Cochlear Implants

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Procedure Description

A cochlear implant is a sophisticated medical device designed to provide individuals with severe hearing loss or deafness a sense of sound. Unlike hearing aids, which amplify sounds, cochlear implants bypass the damaged parts of the ear and directly stimulate the auditory nerve, sending signals to the brain where they are interpreted as sound. This makes it an ideal solution for those who cannot benefit from traditional hearing aids.

The cochlear implant consists of two main parts: an internal component surgically placed under the skin behind the ear and an external component that sits behind the ear like a hearing aid. The internal part, called the receiver-stimulator, is connected to electrodes that are threaded into the cochlea, a part of the inner ear. The external part contains a microphone to capture sounds and a speech processor that translates the sounds into digital signals.

This procedure is highly specialized and requires a multidisciplinary approach, including an ear, nose, and throat (ENT) specialist, audiologists, and speech therapists. Cochlear implants are most commonly recommended for individuals with severe to profound sensorineural hearing loss, where damage to the cochlea prevents natural sound processing. It can significantly improve quality of life by restoring auditory function and improving communication, particularly in children with congenital hearing loss or adults who have lost hearing later in life.

Procedure Duration

The cochlear implant procedure is typically performed under general anesthesia and lasts between 2 to 4 hours, depending on the complexity of the case and the patient’s anatomy. The surgery itself involves making a small incision behind the ear to implant the internal components. Surgeons then create a small hole in the cochlea to insert the electrodes. Once implanted, the internal receiver-stimulator is secured, and the incision is closed.

Post-surgery, patients usually remain in the hospital for a short recovery period of one to two days. The external device, which includes the microphone and speech processor, is not activated immediately after surgery. There is usually a 2- to 4-week waiting period to allow the surgical site to heal before the external component is fitted and activated.

Recovery after the procedure is relatively quick, though patients should expect some minor discomfort around the incision site. After the initial activation, a series of follow-up appointments with audiologists are necessary to fine-tune the device. Speech therapy is also a critical part of the rehabilitation process, especially for patients who are receiving the implant later in life and may need to relearn how to interpret sounds.

Benefits

  • Improved Hearing Ability: Cochlear implants can provide a greater range of sound perception compared to traditional hearing aids.
  • Enhanced Communication Skills: By restoring access to sound, patients often experience significant improvement in verbal communication.
  • Supports Cognitive Health: Restoring auditory input helps maintain cognitive function, particularly in older adults.
  • Improves Quality of Life: Many recipients report increased independence and improved social interactions.
  • Accessibility for Children: Cochlear implants are especially beneficial for children born with profound hearing loss, allowing for near-normal speech and language development.

Potential Destinations

  • Thailand
    Thailand is known for its state-of-the-art medical facilities and affordable healthcare costs. Its ENT specialists are highly trained, and the country’s hospitals are equipped with advanced technology for cochlear implant procedures. Bangkok and Phuket are key hubs for medical tourists seeking this surgery.
  • India
    India is a leading destination for medical tourists seeking cost-effective, high-quality care. Its top-tier hospitals, particularly in cities like Mumbai and Chennai, are renowned for their expertise in cochlear implantation, with many surgeons trained internationally. Additionally, India offers competitive pricing without compromising on the quality of service.
  • Turkey
    Turkey’s healthcare system is well-regarded for its advanced surgical capabilities, and it is increasingly becoming a popular destination for cochlear implant surgeries. Istanbul and Ankara offer world-class medical facilities, multilingual medical staff, and a growing reputation for excellence in ENT procedures.
  • Mexico
    For North American patients, Mexico is a convenient and affordable option. Cities such as Mexico City and Monterrey have hospitals that specialize in advanced ENT procedures, including cochlear implants. Mexico is particularly appealing due to its proximity to the United States and shorter travel times.
  • South Korea
    South Korea is globally recognized for its cutting-edge technology in medical procedures. The country boasts top-notch hospitals and surgeons skilled in cochlear implant surgeries. Seoul, in particular, is a hub for medical tourism, with many international patients seeking advanced treatments.

Risks & Considerations

  • Surgical Risks: As with any surgery, there is a risk of infection, bleeding, or complications related to anesthesia. However, these risks are generally low when performed by an experienced surgeon.
  • Device Failure: Though rare, there is a possibility that the implant may malfunction or fail, requiring additional surgery to correct or replace the device.
  • Tinnitus: Some patients may experience increased tinnitus (ringing in the ears) after the procedure, which may or may not improve with time.
  • Balance Issues: Because the cochlea is part of the inner ear, some patients may experience temporary dizziness or balance problems following the surgery.
  • Adaptation Period: Cochlear implants do not immediately provide perfect hearing. Patients will need time, rehabilitation, and possibly speech therapy to adjust to the new auditory signals.

How to Choose the Right Doctor and Hospital

When selecting a provider for cochlear implant surgery, it’s essential to choose a surgeon and hospital that specialize in ENT procedures with a proven track record in cochlear implantation. Start by researching surgeons with specialized training in otolaryngology (ENT) and neurotology, as these fields are critical for a successful cochlear implant surgery. Ensure the surgeon has significant experience in performing cochlear implants, ideally supported by patient testimonials or case studies.

Similarly, the hospital should be equipped with the latest technology in auditory care and rehabilitation. Look for facilities that offer comprehensive post-operative care, including speech therapy and device management, which are integral to a successful outcome. Ensure that the hospital is accredited by recognized international bodies to confirm its adherence to global healthcare standards.

To receive a free quote for this procedure please click on the link: https://www.medicaltourism.com/get-a-quote

Patients are advised to seek hospitals that are accredited by Global Healthcare and only work with medical tourism facilitators who are certified by Global Healthcare Accreditation or who have undergone certification from the Certified Medical Travel Professionals (CMTP). This ensures that the highest standards in the industry are met. GHA accredits the top hospitals in the world. These are the best hospitals in the world for quality and providing the best patient experience. Click the link to check out hospitals accredited by the Global Healthcare Accreditation: https://www.globalhealthcareaccreditation.com

Frequently Asked Questions

What actually happens during hyperstimulation of the ovaries?

The patient will take injectable FSH (follicle stimulating hormone) for eight to eleven days, depending on how long the follicles take to mature. This hormone is produced naturally in a woman’s body causing one egg to develop per cycle. Taking the injectable FSH causes several follicles to develop at once, at approximately the same rate. The development is monitored with vaginal ultrasounds and following the patient’s levels of estradiol and progesterone. FSH brand names include Repronex, Follistim, Menopur, Gonal-F and Bravelle. The patient injects herself daily.

What happens during egg retrieval?

When the follicles have developed enough to be harvested, the patient attends an appointment  where she is anesthetized and prepared for the procedure. Next, the doctor uses an ultrasound probe to guide a needle through the vaginal wall and into the follicle of the ovary. The thin needle draws the follicle fluid, which is then examined by an embryologist to find the eggs. The whole process takes about 20 minutes.

What happens to the eggs?

In the next step, the harvested eggs are then fertilized. If the sperm from the potential father, or in some cases, anonymous donor, has normal functionality, the eggs and sperm are placed together in a dish with a nutrient fluid, then incubated overnight to fertilize normally. If the sperm functionality is suboptimal, an embryologist uses Intracytoplasmic Sperm Injection to inject a single sperm into a single egg with an extremely precise glass needle.  Once fertilization is complete, the embryos are assessed and prepared to be transferred to the patient’s uterus.

How are the embryos transferred back to the uterus?

The doctor and the patient will discuss the number of embryos to be transferred. The number of successfully fertilized eggs usually determines the number of eggs to be placed in the uterus. Embryos are transferred to the uterus with transabdominal ultrasound guidance. This process does not require anesthesia, but it can cause minor cervical or uterine discomfort. Following transfer, the patient is advised to take at least one days bed rest and two or three additional days of rest, then 10 to 12 days later, two pregnancy tests are scheduled to confirm success. Once two positive tests are completed, an obstetrical ultrasound is ordered to show the sac, fetal pole, yolk sac and fetal heart rate.

Embryoscope©

Built into this technology there is a microscope with a powerful camera that allows the uninterrupted monitoring of the embryo during its first hours of life. In this way, we can keep a close eye on the embryo, from the moment when the oocyte is inseminated and begins to divide into smaller and smaller cells, until it can be transferred to the uterus.

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Stem cell therapy and PRP therapy have been shown to be most effective for: Those in the early stages of hair loss, patients who are not viable candidates for surgery and women who prefer to avoid hair surgery.

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