Niedosłuch odbiorczy (głęboki)
Charakterystyka, pielęgnacja i opieka

Niedosłuch odbiorczy głęboki charakteryzuje się znacznym uszkodzeniem komórek słuchowych ucha wewnętrznego lub nerwu słuchowego, co często uniemożliwia skuteczne korzystanie z aparatów słuchowych. W terapii stosuje się aparaty słuchowe (BTE, RITE, ITE, ITC, CROS/BiCROS) dla pacjentów z lekkim do umiarkowanym niedosłuchem oraz implanty słuchowe (implanty ślimakowe CI, implanty na przewodnictwo kostne BAHA, implanty ucha środkowego) dla osób z ciężkim lub głębokim niedosłuchem. Implanty ślimakowe przekształcają sygnały akustyczne w impulsy elektryczne stymulujące nerw słuchowy, wymagając kwalifikacji obejmującej m.in. PTA ≥ 60 dBHL i rozpoznawanie słów ≤ 60%. Proces leczenia obejmuje ocenę przedoperacyjną, zabieg chirurgiczny, aktywację implantu oraz intensywną rehabilitację słuchową i logopedyczną, szczególnie istotną u dzieci i osób starszych.

Niedosłuch odbiorczy (głęboki) – definicja i charakterystyka

Niedosłuch odbiorczy (głęboki) to poważne zaburzenie słuchu charakteryzujące się znacznym uszkodzeniem komórek słuchowych w uchu wewnętrznym lub nerwu słuchowego. W przeciwieństwie do łagodniejszych form niedosłuchu, głęboki niedosłuch odbiorczy często uniemożliwia odbiór dźwięków nawet przy zastosowaniu standardowych aparatów słuchowych. Nieleczony niedosłuch odbiorczy zwiększa ryzyko zaburzeń poznawczych, demencji, izolacji społecznej, depresji oraz upadków, dlatego rehabilitacja słuchu ma ogromne znaczenie w utrzymaniu zdrowia i jakości życia.12

Metody leczenia niedosłuchu odbiorczego – aparaty słuchowe i implanty

W przypadku niedosłuchu odbiorczego możemy zastosować różne rozwiązania technologiczne, które dzielą się na dwie główne kategorie: aparaty słuchowe oraz implanty słuchowe. Wybór odpowiedniej metody zależy od stopnia i rodzaju niedosłuchu, preferencji pacjenta oraz opinii zespołu specjalistów oceniających indywidualne potrzeby chorego.34

Aparaty słuchowe – rodzaje i zastosowanie

Aparaty słuchowe to małe elektroniczne urządzenia, które wzmacniają dźwięki i dostarczają je do ucha pacjenta. Pomagają osobom z niedosłuchem poprawić słyszenie i rozumienie mowy, umożliwiając im pełniejsze uczestnictwo w codziennym życiu. Aparaty słuchowe są skuteczne głównie u osób z lekkim do umiarkowanego niedosłuchem, gdy w uchu wewnętrznym pozostała wystarczająca liczba sprawnych komórek słuchowych.56

Dostępne są różne rodzaje aparatów słuchowych:7

  • Zauszne (BTE) – najbardziej rozpowszechniony typ, odpowiedni dla większości osób z niedosłuchem
  • Ze słuchawką w uchu (RITE) – podobne do BTE, ale mniej widoczne
  • Wewnątrzuszne (ITE) – wypełniają obszar tuż przy otworze ucha
  • Wewnątrzkanałowe (ITC) – mniejsze od ITE, wypełniają tylko otwór ucha
  • CROS i BiCROS – specjalnie przeznaczone dla osób z jednostronną utratą słuchu

89

Nowoczesne aparaty słuchowe mogą być wyposażone w dodatkowe funkcje, takie jak:10

  • Aplikacje pozwalające na regulację aparatu słuchowego za pomocą smartfona lub tabletu
  • Bluetooth do bezprzewodowego łączenia z innymi urządzeniami
  • Cewki telefoniczne (telecoil), które pomagają w pracy z telefonami kompatybilnymi z aparatami słuchowymi, pętlami indukcyjnymi i urządzeniami wspomagającymi słyszenie

11

Implanty słuchowe – rodzaje i zastosowanie

Implanty słuchowe są zaawansowanymi urządzeniami elektronicznymi, które w przeciwieństwie do aparatów słuchowych nie tylko wzmacniają dźwięk, ale także omijają uszkodzone części ucha, bezpośrednio stymulując nerw słuchowy. Są zazwyczaj zalecane osobom z ciężkim lub głębokim niedosłuchem, u których aparaty słuchowe nie przynoszą wystarczających korzyści.1213

Główne rodzaje implantów słuchowych obejmują:14

1516

Implanty ślimakowe (CI) w terapii niedosłuchu odbiorczego

Implanty ślimakowe (CI) są małymi, złożonymi urządzeniami elektronicznymi, które mogą pomóc zapewnić poczucie dźwięku osobie z głębokim niedosłuchem lub głuchotą. Implant nie przywraca normalnego słyszenia, ale może dać osobie niesłyszącej użyteczną reprezentację dźwięków z otoczenia i pomóc jej zrozumieć mowę.1718

Budowa i działanie implantów ślimakowych

Implant ślimakowy składa się z części zewnętrznych i wewnętrznych. Część zewnętrzna przypomina aparat słuchowy zauszny i jest połączona magnetycznie z częścią wewnętrzną wszczepioną chirurgicznie pod skórę za uchem. Zamiast wzmacniać dźwięk, implant ślimakowy przekształca sygnały akustyczne w impulsy elektryczne i przesyła je bezpośrednio do nerwu słuchowego, omijając uszkodzone części ucha wewnętrznego.1920

System implantu ślimakowego składa się z następujących elementów:21

  • Mikrofon – wychwytuje dźwięki z otoczenia
  • Procesor mowy – przetwarza dźwięki na sygnały cyfrowe
  • Nadajnik – przesyła sygnały do wszczepionego odbiornika
  • Odbiornik/stymulator – wszczepiony pod skórę, przekształca sygnały na impulsy elektryczne
  • Elektroda – umieszczona w ślimaku, stymuluje nerw słuchowy

22

Kryteria kwalifikacji do implantów ślimakowych

Nie każda osoba z niedosłuchem kwalifikuje się do wszczepienia implantu ślimakowego. Kandydaci muszą spełniać określone kryteria:2324

  • Mieć w pełni wykształcony ślimak i nienaruszony nerw ślimakowy
  • Mieć odbiorczy ubytek słuchu (niedosłuch spowodowany problemem z uchem wewnętrznym lub nerwem ślimakowym)
  • Otrzymywać niewielkie lub żadne korzyści z aparatów słuchowych
  • Być w wystarczająco dobrym stanie zdrowia, aby poddać się znieczuleniu ogólnemu i operacji
  • Być gotowym do uczestnictwa w procesie rehabilitacji słuchowej

25

Zgodnie z nowszymi wytycznymi, implanty ślimakowe mogą być również korzystne dla:26

  • Osób z jednostronną głuchotą (głuchota w jednym uchu przy zachowaniu dobrego słuchu w drugim)
  • Osób z dobrym słyszeniem niskich częstotliwości, ale słabym słyszeniem średnich i wysokich częstotliwości (tzw. „ski-slope hearing loss”)
  • Osób starszych, które wcześniej nie były uznawane za dobrych kandydatów

2728

Procedura wszczepienia implantu ślimakowego

Wszczepienie implantu ślimakowego to proces składający się z kilku etapów:2930

  1. Ocena przedoperacyjna – kompleksowa ocena przeprowadzana przez zespół specjalistów, w tym otolaryngologa (lekarza ENT), audiologa, logopedę, psychologa i pracownika socjalnego
  2. Operacja – zabieg chirurgiczny wykonywany w znieczuleniu ogólnym, trwający od 1 do 4 godzin; podczas operacji wszczepiana jest część wewnętrzna implantu
  3. Okres gojenia – około 3-4 tygodnie po operacji, podczas których implant pozostaje nieaktywny
  4. Aktywacja – pierwsze włączenie procesora mowy i początkowe programowanie urządzenia przez audiologa
  5. Rehabilitacja słuchowa – regularna terapia logopedyczna i ćwiczenia słuchowe pomagające mózgowi nauczyć się interpretować nowe dźwięki

31

Rehabilitacja po wszczepieniu implantu ślimakowego

Rehabilitacja słuchowa po wszczepieniu implantu ślimakowego jest kluczowym elementem procesu leczenia. Ma ona na celu pomóc pacjentowi nauczyć się słyszeć i interpretować dźwięki odbierane przez implant.3233

Proces rehabilitacji obejmuje:34

  • Regularne sesje z audiologiem w celu dostrojenia i przeprogramowania urządzenia
  • Terapię logopedyczną pomagającą w rozwoju umiejętności słuchania i mowy
  • Ćwiczenia słuchowe mające na celu identyfikację dźwięków i kojarzenie znaczeń z tymi dźwiękami
  • Trening komunikacyjny ułatwiający rozumienie mowy w różnych środowiskach

35

Rehabilitacja jest szczególnie ważna dla dzieci, które dopiero uczą się mówić i rozwijają język. W ich przypadku sesje terapeutyczne powinny odbywać się raz lub dwa razy w tygodniu przez co najmniej rok po operacji.36 U dorosłych, którzy stracili słuch po opanowaniu mowy, proces adaptacji może być szybszy, ale nadal wymaga systematycznej pracy i cierpliwości.37

Implanty na przewodnictwo kostne (BAHA)

Implanty na przewodnictwo kostne, znane również jako zakotwiczone w kości aparaty słuchowe (BAHA), są alternatywą dla tradycyjnych aparatów słuchowych dla osób, które nie mogą ich nosić z powodów medycznych lub u których niedosłuch jest specyficznego rodzaju.3839

Zasada działania implantów BAHA

Implanty BAHA działają na zasadzie przewodnictwa kostnego, czyli przenoszenia dźwięku bezpośrednio przez kości czaszki do ucha wewnętrznego, z pominięciem ucha zewnętrznego i środkowego. Urządzenie składa się z tytanowego implantu wszczepionego w kość za uchem oraz zewnętrznego procesora dźwięku, który zbiera dźwięki i przekształca je w wibracje.4041

W przypadku osób niesłyszących na jedno ucho, BAHA umożliwia przenoszenie dźwięku na drugie, dobrze słyszące ucho. Dla osób z zachowanym słuchem w implantowanym uchu, urządzenie pozwala dźwiękowi ominąć problemy w kanale słuchowym lub uchu środkowym.42

Wskazania do implantów BAHA

Implanty na przewodnictwo kostne są zalecane w następujących przypadkach:4344

  • Przewlekłe infekcje kanału słuchowego
  • Utrata słuchu spowodowana usunięciem guza
  • Bardzo wąski kanał słuchowy
  • Wady wrodzone ucha zewnętrznego lub środkowego
  • Jednostronna głuchota (urządzenie umieszczane jest tylko w głuchym uchu)
  • Mieszany lub przewodzeniowy niedosłuch, gdy tradycyjne aparaty słuchowe nie są skuteczne

45

Rodzaje implantów na przewodnictwo kostne

Istnieje kilka rodzajów implantów na przewodnictwo kostne dostępnych obecnie na rynku:46

  • Tradycyjne BAHA (np. Baha Connect firmy Cochlear, Ponto firmy Oticon) – aparat słuchowy mocowany jest na małym trzpieniu przymocowanym do kości i ukrytym za uchem
  • BAHA z ukrytym trzpieniem – trzpień jest umieszczony pod skórą, co sprawia, że gdy urządzenie nie jest noszone, nic nie jest widoczne; ułatwia to również pielęgnację
  • Nowsze urządzenia (np. Bonebridge firmy Med-El, zapewniający aktywną stymulację przez kość, oraz Osia firmy Cochlear, wykorzystująca stymulację piezoelektryczną)

47

U dzieci poniżej 5 roku życia, przed wszczepieniem implantu, często stosuje się urządzenia na miękką opaskę (softband), które są noszone jako wygodna opaska na głowę.48

Pielęgnacja aparatów słuchowych i implantów

Prawidłowa pielęgnacja aparatów słuchowych i implantów jest niezbędna dla zapewnienia ich optymalnego działania i przedłużenia ich żywotności.4950

Codzienne sprawdzanie i konserwacja

Dla aparatów słuchowych i zewnętrznych części implantów zaleca się:51

  • Codzienna kontrola działania urządzenia
  • Regularne czyszczenie zgodnie z zaleceniami producenta
  • Używanie pudełka osuszającego do usuwania wilgoci
  • Regularna wymiana baterii (dla aparatów słuchowych zazwyczaj raz dziennie do raz w tygodniu)
  • Przechowywanie urządzenia w suchym, bezpiecznym miejscu, gdy nie jest używane

52

W przypadku implantów ślimakowych należy dodatkowo:53

  • Regularnie sprawdzać miejsce wszczepienia pod kątem oznak infekcji lub podrażnienia
  • Chronić zewnętrzne komponenty przed wilgocią i urazami mechanicznymi
  • Stosować się do zaleceń dotyczących aktywności fizycznej i narażenia na urazy głowy

54

Regularne wizyty kontrolne

Zarówno użytkownicy aparatów słuchowych, jak i implantów powinni regularnie odbywać wizyty kontrolne u specjalistów:55

  • Aparaty słuchowe – przynajmniej raz w roku w celu dostosowania i rekalibracji
  • Implanty ślimakowe – częste wizyty w pierwszym roku po wszczepieniu, a następnie regularne wizyty kontrolne w celu przeprogramowania urządzenia i oceny postępów
  • Implanty BAHA – regularne kontrole stanu skóry wokół implantu i działania urządzenia

5657

Rola personelu medycznego w opiece nad pacjentami z aparatami i implantami słuchowymi

Opieka nad pacjentami korzystającymi z aparatów słuchowych i implantów wymaga zaangażowania multidyscyplinarnego zespołu specjalistów, w tym personelu pielęgniarskiego.5859

Zespół multidyscyplinarny w opiece nad pacjentem

W skład zespołu zajmującego się pacjentami z niedosłuchem wchodzą:6061

  • Otolaryngolog (lekarz ENT) – przeprowadza ocenę medyczną i operację wszczepienia implantu
  • Audiolog – przeprowadza badania słuchu, dobiera i programuje aparaty słuchowe i implanty
  • Logopeda – prowadzi terapię mowy i rehabilitację słuchową
  • Psycholog – wspiera pacjentów w procesie adaptacji do nowego sposobu słyszenia
  • Pracownik socjalny – pomaga w kwestiach związanych z dostępem do świadczeń i wsparcia
  • Pielęgniarka – zapewnia opiekę okołooperacyjną i edukację pacjenta

62

Zadania pielęgniarskie w opiece nad pacjentem z aparatem/implantem słuchowym

Personel pielęgniarski odgrywa istotną rolę w opiece nad pacjentami z aparatami i implantami słuchowymi. Do głównych zadań należą:6364

  • Edukacja pacjenta i rodziny w zakresie:
    • Prawidłowego używania i pielęgnacji aparatu/implantu
    • Ładowania, czyszczenia i zakładania aparatów słuchowych
    • Rozpoznawania oznak nieprawidłowego działania urządzenia
    • Postępowania w sytuacjach awaryjnych
  • Opieka okołooperacyjna w przypadku wszczepienia implantu:
    • Przygotowanie pacjenta do zabiegu
    • Monitorowanie stanu pacjenta po operacji
    • Obserwacja miejsca operacyjnego pod kątem oznak infekcji
    • Kontrola bólu
  • Regularne kontrole stanu urządzenia:
    • Sprawdzanie czy urządzenie jest włączone i działa prawidłowo
    • Dokumentowanie kontroli w dokumentacji medycznej pacjenta
    • Zapewnienie odpowiednich warunków do przechowywania urządzenia
  • Współpraca z zespołem multidyscyplinarnym:
    • Przekazywanie informacji o problemach zgłaszanych przez pacjenta
    • Koordynacja opieki między różnymi specjalistami
    • Zapewnienie ciągłości opieki

65

Praktyczne wskazówki dla personelu pielęgniarskiego

Personel pielęgniarski opiekujący się pacjentami z aparatami i implantami słuchowymi powinien pamiętać o następujących kwestiach:6667

  • Efektywna komunikacja z pacjentem z niedosłuchem wymaga:
    • Zwracania się twarzą do pacjenta, aby umożliwić czytanie z ruchu warg
    • Mówienia wyraźnie, niezbyt szybko i bez podnoszenia głosu
    • Unikania zakrywania ust podczas mówienia
    • Upewniania się, że pacjent zrozumiał przekazane informacje
  • W przypadku pacjentów z implantami słuchowymi należy:
    • Przestrzegać zaleceń dotyczących badań MRI i innych procedur medycznych
    • Chronić zewnętrzne komponenty implantu podczas zabiegów
    • Być przygotowanym na alternatywne metody komunikacji, jeśli urządzenie zostanie wyłączone
  • W praktyce pielęgniarskiej można wykorzystać specjalistyczny sprzęt:
    • Elektroniczne ciśnieniomierze zamiast stetoskopów
    • Specjalne stetoskopy dla osób niedosłyszących
    • Urządzenia wspomagające komunikację

6869

Porównanie aparatów słuchowych i implantów – kiedy co wybrać?

Wybór między aparatem słuchowym a implantem powinien być dokonany w oparciu o indywidualną ocenę potrzeb pacjenta, rodzaju i stopnia niedosłuchu oraz innych czynników zdrowotnych i osobistych.7071

Różnice w działaniu aparatów słuchowych i implantów

Aparaty słuchowe i implanty słuchowe działają na zupełnie różnych zasadach:7273

  • Aparaty słuchowe:
    • Wzmacniają dźwięk i wykorzystują pozostałą zdolność słyszenia pacjenta
    • Działają jak wzmacniacze dźwięku, które pomagają komórkom słuchowym odbierać dźwięki
    • Nie wymagają interwencji chirurgicznej
    • Okres adaptacji jest stosunkowo krótki (około 2 tygodnie)
  • Implanty słuchowe:
    • Omijają uszkodzone części ucha i bezpośrednio stymulują nerw słuchowy
    • Przekształcają dźwięki na sygnały elektryczne przesyłane do mózgu
    • Wymagają zabiegu chirurgicznego
    • Okres adaptacji jest dłuższy (6-12 miesięcy lub więcej)

7475

Kryteria wyboru odpowiedniego rozwiązania

Przy wyborze między aparatem słuchowym a implantem należy wziąć pod uwagę następujące czynniki:7677

Czynnik Aparaty słuchowe Implanty słuchowe
Stopień niedosłuchu Lekki do umiarkowanego Ciężki do głębokiego
Zrozumienie mowy Zachowane w znacznym stopniu Znacznie upośledzone lub brak
Wynik testu rozpoznawania słów Powyżej 60% Poniżej 60%
Inwazyność metody Nieinwazyjna Wymaga operacji
Czas adaptacji Krótki (dni/tygodnie) Długi (miesiące)
Rehabilitacja Minimalna Intensywna (logopedia, trening słuchowy)
Widoczność urządzenia Od niewidocznych do widocznych Zazwyczaj widoczne
Koszty Niższe, często nie pokrywane przez ubezpieczenie Wyższe, często pokrywane przez ubezpieczenie

7879

Ważną wskazówką dla klinicystów jest tzw. reguła 60/60, która pomaga w podjęciu decyzji o skierowaniu pacjenta na ocenę pod kątem wszczepienia implantu ślimakowego. Zgodnie z tą regułą, jeśli lepiej słyszące ucho pacjenta ma średnią tonów czystych (PTA) na poziomie 60 dBHL lub więcej oraz wynik rozpoznawania słów na poziomie 60% lub mniej, pacjent może być kandydatem do implantacji ślimakowej.8081

Korzyści i ograniczenia stosowania aparatów słuchowych i implantów

Zarówno aparaty słuchowe, jak i implanty słuchowe mają swoje zalety i ograniczenia, które należy wziąć pod uwagę przy podejmowaniu decyzji o wyborze metody rehabilitacji słuchu.8283

Korzyści i ograniczenia aparatów słuchowych

Korzyści:8485

  • Nieinwazyjność – nie wymagają zabiegu chirurgicznego
  • Łatwość użytkowania i zdejmowania
  • Niższe koszty w porównaniu do implantów
  • Krótszy czas adaptacji
  • Większa dyskrecja – niektóre modele są prawie niewidoczne
  • Pomoc w słyszeniu dźwięków codziennych (dzwonek, telefon)
  • Poprawa zdolności rozumienia mowy
  • Zwiększenie pewności siebie podczas rozmów

86

Ograniczenia:8788

  • Ograniczona skuteczność przy ciężkim i głębokim niedosłuchu
  • Trudności w słyszeniu w hałaśliwym otoczeniu
  • Nie przywracają słuchu do poziomu normalnego
  • Mogą powodować dyskomfort przy noszeniu przez dłuższy czas
  • Wymagają regularnej wymiany baterii i konserwacji
  • Mogą powodować sprzężenie zwrotne (piszczenie)
  • Ograniczona trwałość (zazwyczaj 5-7 lat)

89

Korzyści i ograniczenia implantów słuchowych

Korzyści:9091

  • Możliwość przywrócenia słuchu osobom z głębokim niedosłuchem
  • Lepsza jakość i zrozumiałość mowy, szczególnie w hałaśliwym otoczeniu
  • Możliwość słyszenia bez wskazówek wizualnych (jak czytanie z ruchu warg)
  • Poprawa lokalizacji źródła dźwięku
  • Lepsza efektywność w komunikacji telefonicznej
  • Znacząca poprawa jakości życia
  • Potencjalne korzyści poznawcze i zmniejszenie ryzyka demencji
  • Redukcja szumów usznych (tinnitus)

9293

Ograniczenia:9495

  • Inwazyjność – wymagają zabiegu chirurgicznego
  • Ryzyko powikłań chirurgicznych (choć rzadko występujących)
  • Długi okres adaptacji i intensywna rehabilitacja
  • Wyższe koszty początkowe (choć często pokrywane przez ubezpieczenie)
  • Nie przywracają normalnego słyszenia, tylko jego reprezentację
  • Widoczność zewnętrznych elementów urządzenia
  • Ograniczenia w niektórych aktywnościach (np. sporty kontaktowe, nurkowanie)
  • Regularne wizyty kontrolne i konieczność przeprogramowania

9697

Przyszłość technologii w leczeniu niedosłuchu odbiorczego

Technologia związana z aparatami słuchowymi i implantami słuchowymi stale się rozwija, oferując coraz lepsze rozwiązania dla osób z niedosłuchem.9899

Najnowsze osiągnięcia i kierunki rozwoju obejmują:100

  • Ulepszanie algorytmów przetwarzania dźwięku, szczególnie w zakresie poprawy rozumienia mowy w hałaśliwym otoczeniu
  • Rozwój technologii hybrydowych, łączących cechy aparatów słuchowych i implantów
  • Miniaturyzacja urządzeń, zwiększająca komfort i estetykę noszenia
  • Integracja z technologiami cyfrowymi, smartfonami i systemami sztucznej inteligencji
  • Rozwój technologii wykorzystujących przewodnictwo kostne i stymulację piezoelektryczną
  • Badania nad regeneracją komórek słuchowych i biologicznymi metodami leczenia niedosłuchu

101

Ważnym aspektem jest także stosowanie tzw. „miękkiego podejścia chirurgicznego” przy wszczepianiu implantów ślimakowych, które pozwala zachować jak najwięcej pozostałego słuchu naturalnego. Dzięki temu pacjenci, którzy poddają się implantacji ślimakowej, mogą w przyszłości skorzystać z nowych, jeszcze nierozwiniętych technik, które mogą dodatkowo przywrócić lub poprawić słuch.102

Niedosłuch odbiorczy (głęboki) – kompleksowe podejście do leczenia

Leczenie niedosłuchu odbiorczego (głębokiego) wymaga kompleksowego podejścia, uwzględniającego nie tylko dobór odpowiedniego urządzenia wspomagającego słyszenie, ale także rehabilitację słuchową, wsparcie psychologiczne i edukację pacjenta oraz jego rodziny.103104

Tylko takie holistyczne podejście może zapewnić optymalne wyniki leczenia i poprawę jakości życia pacjenta. Personel pielęgniarski odgrywa w tym procesie kluczową rolę, zapewniając nie tylko profesjonalną opiekę medyczną, ale także wsparcie emocjonalne i edukacyjne dla pacjentów i ich rodzin.105

Należy pamiętać, że każdy pacjent jest inny i wymaga indywidualnego podejścia. To, co sprawdza się u jednej osoby, może nie być odpowiednie dla innej. Dlatego tak ważna jest współpraca multidyscyplinarnego zespołu specjalistów, którzy wspólnie mogą opracować najlepszy plan leczenia dla każdego pacjenta z niedosłuchem odbiorczym.106

Kolejne rozdziały

Zapraszamy do dalszego czytania naszego leksykonu.

Wybierz kolejny rozdział z menu poniżej, aby otworzyć nową podstronę kompedium wiedzy i uzyskać szczegółowe informację o leku, substancji lub chorobie.

  1. 11.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Implantable Hearing Devices | Otolaryngology⁠ — Head & Neck Surgery | Stanford Medicine
    https://med.stanford.edu/ohns/OHNS-healthcare/earinstitute/conditions-and-services/services/audiology/implantable-hearing-devices.html
    Untreated hearing loss increases the risk of cognitive decline, dementia, social isolation, depression, and falls. Rehabilitating hearing is therefore of incredible importance in health and lifestyle maintenance. […] In most situations, surgery for implantable hearing devices at the Stanford Ear Institute can be done as an outpatient. […] If you are considering rehabilitating your hearing, or an implantable hearing device we also offer consultations where you can see the various devices and, in some circumstances, test what they are like. […] Bone conduction hearing aids are an excellent option for those who arent able to wear traditional hearing aids, still have hearing in one ear or in situations where patients external or middle ears cannot conduct sound properly. […] Studies show that over 85% of patient enjoy and wear their device long after implantation.
  • #2 Innovations in hearing aid and cochlear implant technologies, and an update on NIDCD’s September advisory council meeting | NIDCD
    https://www.nidcd.nih.gov/about/nidcd-director-message/innovations-hearing-aid-and-cochlear-implant-technologies
    Hearing loss can make it difficult to participate in daily conversations, which can lead to frustration, social isolation, depression, anxiety, and other issues that negatively impact quality of life. Assistive technologies such as hearing aids and cochlear implants can improve communication for those with hearing loss, but these devices are used by only a small percentage of those who could benefit from them. Among the reported barriers to the use of both hearing aids and cochlear implants are performance issues, including sound quality and inadequate personalization to meet a users unique needs. […] In addition, I describe research on alternatives to help restore hearing for those who cannot benefit from traditional devices. […] Hearing aids and cochlear implants work through different mechanisms, yet they share a common challenge: difficulty performing amid background noise. People with hearing aids often have trouble focusing on specific conversations in noisy rooms because the devices amplify both speech and background sounds. Cochlear implants may fail to isolate conversational speech from other noises because the implants provide an oversimplified representation of the complex signal processing that converts sound into electrical signals during natural hearing. […] NIDCD-supported research is also exploring options to restore hearing in those who cannot benefit from traditional hearing aids or cochlear implants.
  • #3 Hearing Aids: Uses & How They Work
    https://my.clevelandclinic.org/health/treatments/24756-hearing-aids
    Hearing aids are small electronic devices that amplify sounds and deliver them to your ear. These devices help people with hearing loss improve hearing and speech comprehension so they can participate more fully in daily life. […] A hearing aid is a small electronic device that you place in or behind your ear. Hearing aids amplify sounds so that people with hearing loss can improve their hearing and speech comprehension. […] There are many different types of hearing aids available today, including prescription and over-the-counter (OTC) hearing aids. Your healthcare provider can help you find a solution that fits your lifestyle and preferences. […] Generally, audiologists perform hearing aid exams. Your primary care physician (PCP) or otolaryngologist (ENT) can refer you, but some audiologists will see you without a referral.
  • #4 Hearing Aids, Cochlear Implants and Assistive Technology
    https://www.asha.org/public/hearing/treatment/?srsltid=AfmBOorKTelargGveCYP4TnNp05k30stbfKC2wBBfWklr6DFP7OdxSjU
    Hearing aids can help with many types of hearing loss, and an audiologist can assist in finding the best hearing aid for you. […] It is important to have your child’s hearing tested by an audiologist and get help early, if needed. […] A cochlear implant, in one or both ears, may be an option for some people with hearing loss. An audiologist can help you find out if a cochlear implant will help you. […] Hearing assistive technology systems, or HATS, can help you hear at home, school, and work. […] An audiologist will help find the device that’s right. […] Children who have hearing loss need to learn how to communicate. This includes learning to listen and using their hearing aids. […] Audiologic rehabilitation helps people with hearing loss relearn skills that they have lost.
  • #5 Hearing Aids: Uses & How They Work
    https://my.clevelandclinic.org/health/treatments/24756-hearing-aids
    Hearing aids are small electronic devices that amplify sounds and deliver them to your ear. These devices help people with hearing loss improve hearing and speech comprehension so they can participate more fully in daily life. […] A hearing aid is a small electronic device that you place in or behind your ear. Hearing aids amplify sounds so that people with hearing loss can improve their hearing and speech comprehension. […] There are many different types of hearing aids available today, including prescription and over-the-counter (OTC) hearing aids. Your healthcare provider can help you find a solution that fits your lifestyle and preferences. […] Generally, audiologists perform hearing aid exams. Your primary care physician (PCP) or otolaryngologist (ENT) can refer you, but some audiologists will see you without a referral.
  • #6 Is a cochlear implant right for you? – Mayo Clinic Health System
    https://www.mayoclinichealthsystem.org/hometown-health/speaking-of-health/beyond-hearing-aids-cochlear-implants
    Do you struggle to hear a conversation in a noisy restaurant or are told that the volume of your TV is too high? You may have some hearing loss. […] Hearing aids can increase your ease of hearing. Cochlear implants are another option for some people when hearing aids no longer work well. […] Hearing aids amplify sound and use people’s residual acoustic hearing. It makes sound waves louder as they pass through the ear into the inner ear. They are not effective for people who are unable to perceive sound waves anymore due to cochlea damage. […] A cochlear implant doesn’t make sounds louder. Instead, it bypasses the parts of the ear that aren’t working correctly, specifically the missing or damaged cochlea sensors. It uses electricity to stimulate the auditory nerve directly. […] Not every person with hearing loss can receive a cochlear implant. Good candidates are patients who are deaf, have moderate-to-profound hearing loss in both ears, or have profound and severe hearing loss in one ear.
  • #7 Hearing aids and implants
    https://www.nhs.uk/conditions/hearing-aids-and-implants/
    See a GP if you’re having problems with your hearing. They may refer you to a hearing specialist for an assessment if they think you might need a hearing aid. […] When your hearing aid is ready, it will be programmed to suit your level of hearing loss. You’ll be shown how to use it and how to look after it. […] A variety of hearing aids are available. […] Behind the ear (BTE) hearing aids are the most common type. […] BTE hearing aids are one of the easiest types to use and are suitable for most people with hearing loss. […] Receiver in the ear (RITE) hearing aids are similar to BTE hearing aids. […] RITE hearing aids are less visible than BTE hearing aids and are suitable for most people with hearing loss, but they can be more fiddly to use than BTE hearing aids. […] In the ear (ITE) hearing aids fill the area just outside the opening of your ear.
  • #8 Hearing aids and implants
    https://www.nhs.uk/conditions/hearing-aids-and-implants/
    See a GP if you’re having problems with your hearing. They may refer you to a hearing specialist for an assessment if they think you might need a hearing aid. […] When your hearing aid is ready, it will be programmed to suit your level of hearing loss. You’ll be shown how to use it and how to look after it. […] A variety of hearing aids are available. […] Behind the ear (BTE) hearing aids are the most common type. […] BTE hearing aids are one of the easiest types to use and are suitable for most people with hearing loss. […] Receiver in the ear (RITE) hearing aids are similar to BTE hearing aids. […] RITE hearing aids are less visible than BTE hearing aids and are suitable for most people with hearing loss, but they can be more fiddly to use than BTE hearing aids. […] In the ear (ITE) hearing aids fill the area just outside the opening of your ear.
  • #9 Hearing aids and implants
    https://www.nhs.uk/conditions/hearing-aids-and-implants/
    ITE hearing aids are suitable for most people with hearing loss, although they can be trickier to use than BTE or RITE hearing aids. […] In the canal (ITC) hearing aids are similar to ITE aids, but are a bit smaller and just fill the opening of the ear. […] CROS and BiCROS hearing aids can help if you’ve lost hearing in one ear. […] Hearing aids are available on the NHS. […] Your GP can refer you to an NHS hearing aid provider if they think you might need a hearing aid. […] The benefits of getting a hearing aid on the NHS include: hearing aids are provided for free as a long-term loan, batteries and repairs are free, and you do not have to pay for any follow-up appointments or aftercare. […] If you do not mind paying for treatment, you can choose to go to a private hearing aid provider directly.
  • #10 Hearing aids and cochlear implants / Deaf and Hard of Hearing
    https://mn.gov/deaf-hard-of-hearing/assistive-technology/hearing-aids/index.jsp
    Hearing aids and cochlear implants help some people to hear speech and other sounds. However, a person with hearing aids or cochlear implants wont hear everything in the same way that someone without hearing loss does. […] In some cases, an audiologist may suggest a cochlear implant or other hearing implant. […] Hearing aids and cochlear implants may also have: Apps that let you adjust your hearing aid or cochlear implant from your smartphone or tablet. Bluetooth for connecting wirelessly to other devices. Telecoils, which is an antenna inside the hearing aid. Telecoils help hearing aids work with hearing aid-compatible phones, hearing loops and assistive listening devices. This can reduce background noise, so that it is easier to understand speech. […] A hearing test is not required to purchase OTC hearing aids, but it can be helpful.
  • #11 Hearing aids and cochlear implants / Deaf and Hard of Hearing
    https://mn.gov/deaf-hard-of-hearing/assistive-technology/hearing-aids/index.jsp
    Hearing aids and cochlear implants help some people to hear speech and other sounds. However, a person with hearing aids or cochlear implants wont hear everything in the same way that someone without hearing loss does. […] In some cases, an audiologist may suggest a cochlear implant or other hearing implant. […] Hearing aids and cochlear implants may also have: Apps that let you adjust your hearing aid or cochlear implant from your smartphone or tablet. Bluetooth for connecting wirelessly to other devices. Telecoils, which is an antenna inside the hearing aid. Telecoils help hearing aids work with hearing aid-compatible phones, hearing loops and assistive listening devices. This can reduce background noise, so that it is easier to understand speech. […] A hearing test is not required to purchase OTC hearing aids, but it can be helpful.
  • #12 Cochlear Implants & Other Implantable Devices – Hearing Loss Association of America
    https://www.hearingloss.org/find-help/cochlear-implants-other-implantable-devices/
    If your hearing loss cannot be treated effectively by hearing aids, you may be a candidate for one of three types of implantable devices: […] A cochlear implant (CI) is a small electronic device with four internal and external components: […] Unlike a hearing aid that amplifies sound, a CI transforms acoustic sound signals into electric stimuli and transmits them to the auditory nerve. […] Children and adults with significant hearing loss are candidates for cochlear implants. […] Eligibility for a cochlear implant begins with a comprehensive evaluation and testing, generally by an otolaryngologist (ear-nose-throat doctor, or ENT), often in conjunction with an audiologist. […] While it cannot restore normal hearing, a CI may help someone with significant or complex hearing loss to receive sounds and better understand speech.
  • #13 Implantable Hearing Devices | Otolaryngology⁠ — Head & Neck Surgery | Stanford Medicine
    https://med.stanford.edu/ohns/OHNS-healthcare/earinstitute/conditions-and-services/services/audiology/implantable-hearing-devices.html
    Bone conduction devices work by driving sound directly through a patients bone into the inner ear rather than directing sound into the ear canal. […] For people who are deaf on one side, it allows sound to be transferred to their good ear. […] For people with hearing on that side, it allows sound to bypass problems in their ear canal or middle ear. […] We offer the traditional bone anchored hearing aids (BAHAs) where the hearing aid clips onto a small post fixed onto bone and hidden behind the ear such as the Baha Connect (Cochlear) and the Ponto (Oticon). […] We now offer the ability to hide the small post under the skin so that when the device is not worn, nothing is visible. This also makes them easier to care for. […] Traditional cochlear implants are an implantable device that converts sound into electrical stimulation that is directed by a tiny electrode placed into the inner ear.
  • #14 Implanted Hearing Devices for Hearing Loss – Hearing Aid Alternatives
    https://www.aarp.org/health/conditions-treatments/info-2015/implanted-hearing-devices.html
    If traditional hearing aids don’t work for you, you may want to try an implanted hearing device. […] Advances in hearing device technology over the past few years have improved the three leading implants a cochlear implant, bone-anchored device and middle-ear implant a and resulted in a brand-new hybrid cochlear implant. […] Hearing aids only amplify sounds. These devices bypass the outer ear and either translate sounds into vibrations delivered to the middle ear or electrical impulses delivered directly to the inner ear. […] While each of the implants described below is appropriate for a specific hearing loss, most consist of an external component and an internal or implanted portion. And they all require surgery-usually on an outpatient basis. […] Cochlear implant consists of an external portion that looks like a behind-the-ear hearing aid. It is connected by a magnetic disk to a second component surgically implanted under the skin and behind the ear.
  • #15 Cochlear Implants & Other Implantable Devices – Hearing Loss Association of America
    https://www.hearingloss.org/find-help/cochlear-implants-other-implantable-devices/
    For best results, CI recipients often do aural rehabilitation after surgery to retrain the brain and learn to interpret the signals enabled by the device. […] While a CI helps sound to bypass a damaged cochlea, other implantable devices that bypass the middle or outer ear are used as alternatives to conventional hearing aids for those who cant wear them. […] Bone conduction hearing devices, also called bone-anchored hearing aids (BAHA), may be an option if outer or middle ear issues such as a collapsed ear canal or frequent ear infections prevent you from wearing conventional hearing aids. […] Middle ear implants are a newer solution for those who cannot wear ear molds due to allergies, infections, skin conditions, narrow or blocked ear canals or misshapen ears.
  • #16 Implanted Hearing Devices for Hearing Loss – Hearing Aid Alternatives
    https://www.aarp.org/health/conditions-treatments/info-2015/implanted-hearing-devices.html
    A small titanium implant is inserted into the bone of the skull behind the ear. […] Those with moderate to severe hearing loss who have tried and rejected hearing aids because of the occlusion effect that plugged up feeling or the annoyance of feedback, the irritating screeching sound that sometimes comes from your hearing aid. […] New fully implanted devices integrate all the elements into a system under the skin; the battery must be replaced approximately every five years.
  • #17 What Are Cochlear Implants for Hearing? | NIDCD
    https://www.nidcd.nih.gov/health/cochlear-implants
    A cochlear implant is a small, complex electronic device that can help to provide a sense of sound to a person who is profoundly deaf or severely hard-of-hearing. […] An implant does not restore normal hearing. Instead, it can give a deaf person a useful representation of sounds in the environment and help him or her to understand speech. […] A cochlear implant is very different from a hearing aid. Hearing aids amplify sounds so they may be detected by damaged ears. Cochlear implants bypass damaged portions of the ear and directly stimulate the auditory nerve. […] Children and adults who are deaf or severely hard-of-hearing can be fitted for cochlear implants. […] The decision to receive an implant should involve discussions with medical specialists, including an experienced cochlear-implant surgeon. […] Use of a cochlear implant requires both a surgical procedure and significant therapy to learn or relearn the sense of hearing. […] Speech-language pathologists and audiologists are frequently involved in this learning process.
  • #18 Cochlear implants – Mayo Clinic
    https://www.mayoclinic.org/tests-procedures/cochlear-implants/about/pac-20385021
    Cochlear implants can improve hearing in people with severe hearing loss when hearing aids no longer help. Cochlear implants can help them talk and listen and improve the quality of their lives. […] Cochlear implants often are put in both ears at the same time in children who have severe hearing loss in both ears. This is most often done for infants and children who are learning to speak. […] People who have cochlear implants say the following improve: Hearing speech without cues such as lip reading. Hearing everyday sounds and knowing what they are, including sounds that are warnings of danger. Being able to listen in noisy places. Knowing where sounds are coming from. Hearing television programs and being able to talk on the telephone. […] To get a cochlear implant, you must: Have hearing loss that gets in the way of talking with others. Not get much help from hearing aids, as shown by hearing tests. Be willing to learn how to use the implant and be part of the hearing world. Accept what cochlear implants can and can’t do for hearing.
  • #19 Implanted Hearing Devices for Hearing Loss – Hearing Aid Alternatives
    https://www.aarp.org/health/conditions-treatments/info-2015/implanted-hearing-devices.html
    If traditional hearing aids don’t work for you, you may want to try an implanted hearing device. […] Advances in hearing device technology over the past few years have improved the three leading implants a cochlear implant, bone-anchored device and middle-ear implant a and resulted in a brand-new hybrid cochlear implant. […] Hearing aids only amplify sounds. These devices bypass the outer ear and either translate sounds into vibrations delivered to the middle ear or electrical impulses delivered directly to the inner ear. […] While each of the implants described below is appropriate for a specific hearing loss, most consist of an external component and an internal or implanted portion. And they all require surgery-usually on an outpatient basis. […] Cochlear implant consists of an external portion that looks like a behind-the-ear hearing aid. It is connected by a magnetic disk to a second component surgically implanted under the skin and behind the ear.
  • #20 Cochlear Implants | UI Health
    https://hospital.uillinois.edu/primary-and-specialty-care/otolaryngology/audiology/services/cochlear-implants
    The Department of Audiology at UI Health has been at the leading edge of use of all hearing-related implants for decades, caring for hundreds of patients and ensuring overwhelming positive outcomes for these individuals and their families. There are two types of implants cochlear implants and auditory osseointegrated (or bone-anchored) implants (AOI). Each implant is designed to improve hearing when hearing aids are not enough or when they are not considered medically appropriate, such as for those patients for whom hearing aids or other implants do not provide sufficient hearing, or who cannot wear other types of implants. […] A cochlear implant provides an opportunity for individuals to hear and participate in the world around them. Unlike some other programs, UI Health Audiology provides a continuum of care for cochlear implant patients, supporting them beyond surgery and implantation with an array of services such as aural rehabilitation, assistance/advocacy for patients in schools/workplaces, and helping ensure long-term adaptation and success.
  • #21
    https://www.cochlear.com/us/en/home/diagnosis-and-treatment/how-cochlear-solutions-work/cochlear-implants/how-cochlear-implants-work
    Cochlear implants are designed to mimic the function of a healthy inner ear (or cochlea). They replace the function of damaged sensory hair cells inside the inner ear to help provide clearer sound than what hearing aids can provide. […] You will need to have your hearing tested by a Hearing Implant Specialist to determine if you are a candidate for a cochlear implant. […] Your Hearing Implant Specialist will work with your insurance company to determine your eligibility for coverage. […] Cochlear implant surgery is a fairly routine outpatient procedure that usually takes between two to four hours under general anesthesia. […] Typically two to four weeks after surgery, you will have an appointment with your audiologist to activate your cochlear implant. This is the day you will begin to hear sound through your cochlear implant for the first time.
  • #22 What Are Cochlear Implants for Hearing? | NIDCD
    https://www.nidcd.nih.gov/health/cochlear-implants
    A cochlear implant is a small, complex electronic device that can help to provide a sense of sound to a person who is profoundly deaf or severely hard-of-hearing. […] An implant does not restore normal hearing. Instead, it can give a deaf person a useful representation of sounds in the environment and help him or her to understand speech. […] A cochlear implant is very different from a hearing aid. Hearing aids amplify sounds so they may be detected by damaged ears. Cochlear implants bypass damaged portions of the ear and directly stimulate the auditory nerve. […] Children and adults who are deaf or severely hard-of-hearing can be fitted for cochlear implants. […] The decision to receive an implant should involve discussions with medical specialists, including an experienced cochlear-implant surgeon. […] Use of a cochlear implant requires both a surgical procedure and significant therapy to learn or relearn the sense of hearing. […] Speech-language pathologists and audiologists are frequently involved in this learning process.
  • #23 Cochlear Implant | University of Iowa Health Care
    https://uihc.org/services/cochlear-implant
    A cochlear implant is an electronic device that provides sound to individuals with severe to profound hearing loss. […] If you or your child have hearing loss in one or both ears and hearing aids provide little or no benefit you may be eligible for a cochlear implant. […] People across Iowa and beyond trust us to perform their cochlear implant surgery because we have a long track record of safety and success. […] If hearing loss has affected your quality of life, you should consider scheduling a consultation at our cochlear implant clinic. […] If you are considering a cochlear implant for yourself or your child, you must meet certain candidacy criteria. For example, you (or your child) must: Have a fully formed cochlea and intact cochlear nerve, Have sensorineural hearing loss (hearing loss caused by a problem with your inner ear or cochlear nerve), Receive little or no benefit from hearing aids, Be healthy enough to have general anesthesia and surgery. […] If you or your child have hearing loss and hearing aids don’t help, call UI Health Care. Our experts will see whether you’re eligible for a cochlear implant.
  • #24 Cochlear implants – Mayo Clinic
    https://www.mayoclinic.org/tests-procedures/cochlear-implants/about/pac-20385021
    Cochlear implants can improve hearing in people with severe hearing loss when hearing aids no longer help. Cochlear implants can help them talk and listen and improve the quality of their lives. […] Cochlear implants often are put in both ears at the same time in children who have severe hearing loss in both ears. This is most often done for infants and children who are learning to speak. […] People who have cochlear implants say the following improve: Hearing speech without cues such as lip reading. Hearing everyday sounds and knowing what they are, including sounds that are warnings of danger. Being able to listen in noisy places. Knowing where sounds are coming from. Hearing television programs and being able to talk on the telephone. […] To get a cochlear implant, you must: Have hearing loss that gets in the way of talking with others. Not get much help from hearing aids, as shown by hearing tests. Be willing to learn how to use the implant and be part of the hearing world. Accept what cochlear implants can and can’t do for hearing.
  • #25 Cochlear Implants: Types, Candidate Criteria, & Surgery | University of Utah Health
    https://healthcare.utah.edu/ent/treatments-services/cochlear-implants
    A cochlear implant is a surgically implanted electronic device designed to improve your ability to hear. Otolarnygologists (ear, nose, and throat doctors) and audiologists recommend cochlear implants for someone who has severe hearing loss or when hearing aids are no longer beneficial. […] Cochlear implants bypass ear damage to send a signal directly to the brain. […] Before you can get a cochlear implant, you must meet specific criteria, such as: hearing loss that does not improve with the use of hearing aids. […] Our team is a multidisciplinary group of professionals, who are dedicated to providing the finest care to severely hearing impaired patients. […] If other hearing aid options do not work, your audiologist will refer you to see one of our cochlear implant surgeons for a consultation.
  • #26 Is an over-the-counter hearing aid or a cochlear implant right for you? – UChicago Medicine
    https://www.uchicagomedicine.org/forefront/health-and-wellness-articles/2023/may/is-an-over-the-counter-hearing-aid-or-a-cochlear-implant-right-for-you
    By the time people notice they’re having difficulty hearing, they often need to be evaluated for hearing loss that is greater than mild to moderate. […] Its also beneficial to have somebody check your ears to make sure you don’t have wax build-up, dry skin or an infection before you stick a device in there for several hours a day. […] In September 2022, the Centers for Medicare Medicaid Services (CMS) made Medicare patients with moderate to profound hearing loss in both ears eligible for cochlear implants. […] Now, we’re finding that patients who get cochlear implants before their hearing falls (to the 10% to 20% range of clarity) do better because their brain still remembers sounds, which helps them develop speech clarity faster. […] By treating hearing loss, studies suggest improved quality of life, less isolation and loneliness and a correlation to delaying dementia. […] Hearing aids also likely lower the risk of falls and reduce the impact of anxiety and depression.
  • #27 Implantable Hearing Devices | Otolaryngology⁠ — Head & Neck Surgery | Stanford Medicine
    https://med.stanford.edu/ohns/OHNS-healthcare/earinstitute/conditions-and-services/services/audiology/implantable-hearing-devices.html
    There are decades of experience in adults and children with excellent patient satisfaction in treating severe to profound hearing loss. […] Most private insurers are now approving second side cochlear implants to allow for better understanding of speech in noisy situations and better awareness of sound direction. […] A number of patients have good low frequency hearing but poor middle to high frequency hearing. […] This allows patients to keep their natural low frequency hearing and wear a combined hearing aid and cochlear implant. […] While there are still excellent hearing aid options and the option of a bone conduction implant for patients with deafness on one side, the FDA recently approved cochlear implantation for single sided deafness, or patients who are deaf in one ear but have good hearing in the other. […] A cochlear implant is the only available treatment that can return sound to the deaf ear to provide better stereo sound, better understanding of speech in noisy situations and is a good option for those patients with significant tinnitus in that ear.
  • #28 Cochlear Implants | Conditions & Treatments | UT Southwestern Medical Center
    https://utswmed.org/conditions-treatments/cochlear-implants/
    We strongly recommend speech/language therapy for the enhanced development of listening, speech, and language. This should have an emphasis on learning how to listen with a cochlear implant. […] Cochlear implants can be more effective than hearing aids for patients with less severe hearing loss than previously recommended, so the indication for cochlear implants has expanded.
  • #29 Cochlear Implant Surgery – Procedure, Recovery, and Follow-Up
    https://www.dukehealth.org/treatments/ear-nose-and-throat/cochlear-implant-surgery
    A cochlear implant is a surgically implanted prosthetic device that can improve your hearing. […] Almost all cochlear implant recipients enjoy significant long-term improvements in both their hearing and their ability to communicate, with minimal — if any — complications. […] Unlike a traditional hearing aid, which amplifies sound, a cochlear implant bypasses the portion of the inner ear that is damaged and stimulates the auditory nerve directly with electric pulses. […] Cochlear implantation is performed as outpatient surgery under general anesthesia. […] You will need time to learn how to hear in this new way. […] Aural rehabilitation is a critical component in reaching your full hearing potential. […] From the initial fitting and activation of your cochlear implant to the ongoing management of the devices performance, our audiologists provide optimal, personalized care. […] Cochlear implants have excellent long-term success, and the technology continues to improve.
  • #30 Cochlear implants | UK Healthcare
    https://ukhealthcare.uky.edu/wellness-community/health-information/cochlear-implants
    A cochlear implant is an electronic device that helps provide the sense of sound. Rather than amplifying sound as a hearing aid does, a cochlear implant translates sound into electrical impulses and sends them to the auditory nerve. […] While hearing aids work well for those with mild to moderate hearing loss, cochlear implants work best for people who are severely deaf, especially those in whom the cochlea has been damaged. […] Those whom hearing aids will not help are the best candidates. Anyone from an infant to an adult can receive and benefit from a cochlear implant. […] A candidate for a cochlear implant is commonly evaluated by a physician and an audiologist. After being tested and evaluated, a surgical procedure installs the internal parts of the implants. A month to a month and a half later, the external parts are added and programmed.
  • #31 Cochlear Implants (for Parents) | Nemours KidsHealth
    https://kidshealth.org/en/parents/cochlear.html
    A cochlear implant is a surgically placed device that helps a person with severe hearing loss hear sounds. […] Cochlear implants are considered for children with profound hearing loss who can be as young as 9 months old. […] A cochlear implant team will help decide if cochlear implants are a good option. This team includes an audiologist (hearing specialist), an ear-nose-throat (ENT) doctor, a speech therapist, a psychologist, and a social worker. […] The audiologist will turn on the cochlear implants about 24 weeks after surgery. The team fine-tunes them over several weeks to meet your child’s hearing needs. They’ll also teach you how to care for and operate it. […] Children with cochlear implants begin auditory rehabilitation (listening therapy) and speech and language therapy soon after surgery. Auditory rehabilitation helps a child identify sounds and associate meanings with those sounds. Speech therapy helps them develop and understand spoken language. Expect these sessions to happen once or twice weekly for at least a year. […] After surgery, kids need strong support from parents and other family members. You’ll play an important role in your child’s speech development. Education and training programs offered by therapists can help you learn the best ways to help your child.
  • #32 Cochlear Implants | Conditions & Treatments | UT Southwestern Medical Center
    https://utswmed.org/conditions-treatments/cochlear-implants/
    We strongly recommend speech/language therapy for the enhanced development of listening, speech, and language. This should have an emphasis on learning how to listen with a cochlear implant. […] Cochlear implants can be more effective than hearing aids for patients with less severe hearing loss than previously recommended, so the indication for cochlear implants has expanded.
  • #33 Cochlear Implant for Deafness, Hearing Loss | Froedtert & MCW
    https://www.froedtert.com/ent/ear-care/cochlear-implants
    Activation of the implant occurs about 3 4 weeks after surgery. […] Aural rehabilitation, or special listening exercises, can help you get the most benefit from your implant. […] The level of achievement obtained will depend on the degree and length of hearing loss, hearing aid use and age at implantation.
  • #34 Cochlear Implants (for Parents) | Nemours KidsHealth
    https://kidshealth.org/en/parents/cochlear.html
    A cochlear implant is a surgically placed device that helps a person with severe hearing loss hear sounds. […] Cochlear implants are considered for children with profound hearing loss who can be as young as 9 months old. […] A cochlear implant team will help decide if cochlear implants are a good option. This team includes an audiologist (hearing specialist), an ear-nose-throat (ENT) doctor, a speech therapist, a psychologist, and a social worker. […] The audiologist will turn on the cochlear implants about 24 weeks after surgery. The team fine-tunes them over several weeks to meet your child’s hearing needs. They’ll also teach you how to care for and operate it. […] Children with cochlear implants begin auditory rehabilitation (listening therapy) and speech and language therapy soon after surgery. Auditory rehabilitation helps a child identify sounds and associate meanings with those sounds. Speech therapy helps them develop and understand spoken language. Expect these sessions to happen once or twice weekly for at least a year. […] After surgery, kids need strong support from parents and other family members. You’ll play an important role in your child’s speech development. Education and training programs offered by therapists can help you learn the best ways to help your child.
  • #35 Cochlear Implants | Keck Medicine of USC
    https://www.keckmedicine.org/treatments/cochlear-implants/?lang=es
    Our cochlear implant care team provides expert care and support to enhance hearing and improve your quality of life. […] Our hearing specialists provide leading-edge care to restore your ability to hear speech and other sounds. You get complete care from a team specializing in cochlear implant surgery, with personalized guidance and training to let you hear in a new way. […] You need cochlear implant surgery to place the device inside your ear. Its a very safe surgery. It doesnt require an overnight stay in the hospital, except for very young children or very old adults. […] After your ear has a few weeks to heal, youll work with an audiologist (hearing specialist) to program the device and a speech-language pathologist to learn how to interpret the sounds. Programming and learning take time, and our expert team offers personalized guidance and support every step of the way. […] Our ear, nose and throat team combines the expertise of doctors, surgeons, therapists, audiologists and other professionals to give you complete care.
  • #36 Cochlear Implants (for Parents) | Nemours KidsHealth
    https://kidshealth.org/en/parents/cochlear.html
    A cochlear implant is a surgically placed device that helps a person with severe hearing loss hear sounds. […] Cochlear implants are considered for children with profound hearing loss who can be as young as 9 months old. […] A cochlear implant team will help decide if cochlear implants are a good option. This team includes an audiologist (hearing specialist), an ear-nose-throat (ENT) doctor, a speech therapist, a psychologist, and a social worker. […] The audiologist will turn on the cochlear implants about 24 weeks after surgery. The team fine-tunes them over several weeks to meet your child’s hearing needs. They’ll also teach you how to care for and operate it. […] Children with cochlear implants begin auditory rehabilitation (listening therapy) and speech and language therapy soon after surgery. Auditory rehabilitation helps a child identify sounds and associate meanings with those sounds. Speech therapy helps them develop and understand spoken language. Expect these sessions to happen once or twice weekly for at least a year. […] After surgery, kids need strong support from parents and other family members. You’ll play an important role in your child’s speech development. Education and training programs offered by therapists can help you learn the best ways to help your child.
  • #37 Cochlear implants: What are they and how do they work?
    https://www.healthyhearing.com/help/hearing-aids/cochlear-implants
    Yes, older adults can absolutely get cochlear implants, too. […] A cochlear implant typically operates using two main components: An external part that hooks over the ear or that’s worn off the ear (on the head), and a surgically implanted internal part. […] After that step, the next step is usually implantation surgery, which is done under general anesthesia. […] About four to six weeks after the surgery, the patient will return to the cochlear implantation center to be fitted with the external device. […] This first appointment will be followed by other fine-tuning and adjustments to the cochlear implant map as the patient begins his or her new hearing journey. […] In many cases, cochlear implants are covered by many private and commercial insurers. […] Yes, Medicare covers cochlear implants.
  • #38 Cochlear Implants & Other Implantable Devices – Hearing Loss Association of America
    https://www.hearingloss.org/find-help/cochlear-implants-other-implantable-devices/
    For best results, CI recipients often do aural rehabilitation after surgery to retrain the brain and learn to interpret the signals enabled by the device. […] While a CI helps sound to bypass a damaged cochlea, other implantable devices that bypass the middle or outer ear are used as alternatives to conventional hearing aids for those who cant wear them. […] Bone conduction hearing devices, also called bone-anchored hearing aids (BAHA), may be an option if outer or middle ear issues such as a collapsed ear canal or frequent ear infections prevent you from wearing conventional hearing aids. […] Middle ear implants are a newer solution for those who cannot wear ear molds due to allergies, infections, skin conditions, narrow or blocked ear canals or misshapen ears.
  • #39 Bone-Anchored Hearing Aids (BAHA)
    https://my.clevelandclinic.org/health/treatments/14794-bone-anchored-auditory-implant
    Bone-anchored hearing aids (BAHA) are surgically implanted devices that may partially restore hearing for people with certain types of hearing loss. BAHA hearing aids use vibrations through the bones in your skull to send sounds to your inner ear. […] A bone-anchored hearing aid may restore partial hearing in people with certain types of hearing loss or those who aren’t good candidates for traditional hearing aids. […] Your otolaryngologist (ENT) and audiologist can help determine which option is right for your situation. Bone-anchored hearing aid candidacy depends on several factors, including your age, medical history, type of hearing loss and personal preferences. […] To find out if you’re eligible for a bone-anchored hearing aid, talk to your healthcare provider. They can refer you to an otolaryngologist for an evaluation.
  • #40 Bone-Anchored Hearing Aids (BAHA)
    https://my.clevelandclinic.org/health/treatments/14794-bone-anchored-auditory-implant
    Bone-anchored hearing aids rely on osseointegration. During this process, your bone fuses to the titanium implant, providing stability. This fusion must occur before you can attach the sound processor to the external connector. […] Bone-anchored hearing aids offer several advantages, including better comfort, optimal sound quality, and better prediction of results. […] The main disadvantage of bone-anchored hearing aids is that they require surgical placement. BAHA surgery is a minimally invasive procedure. But like all surgeries, it does carry some risk. […] If you’ve recently had bone-anchored hearing aid surgery, call your provider if you develop infection, swelling or drainage at the implant site. […] BAHA hearing aids offer impressive results. Research studies indicate success rates of 90% or higher.
  • #41 Implantable Hearing Devices | Otolaryngology⁠ — Head & Neck Surgery | Stanford Medicine
    https://med.stanford.edu/ohns/OHNS-healthcare/earinstitute/conditions-and-services/services/audiology/implantable-hearing-devices.html
    Bone conduction devices work by driving sound directly through a patients bone into the inner ear rather than directing sound into the ear canal. […] For people who are deaf on one side, it allows sound to be transferred to their good ear. […] For people with hearing on that side, it allows sound to bypass problems in their ear canal or middle ear. […] We offer the traditional bone anchored hearing aids (BAHAs) where the hearing aid clips onto a small post fixed onto bone and hidden behind the ear such as the Baha Connect (Cochlear) and the Ponto (Oticon). […] We now offer the ability to hide the small post under the skin so that when the device is not worn, nothing is visible. This also makes them easier to care for. […] Traditional cochlear implants are an implantable device that converts sound into electrical stimulation that is directed by a tiny electrode placed into the inner ear.
  • #42 Implantable Hearing Devices | Otolaryngology⁠ — Head & Neck Surgery | Stanford Medicine
    https://med.stanford.edu/ohns/OHNS-healthcare/earinstitute/conditions-and-services/services/audiology/implantable-hearing-devices.html
    Bone conduction devices work by driving sound directly through a patients bone into the inner ear rather than directing sound into the ear canal. […] For people who are deaf on one side, it allows sound to be transferred to their good ear. […] For people with hearing on that side, it allows sound to bypass problems in their ear canal or middle ear. […] We offer the traditional bone anchored hearing aids (BAHAs) where the hearing aid clips onto a small post fixed onto bone and hidden behind the ear such as the Baha Connect (Cochlear) and the Ponto (Oticon). […] We now offer the ability to hide the small post under the skin so that when the device is not worn, nothing is visible. This also makes them easier to care for. […] Traditional cochlear implants are an implantable device that converts sound into electrical stimulation that is directed by a tiny electrode placed into the inner ear.
  • #43 The University Of Kansas Health System – Hearing Aids and Implants
    https://www.kansashealthsystem.com/care/specialties/hearing-balance/resources/hearing-aids-implants
    If youre experiencing hearing loss, you and your otolaryngologist (ENT physician) or audiologist can discuss the type of hearing aid or listening device that will work best for you. […] Hearing aids should be custom fitted. […] A Bone Anchored Hearing Aid is surgically implanted behind the ear and uses the bones to conduct sound vibrations. […] The BAHA may be a good option for middle ear problems. […] The BAHA is placed during a short surgical procedure and, over time, naturally joins with the skull bone. […] A BAHA may help those with: Chronic infection of the ear canal, Hearing loss due to removal of a tumor, Very narrow ear canal. […] The BAHA device is placed only in the deaf ear. […] If you have significant hearing loss in both ears, your physician or audiologist may recommend two hearing aids.
  • #44 Bone-Anchored Hearing Aids (BAHA)
    https://my.clevelandclinic.org/health/treatments/14794-bone-anchored-auditory-implant
    Bone-anchored hearing aids (BAHA) are surgically implanted devices that may partially restore hearing for people with certain types of hearing loss. BAHA hearing aids use vibrations through the bones in your skull to send sounds to your inner ear. […] A bone-anchored hearing aid may restore partial hearing in people with certain types of hearing loss or those who aren’t good candidates for traditional hearing aids. […] Your otolaryngologist (ENT) and audiologist can help determine which option is right for your situation. Bone-anchored hearing aid candidacy depends on several factors, including your age, medical history, type of hearing loss and personal preferences. […] To find out if you’re eligible for a bone-anchored hearing aid, talk to your healthcare provider. They can refer you to an otolaryngologist for an evaluation.
  • #45 Auditory Implants | Rush
    https://www.rush.edu/treatments/auditory-implants
    If you have single-sided deafness, mixed hearing loss or conductive hearing loss, you may benefit from auditory osseointegrated implants, or bone-anchored hearing aids (BAHA). […] If you have hearing loss and are considering a surgically implanted device, we encourage you to schedule a comprehensive evaluation with our team before making your decision. […] Our team of experienced, compassionate neurotologists, audiologists, physician assistants and nurses will do everything possible to improve your ability to communicate by tailoring treatment to your needs including recommending the appropriate device for you based on our decades of expertise evaluating and treating hearing loss. […] The Rush team also specializes in pediatric cochlear implants and other devices, recognizing the unique and important needs of children struggling with hearing loss.
  • #46 Implantable Hearing Devices | Otolaryngology⁠ — Head & Neck Surgery | Stanford Medicine
    https://med.stanford.edu/ohns/OHNS-healthcare/earinstitute/conditions-and-services/services/audiology/implantable-hearing-devices.html
    Bone conduction devices work by driving sound directly through a patients bone into the inner ear rather than directing sound into the ear canal. […] For people who are deaf on one side, it allows sound to be transferred to their good ear. […] For people with hearing on that side, it allows sound to bypass problems in their ear canal or middle ear. […] We offer the traditional bone anchored hearing aids (BAHAs) where the hearing aid clips onto a small post fixed onto bone and hidden behind the ear such as the Baha Connect (Cochlear) and the Ponto (Oticon). […] We now offer the ability to hide the small post under the skin so that when the device is not worn, nothing is visible. This also makes them easier to care for. […] Traditional cochlear implants are an implantable device that converts sound into electrical stimulation that is directed by a tiny electrode placed into the inner ear.
  • #47 Implantable Hearing Devices | Otolaryngology⁠ — Head & Neck Surgery | Stanford Medicine
    https://med.stanford.edu/ohns/OHNS-healthcare/earinstitute/conditions-and-services/services/audiology/implantable-hearing-devices
    We offer the traditional bone anchored hearing aids (BAHAs) where the hearing aid clips onto a small post fixed onto bone and hidden behind the ear such as the Baha Connect (Cochlear) and the Ponto (Oticon). […] We also offer recently FDA approved devices including The Bonebridge (Med-El), that provides active bone conduction stimulation and the Osia (Cochlear) that provides piezoelectric stimulation. […] Traditional cochlear implants are an implantable device that converts sound into electrical stimulation that is directed by a tiny electrode placed into the inner ear. […] Most private insurers are now approving second side cochlear implants to allow for better understanding of speech in noisy situations and better awareness of sound direction. […] A number of patients have good low frequency hearing but poor middle to high frequency hearing.
  • #48 Implantable Hearing Device Care & Treatment | Tufts Medicine
    https://www.tuftsmedicine.org/services-treatments/implantable-hearing-device
    One hearing device option for kids younger than age 5 is a softband device, which is worn as a comfortable headband. […] Should testing show that a cochlear implant is right for your child, we can implant a device around age 1 — just in time for them to hear you sing “Happy Birthday” for the first time. […] A bone conduction hearing aid, also known as an osseointegrated auditory device, transfers sounds to the inner ear through bone conduction. We can implant these hearing aids once your child celebrates their fifth birthday.
  • #49 Taking care of cochlear implants | Hearing aids and implants
    https://www.ndcs.org.uk/information-and-support/childhood-deafness/hearing-aids-and-implants/cochlear-implants/taking-care-of-cochlear-implants/
    Its important to keep cochlear implants in good working order so your child has the best access to communication, language and learning. Youll need to check your childs cochlear implants regularly to make sure theyre working. […] A daily check and listening test can help you find any faults in your childs cochlear implants, many of which can be easily fixed. […] Your childs implant team will show you how to check that the external part of your childs cochlear implants the speech processor and transmitter coil are working. […] If you find a problem when doing your daily checks, contact the cochlear implant centre for advice. […] Each cochlear implant manufacturer has their own advice on how to clean your childs speech processor. […] Most cochlear implant speech processors come with a dry box, which removes light moisture from your childs speech processor.
  • #50 Caring for Your Cochlear Implants: Dos and Don’ts
    https://hearingaidsystems.com/blog/caring-for-your-cochlear-implants-dos-and-donts
    Cochlear implants have revolutionized the world of hearing healthcare, providing a lifeline to those with severe or profound hearing loss. They are complex devices that require careful handling and maintenance to ensure optimal performance. […] Unlike hearing aids, which amplify sound, cochlear implants bypass damaged portions of the ear and directly stimulate the auditory nerve. This technology enables users to perceive sounds, helping them with speech understanding, communication, and overall quality of life improvement, especially in environments where traditional hearing aids are less effective. […] Proper care and maintenance of your cochlear implant can extend its lifespan and ensure optimal performance. […] Regular check-ups with your audiologist are crucial for ensuring that your cochlear implant is functioning optimally. During these visits, we can also adjust the settings of the device to match your hearing needs. […] While cochlear implants have significantly improved the quality of life for many individuals, they require specific care and precautions to function optimally.
  • #51 Taking care of cochlear implants | Hearing aids and implants
    https://www.ndcs.org.uk/information-and-support/childhood-deafness/hearing-aids-and-implants/cochlear-implants/taking-care-of-cochlear-implants/
    Its important to keep cochlear implants in good working order so your child has the best access to communication, language and learning. Youll need to check your childs cochlear implants regularly to make sure theyre working. […] A daily check and listening test can help you find any faults in your childs cochlear implants, many of which can be easily fixed. […] Your childs implant team will show you how to check that the external part of your childs cochlear implants the speech processor and transmitter coil are working. […] If you find a problem when doing your daily checks, contact the cochlear implant centre for advice. […] Each cochlear implant manufacturer has their own advice on how to clean your childs speech processor. […] Most cochlear implant speech processors come with a dry box, which removes light moisture from your childs speech processor.
  • #52 Hearing Aids: Uses & How They Work
    https://my.clevelandclinic.org/health/treatments/24756-hearing-aids
    Hearing aids can help you hear better in different environments. […] Hearing aids can improve your communications skills. […] Hearing aids can improve comprehension when listening. […] Hearing aids can give you more independence. […] Hearing aids can reduce tinnitus (ringing in your ears). […] Taking care of your hearing aids helps keep them in good condition. […] If you have prescription hearing aids, see your audiologist at least once a year for adjustments and recalibration. […] A hearing care specialist can advise you on which device is best for you. […] A hearing aid amplifies sound so you can hear things in your environment more clearly. There are many different styles and types of hearing aids available today. You can purchase an over-the-counter hearing aid or an audiologist can fit you with the prescription device that’s best for your needs and preferences.
  • #53 Caring for Your Cochlear Implants: Dos and Don’ts
    https://hearingaidsystems.com/blog/caring-for-your-cochlear-implants-dos-and-donts
    Cochlear implants have revolutionized the world of hearing healthcare, providing a lifeline to those with severe or profound hearing loss. They are complex devices that require careful handling and maintenance to ensure optimal performance. […] Unlike hearing aids, which amplify sound, cochlear implants bypass damaged portions of the ear and directly stimulate the auditory nerve. This technology enables users to perceive sounds, helping them with speech understanding, communication, and overall quality of life improvement, especially in environments where traditional hearing aids are less effective. […] Proper care and maintenance of your cochlear implant can extend its lifespan and ensure optimal performance. […] Regular check-ups with your audiologist are crucial for ensuring that your cochlear implant is functioning optimally. During these visits, we can also adjust the settings of the device to match your hearing needs. […] While cochlear implants have significantly improved the quality of life for many individuals, they require specific care and precautions to function optimally.
  • #54 Cochlear Implant Health – ENT Health
    https://www.enthealth.org/be_ent_smart/cochlear-implant-health/
    To see if you or a family member are eligible for a cochlear implant, you should have a hearing test to evaluate your current hearing level. […] Cochlear implantation involves placing an electrode within the cochlea to bypass the area of the inner ear that is not functioning correctly, and directly stimulating the nerve. […] Children and adults with cochlear implants who develop a middle ear infection (known as otitis media) or a fever of uncertain cause should seek medical treatment and monitoring until the infection resolves. […] An annual checkup with an audiologist is recommended to map and reprogram the device as needed to ensure optimal hearing.
  • #55 Cochlear implants – Mayo Clinic
    https://www.mayoclinic.org/tests-procedures/cochlear-implants/about/pac-20385021
    Cochlear implant surgery is safe. But rare risks can include: Infection of the membranes around the brain and spinal cord, called bacterial meningitis. […] Cochlear implants most often work better in people who knew how to speak and read before the hearing loss. Children born with severe hearing loss often get the best results from getting a cochlear implant at a young age. Then they can hear better while learning speech and language. […] Regular, often lifelong, follow-up visits will help you get the most from your cochlear implants. Follow-up visits include checking your hearing, programming the device and doing other testing.
  • #56 How cochlear implants can work when hearing aids don’t help
    https://www.medstarhealth.org/blog/cochlear-implants-hearing-loss
    But the most common therapy hearing aids don’t work for everyone. Hearing aids simply make sounds louder, so if you have little to no hearing now, they might not do you much good. For these patients, cochlear (COKE-lee-ur) implants may be able to restore hearing. […] A person has to have some level of hearing for hearing aids to work. We determine this from a baseline hearing test, then we typically recommend trying hearing aids for three to six months. If they don’t give significant benefit, we consider cochlear implants. […] Unlike hearing aids, cochlear implants don’t make sounds louder. Instead, they bypass the damaged ear cells of the inner ear, sending the sound signals directly to the auditory nerve, which delivers sound signals to the brain. […] Cochlear implants can have a dramatic effect on a patient’s quality of life. One patient’s speech and understanding test showed he was at less than 15 percent hearing in one ear. Within six weeks of his cochlear implantation, he was already up to 90 percent hearing in that ear. […] We recommend seeing your audiologist once or twice a year after that for regular reprogramming. […] If you have hearing loss and hearing aids haven’t worked, don’t give up hope. We have the technology to help people hear better, and more advanced cochlear implants are coming out every year.
  • #57 Implantable Hearing Device Care & Treatment | Tufts Medicine
    https://www.tuftsmedicine.org/services-treatments/implantable-hearing-device
    For adults and kids alike, we will regularly meet to fine-tune the implanted device. Over time, you can expect to visit us yearly for routine check-ins unless additional needs arise. […] Hearing loss is usually diagnosed at birth or shortly after. We’ll monitor your little one’s hearing throughout their first year of life to determine what hearing device will work best for their needs. […] Once your child has received a hearing device or implant, we’ll connect you to a team of specialists to ensure they’re set up for success. Following implantation, their audiologist will regularly program the device to guarantee your little one is getting the most from it. […] We may also recommend seeing a speech-language pathologist to ensure your child’s hearing loss isn’t setting them back developmentally.
  • #58 Cochlear Implants | Keck Medicine of USC
    https://www.keckmedicine.org/treatments/cochlear-implants/?lang=es
    Our cochlear implant care team provides expert care and support to enhance hearing and improve your quality of life. […] Our hearing specialists provide leading-edge care to restore your ability to hear speech and other sounds. You get complete care from a team specializing in cochlear implant surgery, with personalized guidance and training to let you hear in a new way. […] You need cochlear implant surgery to place the device inside your ear. Its a very safe surgery. It doesnt require an overnight stay in the hospital, except for very young children or very old adults. […] After your ear has a few weeks to heal, youll work with an audiologist (hearing specialist) to program the device and a speech-language pathologist to learn how to interpret the sounds. Programming and learning take time, and our expert team offers personalized guidance and support every step of the way. […] Our ear, nose and throat team combines the expertise of doctors, surgeons, therapists, audiologists and other professionals to give you complete care.
  • #59 Cochlear implants | Conditions, Treatments & Specialty | Geisinger
    https://www.geisinger.org/patient-care/conditions-treatments-specialty/cochlear-implants
    Our cochlear implant team — which includes an ear, nose and throat (ENT) doctor, audiologist, speech and language pathologist, and social worker — does hundreds of cochlear implants every year. […] Our team works closely with patients and families to help determine if a cochlear implant is the correct option. We also help patients adjust to the device after the implant surgery. […] Cochlear implants may be an option for individuals with profound hearing loss. […] Severe or profound hearing loss in adults […] Severe or profound hearing loss in children.
  • #60 Cochlear Implants (for Parents) | Nemours KidsHealth
    https://kidshealth.org/en/parents/cochlear.html
    A cochlear implant is a surgically placed device that helps a person with severe hearing loss hear sounds. […] Cochlear implants are considered for children with profound hearing loss who can be as young as 9 months old. […] A cochlear implant team will help decide if cochlear implants are a good option. This team includes an audiologist (hearing specialist), an ear-nose-throat (ENT) doctor, a speech therapist, a psychologist, and a social worker. […] The audiologist will turn on the cochlear implants about 24 weeks after surgery. The team fine-tunes them over several weeks to meet your child’s hearing needs. They’ll also teach you how to care for and operate it. […] Children with cochlear implants begin auditory rehabilitation (listening therapy) and speech and language therapy soon after surgery. Auditory rehabilitation helps a child identify sounds and associate meanings with those sounds. Speech therapy helps them develop and understand spoken language. Expect these sessions to happen once or twice weekly for at least a year. […] After surgery, kids need strong support from parents and other family members. You’ll play an important role in your child’s speech development. Education and training programs offered by therapists can help you learn the best ways to help your child.
  • #61 Cochlear implants | Conditions, Treatments & Specialty | Geisinger
    https://www.geisinger.org/patient-care/conditions-treatments-specialty/cochlear-implants
    Our cochlear implant team — which includes an ear, nose and throat (ENT) doctor, audiologist, speech and language pathologist, and social worker — does hundreds of cochlear implants every year. […] Our team works closely with patients and families to help determine if a cochlear implant is the correct option. We also help patients adjust to the device after the implant surgery. […] Cochlear implants may be an option for individuals with profound hearing loss. […] Severe or profound hearing loss in adults […] Severe or profound hearing loss in children.
  • #62 Cochlear Implants | UI Health
    https://hospital.uillinois.edu/primary-and-specialty-care/otolaryngology/audiology/services/cochlear-implants
    All patients must undergo a thorough audiological and medical evaluation, complete a hearing aid trial, and complete applicable speech recognition testing. […] Our program offers extensive patient follow-up, including coordination and delivery of hearing rehabilitation and speech therapy services for adult and pediatric patients. […] We work closely with and provide training to local schools, Early Intervention providers, the Illinois Division of Specialized Care for Children, and other organizations as needed. These services and activities support our younger patients educational needs, including providing special education and mainstreaming services. […] For children, research has found that the earlier they receive the cochlear implant(s), the greater their potential for learning and understanding spoken language and adapting smoothly to learning in school. At UI Health, we believe that access to language is critical for communicating and learning. We work closely with patients and their families to develop effective communication strategies that meet their specific situation, goals, and needs. […] Cochlear implants are safe, effective, FDA-approved devices that help when hearing aids cannot.
  • #63 Hearing Loss: Nursing Diagnoses & Care Plans | NurseTogether
    https://www.nursetogether.com/hearing-loss-nursing-diagnosis-care-plan/
    Hearing loss is diagnosed through a physical examination, general hearing screening test, tuning fork tests, and audiometer tests. […] Nursing care for patients with hearing loss focuses more on cerumen management to reduce hearing impairment and the use of hearing aids and patient education to help prevent complications, promote recovery, and enable effective communication. […] Hearing aids are a common device used to overcome hearing loss. The nurse can assist the patient in charging, cleaning, and inserting hearing aids.
  • #64 Students with Hearing Loss or Deafness | Show Me School Health
    https://showmeschoolhealth.org/resources/students-with-hearing-loss-or-deafness/
    Individuals who have hearing loss or are deaf encompass a diverse range of people. […] The school nurse should not make assumptions and should talk with the student and their family about their needs and goals and be an advocate within the school community to ensure the students needs are being met. […] Technology such as hearing aids, cochlear or brainstem implants, and bone-anchored hearing aids can help make the most of the individuals residual hearing. […] A cochlear implant does not amplify the sound, it sends sound signals to the auditory nerve. […] The school nurse may have limited responsibility for implementing these accommodations. […] Section 300.113 of the Individuals with Disabilities Education Act and Missouri Office of Special Education Compliance Standards and Indicators requires schools to ensure that the students hearing aids and external components of surgically implanted medical devices are checked regularly to ensure they are functioning properly.
  • #65 Students with Hearing Loss or Deafness | Show Me School Health
    https://showmeschoolhealth.org/resources/students-with-hearing-loss-or-deafness/
    At a minimum, the school nurse should be aware of who is performing the device checks. […] The school should have a telecommunication device for the deaf (TDD) so the student who is deaf or HOH can communicate with their parent/guardian and if the students parents are deaf or HOH, the school can communicate with them. […] School nurses may play a role in ensuring the student has the necessary equipment at school, checking that the equipment is in working condition, and assisting with emergency preparedness. […] Many of the necessary interventions, such as recommending, fitting, and managing hearing assistance technology is outside the scope of the school nurse. […] If the student does not have access to these professionals, it may be necessary for the school nurse to advocate for these services. […] Ensure the device checks are being documented in the students health care record. […] Provide linkages to necessary health care and resources.
  • #66 Nursing School with Hearing Loss – Nurse Disabilities
    https://allnurses.com/nursing-school-hearing-loss-t705762/
    There are revolutionary changes in hearing aids and cochlear implants. I wear hearing aids for deafness in my right ear. The microphone aide in my right ear transmits to the aide in my left ear. My „good” left ear hears what my right ear is missing. […] There are stethoscopes for hearing impaired people. […] Nursing school is competitive to get into, NOT competitive once you’re in the nursing program. I hope you understand the difference? […] I have hearing loss in my right ear and I’m in nursing school, which wouldn’t have been possible for me 20 years ago when I was your age. Lucky for you, technology has come a long way and there are a number of amplifying stethoscopes you can use to help you out in your career in nursing! […] I also have a nurse friend who has hearing loss in both ears but is able to be successful in her career because she uses an electronic blood pressure cuff instead of a stethoscope.
  • #67 Nursing School with Hearing Loss – Nurse Disabilities
    https://allnurses.com/nursing-school-hearing-loss-t705762/
    One was totally deaf, with bilateral implants for both of her ears. She had a special stethoscope that she used to listen to heart and lung sounds, and take VS. […] However, I also work with a nurse who has some degree of hearing loss (but is not totally deaf to my knowledge) and he also has implants. There are no deficits as far as I can tell. He has zero issues with communication or job performance, and he often hears bed alarms go off before I do. […] I think it depends on the nurse, honestly. If you have a great attitude about it and have a few extra tools to help you along (whether that’s implants or a special stethoscope) then I think you’ll do great. Keep your sense of humor during the journey. […] While I was being precepted in an urgent care, the nurse there told me that they had an electronic stethoscope! It came in a box and you could adjust it to your needs. It was great and could be used for the hearing impaired and you could see the reading of the heart rate as well.
  • #68 Reddit – The heart of the internet
    https://www.reddit.com/r/StudentNurse/comments/cqce6x/being_a_nurse_with_a_hearing_aid/
    I’ve always been interested in nursing but have held back from pursuing it due to being a hearing air wearer. […] I know that being a nurse requires the use of a stethoscope, which I couldn’t wear, and also being able to hear things that might be going on with a patient i.e. wheezy breathing. These two things would be a challenge for me. Would these make me completely unable to be a nurse at all? […] Hearing your experiences helped me believe that I could become a nurse no matter what.
  • #69 Hearing Aids and surgery – Operating Room
    https://allnurses.com/hearing-aids-surgery-t665360/
    Do you know of anyone who works in the OR and uses a Bone Anchor Hearing Aid (BAHA for short)? I’m looking at getting one to help hear my coworkers during surgery, but I don’t know how this particular hearing aid will function when a surgical cap comes into play. If you’ve seen anyone use a hearing aid in surgery for unilateral hearing loss, please let me know what you’ve seen to be effective. […] The cap should just go right over it. The one Cochlear America’s makes clips onto a nut that is screwed into your skull… Frankenstein style. should be very secure. you can check them out here We’re here to help! Let’s get started by selecting your sound processor. ALso a surgical cap should tie around it and help secure it in place. Make sure they place the nut above the level the caps tie. I can wear a scrub cap or a baseball cap and it fits over my cochlear implant magnets and holds them securely to my head. We discussed where to place them prior to the surgery…
  • #70 Cochlear Implants vs. Hearing Aids: Which is Right for You?
    https://www.childrensent.com/blog/cochlear-implants-vs-hearing-aids-choosing-the-best-option-for-you/
    Hearing aids amplify sounds for individuals with mild to moderate hearing loss, while cochlear implants directly stimulate the auditory nerve for those with profound hearing loss. […] Cochlear implants require a surgical procedure and a longer adaptation period, whereas hearing aids are non-invasive and allow for quicker acclimatization. […] Consulting an audiologist is essential for determining the most suitable option based on the severity of hearing loss and individual lifestyle needs. […] Hearing aids function by amplifying sounds, aiding the ears residual hair cells, while cochlear implants circumvent these impaired cells and provide direct stimulation to the auditory nerve. […] While they do not return normal listening abilities back to users, hearing aids substantially enhance ones capacity to hear by helping wearers interact more effectively with their environment and discern critical sounds accurately.
  • #71 Hearing Aids vs. Cochlear Implants | Duke Health
    https://www.dukehealth.org/blog/hearing-aids-vs-cochlear-implants
    Both hearing aids and cochlear implants help people with hearing loss to communicate better. Hearing aids do not require surgery and are best suited for people with less severe hearing loss and fair speech understanding. Cochlear implants require surgery and are best suited for people with more severe hearing loss in one or both ears and poor speech understanding. […] According to Duke audiologist Erin Blackburn, a thorough evaluation will determine which option is best for you. […] Hearing aids amplify acoustic sound generally and/or by specific frequencies. A cochlear implant device allows you to hear in a different way. This is called electrical stimulation. A surgically placed implant bypasses your inner ear. It translates acoustic sound into electrical signals. It sends the signals directly to the hearing nerve and then on to the brain. […] Generally, it takes approximately two weeks or less for you to adapt to hearing aids. Generally, it takes approximately 6 to 12+ months for you to adapt to a cochlear implant. […] Low to moderate risk, because of the surgical aspect.
  • #72 Cochlear Implants vs. Hearing Aids: Which is Right for You?
    https://www.childrensent.com/blog/cochlear-implants-vs-hearing-aids-choosing-the-best-option-for-you/
    Hearing aids amplify sounds for individuals with mild to moderate hearing loss, while cochlear implants directly stimulate the auditory nerve for those with profound hearing loss. […] Cochlear implants require a surgical procedure and a longer adaptation period, whereas hearing aids are non-invasive and allow for quicker acclimatization. […] Consulting an audiologist is essential for determining the most suitable option based on the severity of hearing loss and individual lifestyle needs. […] Hearing aids function by amplifying sounds, aiding the ears residual hair cells, while cochlear implants circumvent these impaired cells and provide direct stimulation to the auditory nerve. […] While they do not return normal listening abilities back to users, hearing aids substantially enhance ones capacity to hear by helping wearers interact more effectively with their environment and discern critical sounds accurately.
  • #73 Is a cochlear implant right for you? – Mayo Clinic Health System
    https://www.mayoclinichealthsystem.org/hometown-health/speaking-of-health/beyond-hearing-aids-cochlear-implants
    Do you struggle to hear a conversation in a noisy restaurant or are told that the volume of your TV is too high? You may have some hearing loss. […] Hearing aids can increase your ease of hearing. Cochlear implants are another option for some people when hearing aids no longer work well. […] Hearing aids amplify sound and use people’s residual acoustic hearing. It makes sound waves louder as they pass through the ear into the inner ear. They are not effective for people who are unable to perceive sound waves anymore due to cochlea damage. […] A cochlear implant doesn’t make sounds louder. Instead, it bypasses the parts of the ear that aren’t working correctly, specifically the missing or damaged cochlea sensors. It uses electricity to stimulate the auditory nerve directly. […] Not every person with hearing loss can receive a cochlear implant. Good candidates are patients who are deaf, have moderate-to-profound hearing loss in both ears, or have profound and severe hearing loss in one ear.
  • #74 Hearing Aids vs. Cochlear Implants | Duke Health
    https://www.dukehealth.org/blog/hearing-aids-vs-cochlear-implants
    Both hearing aids and cochlear implants help people with hearing loss to communicate better. Hearing aids do not require surgery and are best suited for people with less severe hearing loss and fair speech understanding. Cochlear implants require surgery and are best suited for people with more severe hearing loss in one or both ears and poor speech understanding. […] According to Duke audiologist Erin Blackburn, a thorough evaluation will determine which option is best for you. […] Hearing aids amplify acoustic sound generally and/or by specific frequencies. A cochlear implant device allows you to hear in a different way. This is called electrical stimulation. A surgically placed implant bypasses your inner ear. It translates acoustic sound into electrical signals. It sends the signals directly to the hearing nerve and then on to the brain. […] Generally, it takes approximately two weeks or less for you to adapt to hearing aids. Generally, it takes approximately 6 to 12+ months for you to adapt to a cochlear implant. […] Low to moderate risk, because of the surgical aspect.
  • #75 How cochlear implants can work when hearing aids don’t help
    https://www.medstarhealth.org/blog/cochlear-implants-hearing-loss
    But the most common therapy hearing aids don’t work for everyone. Hearing aids simply make sounds louder, so if you have little to no hearing now, they might not do you much good. For these patients, cochlear (COKE-lee-ur) implants may be able to restore hearing. […] A person has to have some level of hearing for hearing aids to work. We determine this from a baseline hearing test, then we typically recommend trying hearing aids for three to six months. If they don’t give significant benefit, we consider cochlear implants. […] Unlike hearing aids, cochlear implants don’t make sounds louder. Instead, they bypass the damaged ear cells of the inner ear, sending the sound signals directly to the auditory nerve, which delivers sound signals to the brain. […] Cochlear implants can have a dramatic effect on a patient’s quality of life. One patient’s speech and understanding test showed he was at less than 15 percent hearing in one ear. Within six weeks of his cochlear implantation, he was already up to 90 percent hearing in that ear. […] We recommend seeing your audiologist once or twice a year after that for regular reprogramming. […] If you have hearing loss and hearing aids haven’t worked, don’t give up hope. We have the technology to help people hear better, and more advanced cochlear implants are coming out every year.
  • #76 Cochlear Implants vs. Hearing Aids: Which is Right for You?
    https://www.childrensent.com/blog/cochlear-implants-vs-hearing-aids-choosing-the-best-option-for-you/
    Cochlear implants provide an alternative method for enhancing hearing, particularly beneficial to those with severe hearing loss where traditional hearing aids may not suffice. […] Engaging an audiologist is crucial when deliberating between acquiring a hearing aid or implanting a cochlear device. […] The primary goal shared by these devices is augmenting audio perception capabilities aimed at elevating the quality of life among usersalbeit based on individualized conditions and requisites unique to each person seeking assistance. […] Hearing aids are suitable for individuals with mild to moderate hearing loss, while cochlear implants are typically recommended for individuals with severe to profound hearing loss. […] Cochlear implants are also a good option for individuals who have not benefited from traditional hearing aids.
  • #77 Time to Give Up on Hearing Aids? Cochlear Implant Referral Criteria
    https://hearingup.com/videos/time-to-give-up-on-hearing-aids-cochlear-implant-referral-criteria
    While many individuals with hearing loss benefit substantially from hearing aids, these devices do not universally address all types of hearing impairments. For some, particularly when there is significant damage to the inner hair cells responsible for sound clarity, hearing aids may not suffice. […] Understanding the intricate workings of the human ear is essential in evaluating whether a cochlear implant or hearing aids are the most suitable for an individual. […] The process involves reviewing a patient’s audiogram and word recognition scores. Word recognition scores specifically gauge the ability to understand speech when appropriately amplified. If these scores are low, it likely indicates a deterioration of the inner hair cells, leading us to explore the possibility of a cochlear implant. […] We use the 60/60 guideline to determine whether to refer a patient for cochlear implant evaluation. This guideline is based on research and suggests that if a patient’s better hearing ear has a pure tone average of 60 dBHL or more and a word recognition score of 60% or lower, they could be a candidate for cochlear implantation.
  • #78 Cochlear Implants vs. Hearing Aids: Which is Right for You?
    https://www.childrensent.com/blog/cochlear-implants-vs-hearing-aids-choosing-the-best-option-for-you/
    Hearing aids are non-invasive and can be worn behind the ear or in the ear canal. […] Cochlear implants, on the other hand, require a surgical procedure to implant the device. […] The extent of insurance coverage can also play a role in this decision-making process since most insurance policies tend to pay for cochlear implant procedures, while support for hearing aids can differ significantly from one plan to another. […] To aid in this adjustment period, consistent use of their speech processor and dedicated training are indispensable elements that support ones brain in learning how to comprehend and process these newly detected sounds. […] A typical span ranging from three months up to half a year may be necessary for someone using a cochlear implant to fully grasp spoken language effectively.
  • #79 Time to Give Up on Hearing Aids? Cochlear Implant Referral Criteria
    https://hearingup.com/videos/time-to-give-up-on-hearing-aids-cochlear-implant-referral-criteria
    Hearing aids may not be effective for all, especially when inner hair cell damage impairs clarity. […] We assess the necessity of cochlear implants through audiometric data and word recognition scores. The 60/60 guideline informs our referral decisions for potential cochlear implant candidates. […] However, our expertise allows us to conclude that hearing aids have significant limitations. Specifically, they are considerably less effective at compensating for inner hair cell damage, which is crucial for sound clarity. […] This limitation prompts us to evaluate whether a patient might benefit more from an alternative device, such as a bone-anchored hearing aid or a cochlear implant. […] We apply the 60/60 guideline for cochlear implant referrals. This involves checking if the better ear has a pure-tone average (PTA) of 60 dBHL or greater and a word recognition score of 60% or less; if so, referral for a cochlear implant evaluation is recommended. […] The 60/60 guideline serves us as a straightforward method for determining the need to refer for a cochlear implant evaluation. This assessment relies on a pure tone average of 60 dBHL or higher combined with a word recognition score of 60% or below in the better hearing ear.
  • #80 Time to Give Up on Hearing Aids? Cochlear Implant Referral Criteria
    https://hearingup.com/videos/time-to-give-up-on-hearing-aids-cochlear-implant-referral-criteria
    Hearing aids may not be effective for all, especially when inner hair cell damage impairs clarity. […] We assess the necessity of cochlear implants through audiometric data and word recognition scores. The 60/60 guideline informs our referral decisions for potential cochlear implant candidates. […] However, our expertise allows us to conclude that hearing aids have significant limitations. Specifically, they are considerably less effective at compensating for inner hair cell damage, which is crucial for sound clarity. […] This limitation prompts us to evaluate whether a patient might benefit more from an alternative device, such as a bone-anchored hearing aid or a cochlear implant. […] We apply the 60/60 guideline for cochlear implant referrals. This involves checking if the better ear has a pure-tone average (PTA) of 60 dBHL or greater and a word recognition score of 60% or less; if so, referral for a cochlear implant evaluation is recommended. […] The 60/60 guideline serves us as a straightforward method for determining the need to refer for a cochlear implant evaluation. This assessment relies on a pure tone average of 60 dBHL or higher combined with a word recognition score of 60% or below in the better hearing ear.
  • #81 Time to Give Up on Hearing Aids? Cochlear Implant Referral Criteria
    https://hearingup.com/videos/time-to-give-up-on-hearing-aids-cochlear-implant-referral-criteria
    If you match both criteria, you might benefit from a conversation with us about your satisfaction with your hearing aids. […] Ultimately, if hearing aids are not meeting our patients’ needs and they meet the 60/60 criteria, exploring cochlear implant evaluation might be a prudent course of action.
  • #82 Warren Center – Centers Health Care Nursing and RehabilitationWarren Center for Rehabilitation and Nursing on the Pros and Cons of Cochlear Implants – Warren Center – Centers Health Care Nursing and Rehabilitation
    https://warren-center.facilities.centershealthcare.org/warren-center-for-rehabilitation-and-nursing-on-the-pros-and-cons-of-cochlear-implants/
    Hearing loss can happen gradually or suddenly and result in not only emotional issues but physical health problems as well. […] You have of course heard of hearing aids, as they are a common and popular solution to hearing loss, but you may be less familiar with a cochlear implant. […] Warren Center for Rehabilitation and Nursing has a look at the differences between the two and the pros and cons of whether a cochlear implant might be right for a situation involving you or a loved one. […] The main difference between a hearing aid and cochlear implant is that hearing aid is used to boost sound signals, whereas a cochlear implant is used when the ear is too damaged to receive information through sound. […] Hearing aids just amplify sounds that people can hear by making them louder so they are able to actually hear them. Cochlear implants bypass the damaged inner ear and send the information directly to the brain.
  • #83 Warren Center – Centers Health Care Nursing and RehabilitationWarren Center for Rehabilitation and Nursing on the Pros and Cons of Cochlear Implants – Warren Center – Centers Health Care Nursing and Rehabilitation
    https://warren-center.facilities.centershealthcare.org/warren-center-for-rehabilitation-and-nursing-on-the-pros-and-cons-of-cochlear-implants/
    When hearing aids are no longer a viable solution, cochlear implants can restore quality of life to those with hearing loss. […] They are able to better understand conversations and avoid social-isolation issues that many who have trouble hearing deal with. […] Many people also say that cochlear implants are better than hearing aids when it comes to being in noisy environments. […] Cochlear implants are a more expensive option than hearing aids, and given that it works on interpreting sounds that your ear isn’t registering, there are no guarantees that it will improve your hearing, even though most people report some improvement. […] They cannot fully restore your hearing. […] They are also expensive and require regular maintenance, but most insurance plans cover the installation and maintenance.
  • #84 Hearing Aids: Uses & How They Work
    https://my.clevelandclinic.org/health/treatments/24756-hearing-aids
    First, a hearing care specialist will need to perform a hearing test. This test helps determine if you have hearing loss and whether you could benefit from hearing aids. […] If you’re a candidate for hearing aids, a hearing care specialist will perform a custom hearing aid fitting. They’ll help you find the right hearing aid for your needs and ensure a comfortable fit. […] People with perceived mild to moderate hearing loss may benefit from over-the-counter hearing aids. These hearing aid devices amplify sound but they’re not customizable. […] Prescription hearing aid devices are fully customizable based on your unique hearing needs. Many people with mild, moderate and severe hearing loss can benefit from prescription hearing aids. […] Wearing hearing aids offers many advantages for people with hearing loss.
  • #85 Hearing aids and implants
    https://www.nhs.uk/conditions/hearing-aids-and-implants/
    A GP can help you get hearing aids if you think you need them. […] The earlier you get them, the more you’ll get out of them so do not wait until your hearing gets really bad before seeing a GP. […] Hearing aids will not make your hearing perfect, but they make sounds louder and clearer, reducing the impact hearing loss has on your life. […] Hearing aids can help you hear everyday sounds such as the doorbell and phone, improve your ability to hear speech, make you feel more confident when talking to people and make it easier for you to follow conversations in different environments, and help you to enjoy listening to music and the TV, at a volume that’s comfortable for those around you. […] But hearing aids only help if you still have some hearing left, so do not put off getting help if your hearing is getting worse.
  • #86 Hearing aids and implants
    https://www.nhs.uk/conditions/hearing-aids-and-implants/
    A GP can help you get hearing aids if you think you need them. […] The earlier you get them, the more you’ll get out of them so do not wait until your hearing gets really bad before seeing a GP. […] Hearing aids will not make your hearing perfect, but they make sounds louder and clearer, reducing the impact hearing loss has on your life. […] Hearing aids can help you hear everyday sounds such as the doorbell and phone, improve your ability to hear speech, make you feel more confident when talking to people and make it easier for you to follow conversations in different environments, and help you to enjoy listening to music and the TV, at a volume that’s comfortable for those around you. […] But hearing aids only help if you still have some hearing left, so do not put off getting help if your hearing is getting worse.
  • #87 Warren Center – Centers Health Care Nursing and RehabilitationWarren Center for Rehabilitation and Nursing on the Pros and Cons of Cochlear Implants – Warren Center – Centers Health Care Nursing and Rehabilitation
    https://warren-center.facilities.centershealthcare.org/warren-center-for-rehabilitation-and-nursing-on-the-pros-and-cons-of-cochlear-implants/
    When hearing aids are no longer a viable solution, cochlear implants can restore quality of life to those with hearing loss. […] They are able to better understand conversations and avoid social-isolation issues that many who have trouble hearing deal with. […] Many people also say that cochlear implants are better than hearing aids when it comes to being in noisy environments. […] Cochlear implants are a more expensive option than hearing aids, and given that it works on interpreting sounds that your ear isn’t registering, there are no guarantees that it will improve your hearing, even though most people report some improvement. […] They cannot fully restore your hearing. […] They are also expensive and require regular maintenance, but most insurance plans cover the installation and maintenance.
  • #88 Hearing aids and implants
    https://www.nhs.uk/conditions/hearing-aids-and-implants/
    A GP can help you get hearing aids if you think you need them. […] The earlier you get them, the more you’ll get out of them so do not wait until your hearing gets really bad before seeing a GP. […] Hearing aids will not make your hearing perfect, but they make sounds louder and clearer, reducing the impact hearing loss has on your life. […] Hearing aids can help you hear everyday sounds such as the doorbell and phone, improve your ability to hear speech, make you feel more confident when talking to people and make it easier for you to follow conversations in different environments, and help you to enjoy listening to music and the TV, at a volume that’s comfortable for those around you. […] But hearing aids only help if you still have some hearing left, so do not put off getting help if your hearing is getting worse.
  • #89 Warren Center – Centers Health Care Nursing and RehabilitationWarren Center for Rehabilitation and Nursing on the Pros and Cons of Cochlear Implants – Warren Center – Centers Health Care Nursing and Rehabilitation
    https://warren-center.facilities.centershealthcare.org/warren-center-for-rehabilitation-and-nursing-on-the-pros-and-cons-of-cochlear-implants/
    When hearing aids are no longer a viable solution, cochlear implants can restore quality of life to those with hearing loss. […] They are able to better understand conversations and avoid social-isolation issues that many who have trouble hearing deal with. […] Many people also say that cochlear implants are better than hearing aids when it comes to being in noisy environments. […] Cochlear implants are a more expensive option than hearing aids, and given that it works on interpreting sounds that your ear isn’t registering, there are no guarantees that it will improve your hearing, even though most people report some improvement. […] They cannot fully restore your hearing. […] They are also expensive and require regular maintenance, but most insurance plans cover the installation and maintenance.
  • #90 Cochlear implants – Mayo Clinic
    https://www.mayoclinic.org/tests-procedures/cochlear-implants/about/pac-20385021
    Cochlear implants can improve hearing in people with severe hearing loss when hearing aids no longer help. Cochlear implants can help them talk and listen and improve the quality of their lives. […] Cochlear implants often are put in both ears at the same time in children who have severe hearing loss in both ears. This is most often done for infants and children who are learning to speak. […] People who have cochlear implants say the following improve: Hearing speech without cues such as lip reading. Hearing everyday sounds and knowing what they are, including sounds that are warnings of danger. Being able to listen in noisy places. Knowing where sounds are coming from. Hearing television programs and being able to talk on the telephone. […] To get a cochlear implant, you must: Have hearing loss that gets in the way of talking with others. Not get much help from hearing aids, as shown by hearing tests. Be willing to learn how to use the implant and be part of the hearing world. Accept what cochlear implants can and can’t do for hearing.
  • #91 Resources | Adult Hearing
    https://adulthearing.com/resources/
    With all of these changes has come a new recognition of the quality of life changes and cost utility made possible when the right device is matched to appropriate patients. […] Older adults benefit greatly from cochlear implants. However, widespread misunderstanding exists regarding when older adults should be referred for a cochlear implant and there is a tendency by our healthcare system to overlook hearing as a major health concern. […] Cochlear implantation involves a team of people with a range of training and skills. Teams include specially trained ear, nose and throat (ENT) physicians, audiologists, and speech language pathologists. […] Cochlear implants (CIs) are effective in improving quality of life due to improved hearing, and the wider impacts of better communication and connection with the world.
  • #92 Resources | Adult Hearing
    https://adulthearing.com/resources/
    Addressing hearing loss is associated with improvements in overall wellbeing including mental health by enabling people to communicate more easily with others. This can reduce the social isolation and quality of life problems associated with hearing loss. Addressing untreated hearing loss appears to be associated with improved cognition and a reduced risk of dementia. Further research is needed, and being carried out on the impact of cochlear implants in addressing cognitive impairment and mitigating the risk of dementia. […] Ensuring that people with hearing loss who could benefit from a CI receive one is not only beneficial for the individuals wellbeing but improves their chances of employment. It is a cost effective intervention for health systems and has the potential to save money on other health related costs.
  • #93 Hearing Aids: Uses & How They Work
    https://my.clevelandclinic.org/health/treatments/24756-hearing-aids
    First, a hearing care specialist will need to perform a hearing test. This test helps determine if you have hearing loss and whether you could benefit from hearing aids. […] If you’re a candidate for hearing aids, a hearing care specialist will perform a custom hearing aid fitting. They’ll help you find the right hearing aid for your needs and ensure a comfortable fit. […] People with perceived mild to moderate hearing loss may benefit from over-the-counter hearing aids. These hearing aid devices amplify sound but they’re not customizable. […] Prescription hearing aid devices are fully customizable based on your unique hearing needs. Many people with mild, moderate and severe hearing loss can benefit from prescription hearing aids. […] Wearing hearing aids offers many advantages for people with hearing loss.
  • #94 Cochlear implants – Mayo Clinic
    https://www.mayoclinic.org/tests-procedures/cochlear-implants/about/pac-20385021
    Cochlear implant surgery is safe. But rare risks can include: Infection of the membranes around the brain and spinal cord, called bacterial meningitis. […] Cochlear implants most often work better in people who knew how to speak and read before the hearing loss. Children born with severe hearing loss often get the best results from getting a cochlear implant at a young age. Then they can hear better while learning speech and language. […] Regular, often lifelong, follow-up visits will help you get the most from your cochlear implants. Follow-up visits include checking your hearing, programming the device and doing other testing.
  • #95 Warren Center – Centers Health Care Nursing and RehabilitationWarren Center for Rehabilitation and Nursing on the Pros and Cons of Cochlear Implants – Warren Center – Centers Health Care Nursing and Rehabilitation
    https://warren-center.facilities.centershealthcare.org/warren-center-for-rehabilitation-and-nursing-on-the-pros-and-cons-of-cochlear-implants/
    When hearing aids are no longer a viable solution, cochlear implants can restore quality of life to those with hearing loss. […] They are able to better understand conversations and avoid social-isolation issues that many who have trouble hearing deal with. […] Many people also say that cochlear implants are better than hearing aids when it comes to being in noisy environments. […] Cochlear implants are a more expensive option than hearing aids, and given that it works on interpreting sounds that your ear isn’t registering, there are no guarantees that it will improve your hearing, even though most people report some improvement. […] They cannot fully restore your hearing. […] They are also expensive and require regular maintenance, but most insurance plans cover the installation and maintenance.
  • #96 Cochlear Implant for Deafness, Hearing Loss | Froedtert & MCW
    https://www.froedtert.com/ent/ear-care/cochlear-implants
    Cochlear implants dont restore normal hearing; people with cochlear implants perceive speech and music differently than people with natural hearing. […] The decision to get (or not get) a cochlear implant is extremely personal. […] Research conducted by the experts with the Koss Cochlear Implant Program found that cochlear implants may help older adults more than hearing aids and that implanting a cochlear implant while some residual hearing remains is an effective way to maintain hearing. […] The surgeons with the Koss Cochlear Implant program use a soft surgical approach which preserves as much residual hearing as possible. […] Because the surgeons so carefully preserve the bone and structures of the inner ear, patients who undergo cochlear implantation through the Koss Cochlear Implant program may be able to someday take advantage of yet-to-be-developed techniques to further restore or improve hearing.
  • #97 Warren Center – Centers Health Care Nursing and RehabilitationWarren Center for Rehabilitation and Nursing on the Pros and Cons of Cochlear Implants – Warren Center – Centers Health Care Nursing and Rehabilitation
    https://warren-center.facilities.centershealthcare.org/warren-center-for-rehabilitation-and-nursing-on-the-pros-and-cons-of-cochlear-implants/
    Finally, they are visible medical devices that are about the size of a large hearing aid, while hearing aids these days are generally more subtle. […] Of course when it comes to improving your hearing, the benefits typically outweigh the drawbacks, but these are concerns that people have spelled out.
  • #98 Innovations in hearing aid and cochlear implant technologies, and an update on NIDCD’s September advisory council meeting | NIDCD
    https://www.nidcd.nih.gov/about/nidcd-director-message/innovations-hearing-aid-and-cochlear-implant-technologies
    Hearing loss can make it difficult to participate in daily conversations, which can lead to frustration, social isolation, depression, anxiety, and other issues that negatively impact quality of life. Assistive technologies such as hearing aids and cochlear implants can improve communication for those with hearing loss, but these devices are used by only a small percentage of those who could benefit from them. Among the reported barriers to the use of both hearing aids and cochlear implants are performance issues, including sound quality and inadequate personalization to meet a users unique needs. […] In addition, I describe research on alternatives to help restore hearing for those who cannot benefit from traditional devices. […] Hearing aids and cochlear implants work through different mechanisms, yet they share a common challenge: difficulty performing amid background noise. People with hearing aids often have trouble focusing on specific conversations in noisy rooms because the devices amplify both speech and background sounds. Cochlear implants may fail to isolate conversational speech from other noises because the implants provide an oversimplified representation of the complex signal processing that converts sound into electrical signals during natural hearing. […] NIDCD-supported research is also exploring options to restore hearing in those who cannot benefit from traditional hearing aids or cochlear implants.
  • #99 Cochlear Implant for Deafness, Hearing Loss | Froedtert & MCW
    https://www.froedtert.com/ent/ear-care/cochlear-implants
    Cochlear implants dont restore normal hearing; people with cochlear implants perceive speech and music differently than people with natural hearing. […] The decision to get (or not get) a cochlear implant is extremely personal. […] Research conducted by the experts with the Koss Cochlear Implant Program found that cochlear implants may help older adults more than hearing aids and that implanting a cochlear implant while some residual hearing remains is an effective way to maintain hearing. […] The surgeons with the Koss Cochlear Implant program use a soft surgical approach which preserves as much residual hearing as possible. […] Because the surgeons so carefully preserve the bone and structures of the inner ear, patients who undergo cochlear implantation through the Koss Cochlear Implant program may be able to someday take advantage of yet-to-be-developed techniques to further restore or improve hearing.
  • #100 Innovations in hearing aid and cochlear implant technologies, and an update on NIDCD’s September advisory council meeting | NIDCD
    https://www.nidcd.nih.gov/about/nidcd-director-message/innovations-hearing-aid-and-cochlear-implant-technologies
    Hearing loss can make it difficult to participate in daily conversations, which can lead to frustration, social isolation, depression, anxiety, and other issues that negatively impact quality of life. Assistive technologies such as hearing aids and cochlear implants can improve communication for those with hearing loss, but these devices are used by only a small percentage of those who could benefit from them. Among the reported barriers to the use of both hearing aids and cochlear implants are performance issues, including sound quality and inadequate personalization to meet a users unique needs. […] In addition, I describe research on alternatives to help restore hearing for those who cannot benefit from traditional devices. […] Hearing aids and cochlear implants work through different mechanisms, yet they share a common challenge: difficulty performing amid background noise. People with hearing aids often have trouble focusing on specific conversations in noisy rooms because the devices amplify both speech and background sounds. Cochlear implants may fail to isolate conversational speech from other noises because the implants provide an oversimplified representation of the complex signal processing that converts sound into electrical signals during natural hearing. […] NIDCD-supported research is also exploring options to restore hearing in those who cannot benefit from traditional hearing aids or cochlear implants.
  • #101 Cochlear Implant for Deafness, Hearing Loss | Froedtert & MCW
    https://www.froedtert.com/ent/ear-care/cochlear-implants
    Cochlear implants dont restore normal hearing; people with cochlear implants perceive speech and music differently than people with natural hearing. […] The decision to get (or not get) a cochlear implant is extremely personal. […] Research conducted by the experts with the Koss Cochlear Implant Program found that cochlear implants may help older adults more than hearing aids and that implanting a cochlear implant while some residual hearing remains is an effective way to maintain hearing. […] The surgeons with the Koss Cochlear Implant program use a soft surgical approach which preserves as much residual hearing as possible. […] Because the surgeons so carefully preserve the bone and structures of the inner ear, patients who undergo cochlear implantation through the Koss Cochlear Implant program may be able to someday take advantage of yet-to-be-developed techniques to further restore or improve hearing.
  • #102 Cochlear Implant for Deafness, Hearing Loss | Froedtert & MCW
    https://www.froedtert.com/ent/ear-care/cochlear-implants
    Cochlear implants dont restore normal hearing; people with cochlear implants perceive speech and music differently than people with natural hearing. […] The decision to get (or not get) a cochlear implant is extremely personal. […] Research conducted by the experts with the Koss Cochlear Implant Program found that cochlear implants may help older adults more than hearing aids and that implanting a cochlear implant while some residual hearing remains is an effective way to maintain hearing. […] The surgeons with the Koss Cochlear Implant program use a soft surgical approach which preserves as much residual hearing as possible. […] Because the surgeons so carefully preserve the bone and structures of the inner ear, patients who undergo cochlear implantation through the Koss Cochlear Implant program may be able to someday take advantage of yet-to-be-developed techniques to further restore or improve hearing.
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  • #106 Cochlear Implants | Keck Medicine of USC
    https://www.keckmedicine.org/treatments/cochlear-implants/?lang=es
    Our cochlear implant care team provides expert care and support to enhance hearing and improve your quality of life. […] Our hearing specialists provide leading-edge care to restore your ability to hear speech and other sounds. You get complete care from a team specializing in cochlear implant surgery, with personalized guidance and training to let you hear in a new way. […] You need cochlear implant surgery to place the device inside your ear. Its a very safe surgery. It doesnt require an overnight stay in the hospital, except for very young children or very old adults. […] After your ear has a few weeks to heal, youll work with an audiologist (hearing specialist) to program the device and a speech-language pathologist to learn how to interpret the sounds. Programming and learning take time, and our expert team offers personalized guidance and support every step of the way. […] Our ear, nose and throat team combines the expertise of doctors, surgeons, therapists, audiologists and other professionals to give you complete care.