Cochlear Implants surgery

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Cochlear Implant

What is a Cochlear Implant?

A cochlear implant is a small electronic medical device that improves moderate to severe hearing loss. It’s used to help hearing loss in adults, children, and babies.

This type of device is very different from a hearing aid, which serves only to amplify sound. A cochlear implant transforms sounds into electrical signals and transmits these signals directly to the auditory nerve of the inner ear, bypassing any damaged structures in the ear that are impeding normal hearing.

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Dr.Seyed Kazem Chabok

Dr.Seyed Kazem Chabok is a skilled and experienced board-certified Orthopedic Surgeon in Shiraz.

Dr.Seyed Kazem Chabok

Shiraz

Dr. Pegah Keramati

. Obstetricians and Gynecologists . Fellowship in infertility and IVF, hysteroscopy, and laparoscopy. . Member of The Iranian Association of Obstetricians and Gynecologists . Member of Shiraz Gynecology...

Dr. Pegah Keramati

Shiraz
dr jafari

Dr. Hamed Jafari

Specialty: Surgeon and orthopedic specialist Knee Surgeon & member of AAOS Knee surgeon, member of American Academy of Orthopedic Surgeons, knee joint replacement, cruciate...
dr jafari

Dr. Hamed Jafari

Shiraz

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Cochlear Implants surgery Day-to-Day

Day 1

Arrival: We meet at the airport, take you to your hotel, and after some rest, the first appointment with your surgeon, X-ray or scans.

Day 2

Arrival: We meet at the airport, take you to your hotel, and after some rest, the first appointment with your surgeon, X-ray or scans.

Day 3

Aftercare and resting time, take your medication and do nose drops.

Day 4

You have all day to yourself (you can go shopping, sightseeing walking, etc)

Day 5

You have all day to yourself (you can go shopping, sightseeing walking, etc)

Day 6

You have all day to yourself (you can go shopping, sightseeing walking, etc)

Day 7

Second visit with the Doctor, removing the stitches and receiving instructions.

Day 8

Departure 

General information about Cochlear Implant Surgery

The following table describes general information about Cochlear Implant surgery including Cochlear Implant cost in Iran, recovery time, and to name but a few.

General Information 
Cost$ 7000
AnesthesiaGeneral
Hospital Stay1 Day
Back to Work1 to 2 Weeks
Duration of Operation2-4 Hours
Minimum Stay in Iran1 Week

About Iranian surgery

Iranian surgery is an online medical tourism platform where you can find the best ENT Surgeons in Iran. The price of Cochlear implant Surgery in Iran is very affordable compared to other countries. So, if you are looking for the cost Cochlear implant Surgery in Iran, you can contact us and get free consultation from Iranian surgery.

Before Cochlear Implant Surgery

Why it’s done

Cochlear implants can restore hearing in people with severe hearing loss who are no longer helped by using hearing aids. Cochlear implants can improve their communication and quality of life.

Cochlear implants may be placed in one ear (unilateral) or both ears (bilateral). Cochlear implants in both ears have started to be used more often to treat bilateral severe hearing loss — particularly for infants and children who are learning to speak and process language.

Adults and children who are as young as six to 12 months old can benefit from cochlear implants. People who have cochlear implants report improved:

. Ability to hear speech without needing visual cues such as reading lips

. Recognition of normal, everyday environmental sounds

. Ability to listen in a noisy environment

. Ability to find where sounds are coming from

. Ability to hear television programs, music and telephone conversations

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Who is a candidate for a cochlear implant?

The following are general guidelines; candidacy also depends on many other factors.

. Children

Children with hearing loss as young as 12 months old may be eligible for a cochlear implant. Experts recommend implantation as early as possible to expose children to sounds during the critical period of language acquisition. After implantation, they must undergo intense speech and language therapy in order to achieve the best possible outcome from the device.

Children are considered viable candidates when they:

. Have profound hearing loss in both ears.

. Get little or no benefit through the use of hearing aids.

. Are healthy and any medical conditions would not compromise surgery.

. Understand (when able), along with their parents, their role in the successful use of cochlear implants.

. Have support from an educational program that will emphasize the development of auditory skills.

. Adults

Adults may qualify for cochlear implantation regardless of whether they lost their hearing before or after learning language. Those adults who developed language before losing their hearing (postlingually deafened) typically have greater success with cochlear implants than those who had not developed language before losing their hearing (prelingually deafened). Adult candidates are generally eligible for an 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.

. High motivation to participate in rehabilitation sessions and to be part of the hearing world.

An audiologist and ear, nose, and throat (ENT) surgeon can determine whether the device is right for you.

Advantages

What are the advantages of a cochlear implant?

It can be life-changing if you have a serious hearing problem. But the results aren’t the same for everyone. Some people benefit more than others.

Some of the pros are as follows:

. You may be able to hear speech at a nearly normal level.

. You may be able to understand speech without lip reading.

. It’s easier to talk on the phone and hear the TV.

. You may be able to hear music better than before.

. You can pick up on different types of sounds, including soft, medium, and loud ones.

. You can better control your own voice so that it’s easier for others to understand you.

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Risks and complications of cochlear implant surgery

Predicted outcomes

Cochlear implant surgery is generally safe. Risks of cochlear implantation can include:

. Loss of residual hearing. Implantation of the device can cause a loss of any remaining, unclear, natural hearing in the implanted ear in some people.

. Inflammation of the membranes surrounding the brain and spinal cord (meningitis) after cochlear implant surgery. Vaccinations to reduce the risk of meningitis are generally given to adults and children before implantation.

. Failure of device. Surgery may sometimes be needed to repair or replace a faulty internal device.

Complications are rare and can include:

. Bleeding

. Facial paralysis

. Infection at the surgery site

. Device infection

. Balance problems

. Dizziness

. Taste disturbance

. New or worsened ear noise (tinnitus)

. Spinal fluid leak

How you prepare

Cochlear implantation is done under general anesthesia, which means you or your child will be asleep during the procedure. You or your child might need to:

. Temporarily stop taking certain medications or supplements

. Avoid eating or drinking for a certain amount of time

Your doctor will give you specific instructions to help you prepare.

What you can expect

Before the procedure

You or your child will need a thorough medical evaluation to determine if cochlear implants are a good option. The evaluation is likely to include:

. Tests of hearing, speech and sometimes balance

. Physical examination to assess the health of the inner ear

. CT or MRI imaging of the skull to assess the condition of the cochlea and structure of the inner ear.

. Sometimes, psychological testing to determine ability to learn to use cochlear implants.

During Cochlear Implant Surgery

Parts of a Cochlear Implant​​​​​

All cochlear implants, regardless of manufacturer, consist of two general components:

. Internal device: The internal portion of the implant consists of two parts: the receiver/stimulator and the intracochlear electrode array.

. External hardware: The external portion consists of three parts: a microphone, a speech processor, and a transmitting coil.

How a Cochlear Implant Works

. Sound is picked up by the microphone, where it is sent down a cord to the speech processor.

. The speech processor filters the incoming acoustic signal into separate frequency bands, and then converts this information into digital form.

. The digitized signal is sent back up the cord to the transmitting coil, which is held in place by a magnet.

. The coil transmits the digitized information across the skin to the internal receiver/stimulator.

. The internal receiver/stimulator decodes the incoming signal and sends information in each frequency band to a different electrode within the cochlea. (The internal receiver/stimulator also contains a magnet to which the external coil sticks.)

. High-frequency information is sent to electrodes in the basal end of the cochlea, and low-frequency information is sent to electrodes in the apical end of the cochlea.

. Electrical stimulation from the intracochlear electrodes takes the place of damaged cochlear structures or hai​r cell – nerve synapses.

. The auditory nerve picks up the electrical signals from the electrodes and relays that information to the brain where it is interpreted as sound.

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During Procedure

What does cochlear implant surgery entail?

If your doctors decide you could benefit from a cochlear implant, they’ll explain what it entails and schedule the surgery.

Here’s what usually happens:

. Before the surgery, you’re given general anesthesia to make you sleep.

. Once you’re asleep, your surgeon creates an incision behind your ear and makes a slight indentation in the mastoid bone.

. Your surgeon makes a tiny hole in the cochlea. They then insert the electrodes through the hole.

. Next, they insert the receiver behind your ear, beneath the skin. They secure it to the skull and stitch the incision.

. Once the surgery is complete, you’ll be moved to the recovery unit, where you wake up. You’ll be closely monitored to make sure you don’t have any side effects from the surgery.

. You’ll typically be discharged a few hours after the surgery or the next day.

Before you leave the hospital, a healthcare professional will show you how to care for the incision.

You’ll have a follow-up appointment about a week later, so your surgeon can check the incision and see how it’s healing. The incision needs to heal before the implant is activated.

After Cochlear Implant Surgery

After the procedure

You or your child might experience:

. Pressure or discomfort over the implanted ear or ears

. Dizziness or nausea

Most people feel well enough to return home the day of surgery or the day afterward. You will need to return to the doctor in about a week to have stitches removed.

The cochlear implants won’t be turned on (activated) until two to six weeks after surgery — to give the surgery site time to heal.

Activation

To activate the cochlear implant, an audiologist will:

. Adjust the sound processor to fit you or your child

. Check the components of the cochlear implant to make sure they work

. Determine what sounds you or your child hears

. Give you information on the proper care and use of the device

. Set the device so that you can hear to the best of your ability

Rehabilitation

Rehabilitation involves training your brain to understand sounds heard through the cochlear implant. Speech and everyday environmental noises will sound different from what you remember.

Your brain needs time to recognize what these sounds mean. This process is ongoing and is best achieved by wearing the speech processor continuously during waking hours.

Results

Results of cochlear implant surgery vary from person to person. Factors that can affect the outcomes of cochlear implantation include the age when hearing was lost, and the length of time between hearing loss and the cochlear implant surgery.

For children, the best results generally occur with getting a cochlear implant at a young age.

For adults, the best results are generally associated with a shorter period of profound hearing loss before cochlear implantation. Adults with little or no experience with sound tend to benefit less from cochlear implants.

Some predicted outcomes may include:

. Clearer hearing. Many people who meet the hearing criteria for cochlear implantation may eventually get clearer hearing with using the device.

. Improved tinnitus. Although ear noise (tinnitus) isn’t a primary reason to receive a cochlear implant, the cochlear implant may partially suppress or improve the severity of tinnitus during use. It can rarely worsen tinnitus severity.

Cochlear implant surgery cost

How much does a Cochlear implant surgery cost?

The cost of Cochlear implant surgery in Iran is $ 7000.

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