professional and reliable medical help? People who worked with German Medical Group know that this company helps to find a good clinic where the best and most qualified specialists work. There are at least five reasons to choose treatment in Germany:

So if you are a European patient, this is the most sensible alternative to American clinics. Be sure: you will get highly professional medical assistance, and enjoy maximum comfort and care provided by medical personnel. German Medical Group offers the most advanced and clinics in different cities of the country.

Steps to get a cochlear implant

Obtaining a cochlear implant can change lives and is easier than you think. From the first evaluation to the re-entry into the world of hearing, obtaining an implant is a proven and easy process. Your hearing specialist will accompany you every step of the way. You can also get hands-on and emotional support by sharing with other cochlear implant users. Realistic expectations and active participation in audiotherapy are essential for a quick and hurdles-free re-entry into the world of hearing with your new cochlear implant.

1. Evaluation

The first step on the way to a cochlear implant is the examination by the hearing specialist. If the first tests suggest you could benefit from a cochlear implant, you will be referred to a cochlear implant clinic for further testing. If these tests confirm your suitability for a cochlear implant and you choose the implant, a specialist will discuss with you the procedure, benefits, and potential risks before you get an appointment for the procedure.

2. The implantation

The procedure is performed under general anesthesia and usually takes only about two hours. The response to anesthesia is different for everyone, but usually patients only need a short recovery time.

3. Activation

Before activating the cochlear implant, wait about three to six weeks for the implantation site to heal. At the next appointment, the audiologist will activate the device and fine-tune the follow-up appointments based on your feedback. Everyone experiences the first activation of the cochlear implant differently. Most cochlear implant wearers say that the sound changes over time and gets better if used consistently every day.

4. Hearing rehabilitation (audiotherapy)

Daily practice is very important as you need time to get used to the new method of hearing sounds. In audiotherapy, new listening skills are developed through daily practice such as the following:

If you have been seriously hearing-impaired for a long time, you may need support from a listening training program that:

What you can expect after the installation of the cochlear implant

Re-entering the world of hearing with a cochlear implant is a great and exciting experience, but it also requires your full cooperation. Knowing what's happening to you every step of the way will help you get the most from the implant and master all the challenges along the way. It is important that you have realistic expectations regarding your hearing after activation and know that the first year of audiotherapy is crucial for the long-term success of your cochlear implant. During this time, you work closely with your audiologist and other hearing and speech professionals to fine-tune your implant and learn how to listen and communicate again.

Choose a Doctor for Cochlear Implant Surgery

Latest News in Cochlear Implant Surgery

BAHA hearing system: Detachable and invisible


The fully anchored magnetic implant transmits the sounds transmitted by the external sound processor directly to the inner ear via the titanium-alloyed screw pin and bypasses the damaged areas in the outer and middle ear area. BAHA system carriers remain completely flexible, as the magnetically linked sound processor can be attached or removed as required. If the sound receiver is not worn - the size of a hands-free mobile phone headset - the rest of the device's components are completely invisible.

This factor is, according to the developers, an important advance of the BAHA system, because due to the magnetically coupled receiver system protrude - unlike older systems - no mechanical Anschraub- or Ansteckteile out of the skin. This in turn means a more discrete wearer feel and a lower risk of injury and infection at the puncture site in the skin.

Clinical tests have shown that the ear implant allows reliable hearing and understanding even in difficult soundscapes in the case of hearing damage in the outer and middle ear area. In addition, it should be possible in future to network the wireless device with additional functions - for example, to be able to make calls wirelessly using a special "telephone clip".

Nevertheless, the BAHA system is not suitable for any form of hearing damage. Only patients with injuries in the outer and middle ear area - e.g. due to inflammation or previous surgery - can be treated with the new technique, since the sound waves are only diverted with the BAHA system and the inner ear remains an important part of the sound recording.

In order to tap the BAHA system into the skull and to implant the round, internal magnetic plates under the skin, only a small intervention is required. Under general anesthesia, the skin is opened behind the damaged ear on an area of ​​about five centimeters. The titanium-alloyed screw drills a surgeon one centimeter deep into the skull and connects the posterior pin area to the internal magnetic plate. Then the skin is re-sewn.

Overall, the procedure takes 40 minutes - the wounds are healed after two to four weeks. After that - as the doctors describe it - the patient gets his wireless sound processor and can hear it completely again.

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