Medical Surgeries
Cochlear Implant
A cochlear implant is an electronic device that improves hearing. It can be an option for individuals who experience severe hearing loss due to inner-ear damage and find traditional hearing aids ineffective. Unlike hearing aids, which amplify sound, a cochlear implant directly delivers sound signals to the auditory nerve, bypassing damaged portions of the ear.
Here’s how it works:
• A sound processor is placed behind the ear to capture sound signals.
• These signals are then transmitted to a receiver implanted under the skin behind the ear.
• The receiver further sends the signals to electrodes placed in the snail-shaped inner ear (cochlea).
• These electrodes stimulate the auditory nerve, which relays the signals to the brain.
• The brain interprets these signals as sounds, although they may not exactly replicate natural hearing.
• Learning to interpret the signals from a cochlear implant requires time and training.
• Within 3 to 6 months of use, most people with cochlear implants notice significant improvement in understanding speech1.
Cochlear implants can enhance hearing for individuals with severe hearing loss who no longer benefit from traditional hearing aids. They contribute to improved communication and overall quality of life. Cochlear implants can be placed in one ear (unilateral) or both ears (bilateral). Both adults and children as young as 6 to 12 months old can benefit from cochlear implants. To be eligible for a cochlear implant, you should have:
• Hearing loss that significantly affects spoken communication.
• Limited benefit from hearing aids, as determined by specialized hearing tests.
• Motivation to actively participate in hearing rehabilitation and engage with the hearing world.
• Realistic expectations regarding what cochlear implants can achieve in terms of hearing improvement.
After cochlear implant surgery
your head will likely be wrapped in a bandage to protect the incision site. You will receive instructions on how to care for it, along with medication prescriptions and possible activity restrictions. Once you remove the bandage, you may experience some swelling around the incision site. As the incision behind the ear heals and the swelling subsides, a slightly raised bump may remain where the implant has been placed. Not to worry, though—this area is typically covered by hair. The recovery process requires patience, but it's essential to allow yourself time to heal. Here are some tips for caring for yourself or your loved one at home after surgery
Follow Doctor's Instructions: Take medication as directed and follow your doctor's post-surgery instructions.
Arrange Transportation: Since you won't be able to drive yourself home after surgery, arrange for a ride. It's also a good idea to have someone with you for a day after the procedure.
Bandage Removal: Your doctor will let you know when to remove the bandage, usually a few days after surgery.
Incision Care: After removing the bandage, wash the incision daily with warm, soapy water, and pat it dry.
Showering and Hair Washing: You should be able to shower and wash your hair one week after surgery unless instructed otherwise.
Keep Water Out of Your Ear: Avoid getting water in your ear during the healing process.
Stay Hydrated and Eat Well: Proper hydration and a healthy diet can promote healing and help manage any side effects from anesthesia. Remember that your surgeon will require a recovery period before your cochlear implant system is activated—usually three to four weeks. While some people may need up to a week off from work or activities, many individuals are back to their normal routines within a few days
Can everyone use a cochlear implant?
Not everyone is a suitable candidate for a cochlear implant. The decision to get a cochlear implant depends on several factors, including the individual's hearing loss severity, health, and personal preferences. Here are some considerations:
Duration of Deafness: The longer a person has been deaf, the more challenging it may be to adapt to the new auditory input. Early intervention often leads to better outcomes.
Auditory Nerve Health: To benefit from a cochlear implant, the auditory nerve (the nerve that carries sound signals from the cochlea to the brain) must be intact. If the nerve is damaged, a cochlear implant may not be effective.
Age: Cochlear implants can be successful at any age, but outcomes may vary. Children who receive implants early (before language development) tend to have better results. However, adults can also benefit significantly.
Hearing Loss Severity: Cochlear implants are typically recommended for individuals with severe to profound sensorineural hearing loss. If traditional hearing aids do not provide sufficient benefit, a cochlear implant may be an option.
Individual Preferences: Some people prefer sign language or lip-reading over auditory rehabilitation. It's essential to consider personal preferences and lifestyle when deciding on a cochlear implant.
Health and Medical Considerations: Individuals with certain medical conditions (e.g., active ear infections, bleeding disorders) may need to address those issues before undergoing surgery.
Realistic Expectations: Cochlear implants do not fully restore normal hearing. Users need to understand that the sound they perceive will be different from natural hearing. Rehabilitation and practice are crucial for optimal results. In summary, while cochlear implants are a valuable tool for many, the decision should be made after thorough evaluation by an audiologist and a discussion with the individual and their family. Each person's situation is unique, and the suitability for a cochlear implant varies.
Can I wear a hearing aid after getting a cochlear implant?
Certainly! After cochlear implant surgery, it is possible to wear a hearing aid alongside the cochlear implant. The decision depends on individual needs and recommendations from your medical team. Here are some considerations:
Combined Use: In some cases, individuals may use both devices simultaneously. Hearing aids can complement the cochlear implant experience, especially in situations where the implant may be limited (e.g., when the cochlear implant is turned off or in noisy environments).
Benefits of Hearing Aids: - Residual Hearing: If you have any remaining natural hearing in the non-implanted ear, a hearing aid can enhance that residual hearing. - Bilateral Hearing: Using both ears (cochlear implant and hearing aid) can improve sound localization and overall sound perception.
Adjustment Period: It may take time to adjust to the combined use of a cochlear implant and a hearing aid. Audiologists will fine-tune both devices to optimize your hearing experience.
Individualized Approach: Each person's situation is unique. Factors such as hearing loss severity, personal preferences, and lifestyle play a role in determining whether to use both devices. Remember to consult with your healthcare provider to determine the best solution for your specific needs.
Why Iran
Cochlear implant surgery in Iran offers several advantages, making it a popular choice for patients seeking auditory rehabilitation. Here are the reasons why Iran is a favorable destination for cochlear implant surgery:
Expertise and Experience:
• Iranian medical professionals have extensive experience in cochlear implant surgery. They perform a significant number of procedures annually.
• Surgeons and audiologists receive specialized training and stay updated with the latest advancements in the field.
Multiple Centers:
• Iran has several specialized centers dedicated to cochlear implants.
Advanced Technology:
• Iran's healthcare system utilizes cutting-edge technologies and state-of-the-art equipment for cochlear implantation.
• Hospitals and clinics are equipped with modern facilities, ensuring high-quality care.
Cost-Effectiveness:
• The cost of cochlear implant surgery in Iran is significantly lower than in many other countries.
• Patients can access top-notch medical services without financial burden.
High Success Rate:
• Cochlear implants have a 90% or higher success rate in Iran.
• Skilled specialists ensure optimal outcomes for patients.
Holistic Approach:
• Iran's healthcare system emphasizes patient well-being, including pre-surgery evaluations, post-operative care, and rehabilitation.
• Audiologists work closely with patients to fine-tune the implant settings for optimal hearing.
Medical Tourism:
• Iran is increasingly recognized as a medical tourism destination. International patients benefit from quality healthcare at affordable prices. In summary, Iran combines expertise, technology, affordability, and compassionate care, making it an excellent choice for cochlear implant surgery.
success rate of cochlear implants
The success rate of cochlear implants as medical prostheses is remarkably high, with less than 0.2% of recipients rejecting them . Adults often experience immediate benefits after implant placement, and the sound quality continues to improve for approximately 3 months following the initial tuning sessions. Over time, cochlear implant users’ performance continues to enhance.
It’s important to note that cochlear implants do not fully restore normal hearing but significantly aid in understanding speech. To interpret these sounds effectively, individuals require speech therapy and rehabilitation. The Food and Drug Administration (FDA) approves the use of cochlear implants, making them eligible for coverage by insurance policies, Medicare, Medicaid, and Vocational Rehabilitation.
Who can benefit from a cochlear implant? It is recommended for:
- Children born deaf.
- Young or middle-aged adults with hearing loss due to genetic causes, autoimmune disease, or unknown reasons.
- Older adults experiencing progressive hearing loss due to aging or noise exposure.
While cochlear implants have high success rates, there are potential risks associated with the surgery, including bleeding, swelling, tinnitus, dizziness, and other complications. However, overall, they remain an effective solution for improving communication and quality of life for those with severe hearing loss.
COCHLEAR IMPLANTS COST (in iran)
Several factors contribute to the overall price of cochlear implant surgery. These factors include the quality of the implanted devices, the surgeon’s experience, the duration of the patient’s stay and monitoring in the hospital, and the cost of pre-operative tests conducted before the surgery.
In Iran, the cost of cochlear implant surgery starts from $6,500, which is significantly lower than the cost of a similar procedure in Europe, Turkey, and neighboring Arab countries. For instance, in Australia, the cost can sometimes reach up to 30,000 Australian dollars, while in the United States, cochlear implantation may cost up to $50,000. Due to these more affordable prices, many patients from these countries choose to travel to Iran for their cochlear implant surgeries.
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