A thumbnail summary of an interactive colloquy session with the renowned and professed ENT specialist and Cochlear Implant Surgeon Dr. Shomeshwar Singh :

1          WHEN TO CONTACT YOUR CI SURGEON?

If there are any signs of inflammation at the implant site i.e. Redness, Swelling, and Pain. In general falls or bumps won’t affect either the external processor or internal implants. Rush to the doctor if there is any bruising or bleeding.

2          WHICH SPORTS TO AVOID?

As general advisory only contact sports with direct impact on implant sites and implants are restricted like Boxing, Wrestling, Kabaddi. Other games like football, basketball, cricket can be played with necessary preventive measures and the adjunct help of advanced accessories.

3          HOW TO TACKLE SWEAT RELATED IRRITATIONS?

Normal powders can be applied for the same after taking out the processors at night time. In general ointments or medicines can be applied on the implant site too if required if there are no signs of cuts or bruise.

4          IN SITUATIONS OF COMMON COLD AND COUGH?

Not only in cochlear implant recipients but in persons with typical hearing too, there is a dip in hearing due to cold, cough and related congestion. Parents of implant recipients need to take aggressive preventive and curative measures though and especially look for any fluid collection or infection. There is no need to panic just being vigilant is the key.

5          IN CASE THE CHILD NEEDS MRI?

All the Implant companies have stipulated well-versed document on MRI- do’s and don’ts and is provided to implant centres clinics and surgeons. MRI, if required, one needs to take a written or printed advisory from concerned surgeon or audiologist and the radiologist can decide accordingly, how to proceed the scan procedure.

6          WHAT IF THE INTERNAL IMPLANT FAILS?

If there is an internal implant failure then a revision surgery is required with ex-plantation and reimplantation of a new Cochlear Implant. As these are happening on the inner ear level it won’t affect the therapy or speech and language development as it occurs on the CNS(Central Nervous System ) level and the brain is already trained. Though any new step has its own start and will take some time to adjust and adapt to normalcy.

7          WHEN AND HOW TO DECIDE FOR UPGRADES?

It is a point to ponder upon as there are many decisive factors like age of the implantee(both chronological and hearing), the requirement of advanced technology and the new features, availability of ongoing processors and accessories on the shelf. Though it’s always good to go hand in hand with the technology but don’t be swayed away by marketing gimmicks.

8          WHAT IS THE RELIABILITY RATE OF A COCHLEAR IMPLANT DEVICE?

Every Implant company have published their own reliability report and is easily available. Nowadays with advanced and enhanced medical technology implants are expected to have a very high-reliability rate over a longer span of time.

 

The recipients and caregivers need to have a confidence in technology with the acceptance of err making human made technology. Problems do come but there are measures to tackle with. Be Argus eyed and patient.

Have A Happy Hearing!

ACKNOWLEDGEMENT:

Host of the event: Chetana Misra

Session compiled by Nayela Ahmed

Course Coordinator: Ritu Nakra

 

 

Advertisements

PRECAUTIONS TO TAKE TO ENJOY SAFE HOLI

Ananya Anand

 HOLI HAII!!!! 


New technology and few precautions can help Cochlear Implant recipients to enjoy holi with fun.

Bright colors, water balloons, lavish gujiyas and melodious songs’ are the ingredients of perfect Holi. Wishing you and your family a very happy and wonderful Holi.

In this blog we discuss few tips and suggestions to make the holi for our cochlear implant recipients more safe and joyous

  1. Use “AQUA ACCESSORY” – With the new technology called “AQUA ACCESSORY” the cochlear implant recipients can enjoy the festival of colours and water. The accessory is available with different names in  all the three cochlear implnt companies  – Cochlea Nucleus, Advance Bionics, Medel. For more information on the accessories contact us or the company representtives. *It can not be used with old generations speech processors though.*
  2. Do not hit each other as  a blow to the head in the area of the cochlear implant could damage the implant and result in its failure.
  3. Do not let anyone apply continued pressure to the coil  as this may result in pressure sores.
  4. Before engaging in activities that create extreme electrostatic discharge, such as playing on plastic slides, remove your processor. In rare cases, a discharge of static electricity can damage the electrical components of the cochlear implant system or corrupt the program in the processor. If static electricity is present (for example when removing or putting on clothes over your head, or getting out of a vehicle), before the cochlear implant system contacts any object or person you should touch something conductive such as a metal door handle.

Content Contributor

Dr. Ruchika Mittal

Ph.D (Delhi University), MASLP (PGIMER, Chandigarh), BASLP (AIIMS, New Delhi)

Audiologist & Speech Language Pathologist

Consultant Audiologist & Speech Pathologist

Mittal Clinic – Advanced Center for  Heart & Speech & Hearing Disorders

Senior Audiologist & Speech Pathologist

Army Hospital (Research & Referral), Delhi Cantt 110010

Mittal Clinic, M 38 B First Floor,  Rajouri garden,  New Delhi 110027