The cochlear implant is an electronic
device, part of which is surgically implanted in the ear and part
of which is worn externally like a hearing aid. It produces an electrical
stimulus that bypasses the damaged or missing hair cells in severe
to profound sensori neural hearing loss and directly stimulates
the remaining auditory neural elements.Although there are presently
a variety of cochlear implant devices in use around the world, they
all have certain basic components in common. A microphone picks
up the sound and sends it as an electrical signal to a signal processor,
where it is modified depending on the particular processing scheme
in use. The modified signal is sent to an external transmitter where
it is transferred through or across the skin to an implanted electrode
or electrodes. This transmission takes place by use of electromagnetic
induction or radio frequency transmission to an internal receiver,
or by direct connection via a percutaneous plug. Electric current
flows between one or more active electrodes, stimulating the auditory
nerve to produce a sensation of sound. The implantation has to be
followed by vigorous training through auditory verbal approach,
which is the most important part of habilitation or rehabilitation
procedure.
Candidacy:
Any individual, children / adult who has a severe to profound sensori
neural loss is a candidate for cochlear implant. An infant can be
fitted with an implant from the age of 6 months. Earlier, the better.
Children who had been identified with hearing loss and using appropriate
amplification are also good candidates for implant. Adults who do
not get any benefit from hearing aids or cases with sudden deafness
or drug-induced deafness can also be good candidates for implantation.
Not a candidate:
Cases with untreated middle ear infection. Adolescents with congenital
deafness who have never used a hearing aid.
Speech and hearing centre, Indore is actively involved
in the rehabilitation of the hearing impaired individuals.
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