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What to Expect Before, During, and After Cochlear Implant Surgery

Updated: Mar 17, 2023




Cochlear implant surgery can be a life-changing experience for those with severe hearing loss. As an ENT surgeon with a specialization in cochlear implants, I understand the importance of providing patients with all the information they need to feel comfortable and confident going into surgery. In this article, I'll be discussing what to expect before, during, and after cochlear implant surgery.


Before Surgery:


Before surgery, patients will go through a series of evaluations and tests to determine if they are a good candidate for a cochlear implant. These tests may include a hearing test, imaging tests such as a CT scan or MRI, and a medical history evaluation. It's important to be honest with your doctor about any medical conditions or medications you are taking, as this information can affect your candidacy for the surgery.


During Surgery:


Cochlear implant surgery is typically done under general anesthesia and takes about two to three hours. During the surgery, a small incision is made behind the ear and a small hole is drilled into the skull to create a pathway to the cochlea. A small electrode array is then placed into the cochlea and connected to a receiver-stimulator that is placed under the skin behind the ear. The incision is then closed with stitches or surgical glue.


After Surgery:


Following surgery, patients will typically stay in the hospital overnight for observation. It's normal to experience some pain, swelling, and tenderness around the incision site, but this can be managed with pain medication. A follow-up appointment will be scheduled to check the incision site and activate the device. Patients will then begin a rehabilitation program to learn how to use and adjust to the new sounds they are hearing.


It's important to note that the success of the cochlear implant surgery is not solely dependent on the surgery itself, but also on the patient's commitment to rehabilitation and auditory training. It's important to follow the rehabilitation program closely and attend all follow-up appointments with your doctor.


In conclusion, cochlear implant surgery can be a life-changing experience for those with severe hearing loss. By understanding what to expect before, during, and after surgery, patients can feel more confident and prepared for the procedure. If you are considering cochlear implant surgery, I encourage you to talk to your doctor and ask any questions you may have.

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