Hearing/Cochlear Implant Program

A cochlear implant is an FDA-approved device that helps users process speech and sound. It consists of two parts: an internal, surgically implanted component and an external component that sits behind the ear.

• External component: includes a speech processor and microphone that collects sound input and delivers it to the internal component
• Internal component: receives sound input and translates it into electrical energy that stimulates the auditory nerve

The auditory nerve sends the signals that it receives from the cochlear implant to the brain, which recognizes them as sound. Unlike hearing aids, cochlear implants not only magnify sound, they improve the understanding of speech by stimulating the auditory nerve directly.

There are three cochlear implant manufacturers in the United States:

• Advanced Bionics
• Cochlear
• MED-EL

It’s necessary to undergo comprehensive diagnostic testing in order to receive a cochlear implant. The process begins with a hearing test and evaluation by a neuro-otologist (a medical ear specialist and surgeon). If the hearing test shows a significant hearing loss, and the team determines that a patient would not benefit from traditional hearing aids, then more sophisticated tests and imaging of the inner ear will likely be recommended. Following this second stage of testing, you would follow up with our team of audiologists and the neuro-otologist to discuss your results.

Ultimately, the decision to receive a cochlear implant is a personal choice, and our tests are meant to complement each patient’s personal preference for hearing improvement. We understand that the decision-making process can be complex, and we encourage you to ask questions and tell us about personal factors that may help us guide you through the process.

Things to know:

• There is no age limit for cochlear implants.
• Even with some remaining hearing, cochlear implant may be an option.
• The implant contains a magnet, so patients must consider this in regards to MRI testing. Implant options exist to make MRI possible.
• It’s normal for the evaluation process to take time and require multiple visits because our team aims to be thorough in offering the best care for each patient.

Cochlear implant surgery is an outpatient procedure, meaning you’ll be able to go home the same day. You will not regain hearing immediately after the procedure, however.

You’ll spend approximately four weeks recovering from surgery prior to the activation and rehabilitation process. At that time, the speech processor in the external component will be programmed and the device will be activated. Our team of audiologists will then work with you to “train” your ear and brain to hear again.

It’s important to keep in mind that the sound you’ll experience initially with a cochlear implant will differ from what you’d naturally hear. Don’t be discouraged by this—as time goes on, you’ll be able to integrate this new form of hearing into your understanding of language. Many patients experience significant improvement within three months of cochlear implant use.

For most people with hearing loss, a cochlear implant is a life-changing experience that allows them to reacquaint with family and friends in a hearing, social world.

You will need to integrate some maintenance for the device into your life, and the audiologist will review at-home usage and rehabilitation with you. Our team is always available to answer any questions you have about your device.