IMPLANT INFORMATION about Ear Implants

  What … for? (Indications)
Ear implants help, when there is no understanding with speech using hearing aids. They are placed after middle ear operation or malformation. Ear implants help at single-sided deafness.
ear cochlear-implant- S NIH NIDCD
Numbers
Global: 219.000, USA 70.000 patients with cochlear implants. (ASHA). 1-3 newborns per 1.000 have a hearing loss that can be treated only with cochlear implants.

The ear implants consist of an external portion that sits behind the ear and a second portion that is surgically placed under the skin.

Times
Swelling around the wound for about 2-3 days.
ear cochlea implant outer brown edu
Contraindications behavioral People who have been deaf for a short period of time do better with cochlear implants than people who have been deaf for long periods of time
   
medical Minimum age is 18 years. There are special implants for 12-24 month old children. Middle ear infection. Perforation of the membrane tympanique due to an infection. Aplasia of the cochlea.
 
Risks during surgery Nerv injury may lead to change of taste, rarely permanent.

Injury to the facial nerv (temporary or permament weakening or full paralysis on the same side of the face occurs in <1 in 1000 cases.

Leakage of brain fluid (~1%).

2-3% of patients will require their implant removed due to device malfunction or infection.

General anesthesia necessary – relating risks.

   
short term Skin wound infection, cerebrospinal fluid leakage, numbness around the operation area,
 
long term Exposed implant, Meningitis (biofilm after microorganisms colonize boundary surfaces), perilymph fluid leak, chronic localized inflammation, reparative granuloma, tinnitus, vertigo or dizziness. Few reports on allergic reactions to silicone.
 
restrictions MRI scan not possible. Risk with ionic radiation therapy, electroconvulsive therapy, electrical surgery, and neuro-stimulation.
 
  Possible interaction with theft detection systems, metal detectors or other security systems.

Possible affection by cell phones or radio transmitters.

Possible Interaction in unpredictable ways with computer systems.

CI-patients have to be careful of static electricity, something that can damage their implant.

Skin irritation (rubbing of the external part).

Strange sounds may be heard.

Different hearing outcomes: A person might not hear as well as other people who experience successful outcomes with their implants.

Potential loss of residual hearing: Cochlear implants might destroy any remaining hearing in the ear that has the implant.

Failures Implant failures may happen and the person would have to undergo additional surgery
 
Material External part Microphone, sound processor, and transmitter system. They receive the sound, process it and send it to the internal part. This advice is necessary for the different types of ear implants.
   
Cochlear Internal part Implanted receiver and electrode system; something that contains electronic circuits that receive signals from the external system, and send electrical currents to the person’s inner ear. They activate the person’s nerve, sending a signal to their brain. The person’s brain learns to recognize the signal and the person experiences the signal as, ‘hearing.’
Implant  
   
  Inner parts differentiating Transmitter Coil in a silicone sheath
  Cochlea Implant Electronics Enclosed in a titanium casing
  Electrode Platinum contacts in a silicone array
  Cable Silicone, teflon
  Cochleostomy site
Electroacustic Stimulation A cochlear implant combined with a hearing aid. For people to restore their hearing in the high frequencies, and acoustic amplification for the low frequencies
Middle Ear Implant Vibrant soundbridge Mechanical vibrations transmit the signals to the middle ear. No cables to the inner ear necessary
Bone
Conduction Implant
Bonebridge Implant Mechanical vibrations in the temporal bone transmit the signals to the inner ear. No cables to the inner ear necessary
   
Statistics USA: 36 million have hearing loss (one in every ten). Sudden sensoneural hearing loss 5-20 people per 100.000 persons
16% of Europeans require treatment. 50% over 65 have hearing loss. (MHH)
 
Literature – Basic Advanced Bionics

Cochlear

Medel

 
– Problems Wilson-Clark S: Bacterial Meningitis among cochlear implant recipients – Canada 2002
 
– Science/Future Stöver T, Lenz T: Biomaterials in cochlear implants       (also for basics on material)
Medical societies see here
Criticism n/a
Selected Informations –   Cochlear Implants: Facts, Benefits & Risks (2012)

–   The Ear Foundation info leaflet

–   Cochlear Implants – Facts

–   Cochlear Implants FDA  

–   MHH-Klausurtagung Forschung 7.-9.02.2013

–   Cochlea-Implantat oder Hörgerät

–   USCF Cochlear Implant Center – Surgery and Healing

–   How the bone bridge, the active bone conduction implant works

 
Register for patients Cochlear® Register (only US residents)     Register my cochlear implant
News Amplify Sounds Using iPhone with SoundAMP Hearing Assistant App – Ian Langtree – (2011-03-07)
Disclaimer

 

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