If you’re looking for cochlear implant surgery for your child, you have to go through the following procedures and terms.
A cochlear implant is a small, electronic device that can provide a sense of sound to a person who is profoundly or severely deaf. The implant consists of an external portion, a processor that easily sticks behind the ear, and a second part that is surgically placed under the skin connected to the inner ear.
Cochlear implants bypass the damaged part of the ear and stimulate the hearing nerve directly. Cochlear implants enhance the clarity of sounds and improve your child’s listening ability to understand speech. It may also help you to regain confidence in social situations, make friends and family, and live a fuller life.
In a recent study, people with cochlear implants could understand sentences eight-ten times better than they could previously.
Selection of the right place for surgery and speech therapy:
In India, the172 hospitals are approved by the government for cochlear implant surgeries. Please see the below link. http://adipcochlearimplant.in/ADIP_PDF/list_of_hospitals_17072019.pdf
What are the tests needed to know the exact hearing loss and severity?
The following tests are prescribed by ENT or Pediatric doctors for diagnosis of hearing loss. For these tests, the ENT doctor sends the child to the Audiologist.
BERA (Brainstem Evoked Response Audiometry)
ABR (Audiometry Brainstem Response)
ASSR (Auditory Steady-State Response)
OAE (Oto-Acoustic Emission)
MRI (Magnetic resonance imaging)
Temporal lobe CT (computerized tomography) scan
In case of severe and profound hearing loss, ENT doctors mainly suggest cochlear implants. After the decision to the cochlear implant, ENT generally sends the child for speech therapy, hearing aids trial, and also for psychological evaluation. Vaccination is preferred to do before surgery, to prevent future Meningococcal infections. (Menactra Injection from Sanofi and Prevenar 13 Injection from Pfizer are generally prescribed).
ADIP Scheme: In India, the ADIP Scheme is in operation since 1981, according to this scheme, the government of India provides one ear cochlear implant to economically backward families, the monthly income should not be more than 15000 rupees, and the child should not more than 5 years.
The following documents are mandatory for cochlear Implant surgery under ADIP scheme:
Demographic Information
2 Passport Size Photograph
Birth Certificate (Issued by the City Civic center)
Aadhar Number/ Pan card number (of Mother and Father)
Annual Family Income Proof (Issued by Tehsil Office)
Disability Certificate (From district hospital of the father's residence state, Child Aadhar card is compulsory to register disability certificate)
Audiological Evaluation
BERA (Brainstem Evoked Response Audiometry)
ABR (Audiometry Brainstem Response)
ASSR (Auditory Steady-State Response)
OAE (Oto-Acoustic Emission)
Speech and Language Evaluation
Hearing aids are recommended to use before cochlear implant for 90 days, It is necessary to sound recognition and preserve the residual hearing.
Psychological Evaluation
Radiological Reports
MRI (Magnetic resonance imaging) and Temporal lobe CT (computerized tomography) scan, for MRI and CT Scan, please collect CD or soft copy of radiological images for MRI and CT Scan.
Details of Additional Disability if any
Vaccination Timing
ENT (Otorhinolaryngology expert) role: Recommendation from an ENT expert is mandatory.
Other than the above-mentioned procedure your ENT doctor may ask you to consult a pediatrician, Pediatrician may ask for the following reports before giving the clearance for surgery are as follow: (Not Mandatory)
TORCH Test (Suggest if hearing loss was caused by a virus infection, If a first child is found with hearing loss then there is the possibility of subsequent delivery may have again hearing loss)
ECG
Ultrasound
TFT
Serum Creatinine Level
Clearance from Ophthalmologist.
Additional Information: Functional magnetic resonance imaging (fMRI) is a technique used to obtain functional information by visualizing cortical activity. fMRI detects subtle alterations in blood flow in response to stimuli or actions and also evaluates the plasticity of neurons. This method can predict the success rate of surgery in a child's hearing before cochlear implant surgery. In India, fMRI is performed at the Centre of Biomedical Research (CBMR), Lucknow.
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DISCLAIMER: This blog is for information only and should not be used for the diagnosis or any disease treatment of medical conditions. Sunil Kumar the pharmacist at the research need platform has done all literature surveys and reasonable precautions in compiling the information but makes no warranty or guarantee for its accuracy. Always consult a registered medical physician or other healthcare professional for diagnosis and treatment of medical conditions.
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