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

 

 

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WHAT HAPPENS AFTER COCHLEAR IMPLANT SURGERY?

HEAR ME SPEAK presents it’s fourth blab discussion on “What happens after cochlear implant surgery?”

Speech is the birthright of every child. It is the hearing impaired child’s one fair chance to keep in touch with his fellows. Cochlear implant provides hearing to our children so that their brain can be trained to listen and develop speech. Cochlear implant is the miracle of the 21st century to mankind. Listening starts after the two to three weeks of surgery i.e.  with the switch on of the cochlear implant. Adequate listening through cochlear implant depends on MAPPING. Moreover, the implant is the life partner for the cochlear implant recipients. They should know how to troubleshoot their cochlear implant system and how to take best care of the device.

This discussion with Dr Ruchika Sawhney Mittal, talks about what is switch on , how frequently the mapping is required and how to take care of your Cochlear Implant.

To Join HearMespeak click on, https://www.facebook.com/groups/hearmespeak.in/


Acknowledgements

Illustration by Melissa Bailey.

Information Sources –

Audiologist  – Dr. Ruchika, ruchikamittal07@gmail.com

LSLS Cert.AVT-  Ritu Nakra, ritunkara@rediffmail.com

Blab Session Conducted By –

Chetana Misra, Founder, MompreneursIndia