I have severe hearing loss in both ears. Do I need bilateral cochlear implants?

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A cochlear implant is essentially a special electronic device that converts sound and electricity. It converts acoustic signals in the environment into electrical signals and transmits the electrical signals to the cochlea, thereby directly stimulating the auditory nerve to produce hearing.


I have severe hearing loss in both ears. Do I need bilateral cochlear implants?

It depends on the hearing condition. It is best to have a hearing report and other medical examinations to assist in the judgment. It is recommended that you first go to a professional hearing aid fitting center for a trial hearing and experience. If the hearing aid compensation effect is not good, you can also have cochlear implants in both ears. If the hearing aid compensation effect can meet the requirements of rehabilitation, cochlear implantation is not recommended.


Currently, cochlear implants are mainly suitable for patients with severe or extremely severe sensorineural deafness in both ears, that is, the lesion causing deafness is located in the cochlea. or the synaptic part of the cochlear nerve (lesions where the real lesion is located in the cochlear nerve or posterior nerve pathway may be less effective or ineffective). However, if the hearing level is sufficient, whether a person is suitable for cochlear implantation depends on whether there are any contraindications that prevent or are not suitable for it. Therefore, in addition to hearing examination, imaging examination, family situation, and intelligence and mental evaluation are also required.

Generally speaking, hearing-impaired children with prelingual hearing loss, that is, hearing-impaired children who cannot yet speak, need to meet the following conditions:

1 Severe or extremely severe hearing loss in both ears Sone nerve hearing loss;
2 The optimal age for cochlear implantation is 1-5 years old;
3 Wearing a suitable hearing aid, there is no significant improvement in auditory and speech ability after 3-6 months of hearing rehabilitation training ;
4 Families and implant recipients have a correct understanding and appropriate expectations for cochlear implant surgery;
5 After cochlear implant surgery, there are conditions for hearing and speech rehabilitation education.
6 There are no contraindications to surgery.

For children with postlingual hearing loss, that is, children with hearing loss who already have a language foundation, they need to meet the following standards:
1 Severe or extremely severe sensory perception in both ears Neurogenic hearing loss;
2 Wearing Hearing Aids has no or very poor effect;
3 Have a correct understanding and appropriate expectations for cochlear implant surgery;
4 Families’ expressions of hearing-impaired children’s implantation support.

Generally speaking, the cost of cochlear implant surgery is about 20,000 yuan, the price of domestic cochlear implants is 60,000-100,000 yuan, and the price of imported cochlear implants ranges from 100,000 to 300,000 yuan. With the development of cochlear implant technology and the increase in deafness patients, the government has introduced relevant subsidy policies. Policies vary in different regions, but most policies only support unilateral cochlear implantation.

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