cochlear Transplant cost in india

Cochlear implants Surgery | Cost | Procedures | Top Hospitals & Doctors

Cochlear Surgery Implant Cost In India

The cochlea is a snail-shaped part of the inner ear. It turns sound vibrations into electrical signals that travel along the auditory (hearing) nerve. The brain translates these signals into recognizable sounds.

A cochlear implant is a small electronic device that electrically stimulates the cochlear nerve (nerve for hearing). The implant has external and internal parts. 

  • One part of the device is surgically implanted into the bone surrounding the ear (temporal bone). It is made up of a receiver-stimulator, which accepts, decodes, and then sends an electrical signal to the brain.
  • The second part of the cochlear implant is an outside device. This is made up of a microphone/receiver, a speech processor, and an antenna. This part of the implant receives the sound, converts the sound into an electrical signal, and sends it to the inside part of the cochlear implant.

A cochlear implant is not the same thing as a hearing aid. It is implanted using surgery, and works in a different way. Hearing aids make sounds louder. Cochlear implants are different; they bypass the damaged part of the ear and stimulate the hearing nerve directly. Cochlear implants can be used in one or both ears.

As per a recent WHO report, there are at present 360 million people worldwide who have disabling hearing loss, out of which children constitute nearly 35. Nearly 63 million people suffer from severe to profound hearing disability, which puts the estimate of childhood deafness at about 22 million.

India has now crossed more than two decades since CI technology reached its shores. Today there are around 200 state-of-the-art cochlear implant centres across India, in each major city, with talented professionals and well-equipped rehabilitation units for comprehensive management of deaf individuals.

City

Cochlear Implants Surgery Cost (Ruppes)

Cochlear Implants Surgery Cost (Dollars)

Mumbai

1.3 Lakhs To 2 Lakhs

1770 $ To 2750 $

Delhi

1.1 Lakhs To 1.8 Lakhs

1500 $ To 2500 $

Bangalore

1.6 Lakhs To 2.3 Lakhs

2180 $ To 3100 $

Chennai

1.6 Lakhs To 2.3 Lakhs

2180 $ To 3100 $

Kolkata

1.1 Lakhs To 1.8 Lakhs

1500 $ To 2500 $

Pune

1.3 Lakhs To 2 Lakhs

1770 $ To 2750 $

Lucknow

1 Lakhs To 1.5 Lakhs

1360 $ To 2100 $

Ahmedabad

1.3 Lakhs To 2.5 Lakhs

1770 $ To 2750 $

Surat

1.3 Lakhs To 2.2 Lakhs

1770 $ To 3000 $

WORKING OF THE IMPLANT

Cochlear implants are designed for people with severe-to-profound sensorineural hearing loss. With this type of hearing loss, the hair cells in the inner ear are damaged, and can’t detect sounds properly. A cochlear implant bypasses these damaged hair cells and sends electric signals to the brain, where they are interpreted as sound.

WHO CAN GET AN IMPLANT?

Cochlear implants allow deaf people to receive and process sounds and speech. However, these devices do not restore normal hearing. They are tools that allow sound and speech to be processed and sent to the brain.

A cochlear implant is not right for everyone. The way a person is selected for cochlear implants is changing as the understanding of the brain’s hearing (auditory) pathways improves and the technology changes.

Children and adults who are deaf or severely hard-of-hearing can be fitted for cochlear implants. People who are candidates for this device may have been born deaf or become deaf after learning to speak. Children as young as 1 year old are now candidates for this surgery. Although criteria are slightly different for adults and children, they are based on similar guidelines:

  • The person should be completely or almost completely deaf in both ears, and get almost no improvement with hearing aids. Anyone who can hear well enough with hearing aids is not a good candidate for cochlear implants.
  • The person needs to be highly motivated. After the cochlear implant is placed, they must learn how to properly use the device.
  • The person needs to have reasonable expectations for what will occur after surgery. The device does not restore or create “normal” hearing.
  • Children need to be enrolled in programs that help them learn how to process sound.
  • In order to determine if a person is a candidate for a cochlear implant, the person must be examined by an ear, nose, and throat (ENT) doctor (otolaryngologist). People will also need specific types of hearing tests performed with their hearing aids on.
  • This may include a CT scan or MRI scan of the brain and the middle and inner ear.
  • People (especially children) may need to be assessed by a psychologist to determine if they are good candidates.

BENEFITS OF COCHLEAR IMPLANTS

In general, the improvement in auditory perception following cochlear implantation varies widely from user to user and can range from speech perception to music enjoyment. Nearly all users have some perception of sound; most adults and children can expect open-set speech understanding; and some are able to discriminate pitch and loudness, use the telephone, and enjoy music. Many recipients report that their lives are enriched following implant surgery. The ability to hear raises self-confidence and improves relationships with family, friends, and co-workers, and offers expanded job and social opportunities. 

Hearing improvement: Cochlear implants can improve hearing and speech perception for your child. People with cochlear implants may still use lip reading and sign language to enhance speech perception and communication.

Speech Development: Cochlear implants help improve the clarity of the child’s speech and future development of listening and spoken language skills. Parents can take several steps to maximize outcomes for children with cochlear implants.

Future learning and career opportunities: Children with cochlear implants can hear better in the classroom, usually with the help of assistive technology. CI’s may also benefit children as they age and open doors to new career opportunities.

Safety: One of the most notable benefits of a cochlear implant is the ability to hear potential dangers or alerts such as sirens and other important sounds.

BEFORE THE IMPLANT

Use of a cochlear implant requires both a surgical procedure and significant therapy to learn or relearn the sense of hearing. Not everyone performs at the same level with this device. The decision to receive an implant should involve discussions with medical specialists, including an experienced cochlear-implant surgeon. The process can be expensive. For example, a person’s health insurance may cover the expense, but not always. Some individuals may choose not to have a cochlear implant for a variety of personal reasons. Surgical implantations are almost always safe, although complications are a risk factor, just as with any kind of surgery. An additional consideration is learning to interpret the sounds created by an implant. This process takes time and practice. Speech-language pathologists and audiologists are frequently involved in this learning process. Prior to implantation, all of these factors need to be considered.

SURGICAL INTERVENTION

 Surgery is required to insert the internal part of the implant system. Like all surgery, insertion of a cochlear implant carries risks, mainly connected to the anaesthetic. However, cochlear implantation is a safe and proven procedure, normally lasting around 2 hours. After general or local anaesthetic, the surgeon makes an incision behind the ear and inserts the cochlear implant under the skin. Depending on the type of implant, different surgical techniques fix the implant’s receiver. An opening is made in the cochlea to carefully insert the electrode array. The surgeon checks the proper functioning of the implant before closing the incision and completing the operation.

RISKS AFTER COCHLEAR IMPLANTS

Predicted Outcomes

Cochlear implant surgery is generally safe. Risks of cochlear implantation can include:

  • Loss of residual hearing: Implantation of the device can cause a loss of any remaining, unclear, natural hearing in the implanted ear in some people.
  • Inflammation of the membranes surrounding the brain and spinal cord (meningitis) after cochlear implant surgery: Vaccinations to reduce the risk of meningitis are generally given to adults and children before implantation.
  • Failure of device: Surgery may sometimes be needed to repair or replace a faulty internal device.

Complications are rare and can include:

  • Bleeding
  • Facial paralysis
  • Infection at the surgery site
  • Device infection
  • Balance problems
  • Dizziness
  • Taste disturbance
  • New or worsened ear noise (tinnitus)
  • Spinal fluid leak

Post-Operative Restrictions

  • No heavy lifting or straining for at least 10 days (greater than 10 lbs).
  • Avoid sneezing or coughing, but do so with the mouth open if necessary.
  • If narcotic medication is prescribed, a stool softener should be used.
  • Remove the dressing on the first postoperative day.
  • Antibiotics are given for 5 days.
  • Some dizziness may be expected after surgery.

Without the external transmitter part of the implant a patient cannot hear. The clinic will give the patient the external components about a month after the implant surgery in the first programming session.

HEARING POST-IMPLANT

  • While implantees may recognise some sounds when their speech processor is first turned on, others will become clearer over time and with practice. It is natural to expect to immediately enjoy the new sounds and understand conversation with an implant. However, for many people the initial sound is confusing and even irritating. Gradually the sound begins to make sense. The longer an implantee has been deaf the longer this will take. Like the muscles of a broken limb immobilised in a cast, the hearing nerves don’t work as well due to lack of use. It takes time and practice to strengthen these nerve pathways. Recipients who lost their hearing later in life will have more memories and neural connections for sound in the brain. After they receive a cochlear implant, these memories can support them as they re-learn to hear with a cochlear implant.

    For people who have been deaf for a long time or children who have been born deaf, there is little, if any hearing memory. The new sounds are meaningless until this hearing memory is built up. Perhaps it is like being in a room full of people speaking a foreign language – it takes time to sort through the noise, attach meaning to the sounds and make sense of what is heard.

REHABILITATION AFTER COCHLEAR IMPLANT

Rehabilitation involves training your brain to understand sounds heard through the cochlear implant. Speech and everyday environmental noises will sound different from what you remember.

Your brain needs time to recognize what these sounds mean. This process is ongoing and is best achieved by wearing the speech processor continuously during waking hours.

Getting a cochlear implant is a lifetime commitment. After surgery, it is necessary to return to the center for a follow-up services, including the fitting of the external components of the implant; activating and programming of the implant and its microphone, speech processor and transmitter; necessary adjustments and reprogramming, and annual check-ups. Children who are implanted often require years of extensive aural rehabilitation whereas adults who have been implanted due to acquired deafness usually do not need formal aural rehabilitation.

Your surgeon will require a recovery period before your system is activated—three to four weeks for cochlear implants. You may want to take time off from work or activities for up to a week following the surgery to allow yourself time to adapt and the incision site to heal but many people are back to their normal routines within a few days.

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