Q1. What are the main types of cochlear implants?
Unilateral cochlear implants are placed in one ear only, ideal for single-sided profound hearing loss or as a starting point. Bilateral cochlear implants involve both ears for balanced hearing. Hybrid cochlear implants combine electric stimulation with hearing aid amplification for patients with some remaining low-frequency hearing, preserving natural sound perception.
Q2. How does unilateral differ from bilateral cochlear implants?
Unilateral implants aid primarily single-ear severe loss, improving speech understanding and awareness on that side but lacking full sound localization. Bilateral implants provide natural binaural hearing, enhancing sound direction detection by up to 90%, better speech clarity in noise (20-30% improvement), and improved balance/music enjoyment. Bilateral requires two surgeries but offers superior quality of life for profound bilateral deafness.
Q3. What is the first stage of the cochlear implant journey?
The initial evaluation stage (1-3 months) includes comprehensive audiology tests like pure-tone audiograms, speech detection thresholds, MRI/CT imaging for cochlear anatomy, and psychological counseling. This assesses candidacy, discusses unilateral/bilateral options, risks (under 1% complications), and expectations like realistic speech gains. CC Saha Ltd in Kolkata conducts family-oriented sessions with multilingual support.
Q4. When does activation happen in the cochlear journey?
Activation occurs 2-4 weeks post-surgery after surgical healing, when the external speech processor connects to the internal receiver for the first time. Initial sounds may feel mechanical or buzzing; audiologists perform basic mapping to balance 20+ electrodes. Patients often report emotional “first hearing” moments, with follow-ups starting immediately.
Q5. How long is recovery after cochlear surgery?
Recovery spans 4-6 weeks: first week involves rest, pain meds for mild swelling, and incision care (stitches removed day 7-10). Light activities resume in 1-2 weeks; avoid water/sports for 4 weeks to prevent infection (<1% risk). Full healing allows processor fitting; children recover faster, often back to school in 2 weeks with precautions.
Q6. What occurs during mapping sessions?
Mapping sessions fine-tune individual electrodes (22-24 channels) to the auditory nerve for clear, comfortable hearing—weekly first month (1-2 hours each), then monthly for 6-12 months. Audiologists adjust thresholds, pitch, and loudness using patient feedback; advanced AI software optimizes for noise/music. This progressive process turns raw signals into natural speech over time.
Q7. How many stages define the cochlear implant journey?
Seven key stages span 6-18 months to lifelong care: 1) Evaluation (tests/counseling), 2) Pre-surgery prep (device choice), 3) Surgery (2-4 hours/ear), 4) Healing (4 weeks), 5) Activation/initial mapping, 6) Intensive rehab (3-12 months therapy), 7) Long-term annual follow-ups/upgrades. Each builds toward optimal hearing adaptation.
Q8. Are bilateral implants better for children?
Yes, bilateral implants are superior for children with profound loss in both ears, promoting balanced auditory development, 80-90% speech recognition, and normal language milestones when implanted before age 2. They enhance classroom performance, social skills, and literacy by mimicking natural binaural hearing—studies show 25% better outcomes vs unilateral. Early intervention leverages brain plasticity. (Ref: https://www.ijmedicine.com/index.php/ijam/article/view/3236)
Q9. Where for best cochlear implants in Kolkata?
CC Saha Ltd offers the best cochlear implants in Kolkata and Eastern India with full types (Cochlear/MED-EL unilateral-bilateral) and complete journey support at clinics like Esplanade/South Kolkata. They provide demos, financing via govt schemes, multilingual rehab, and 99%+ success tracking—trusted for pediatric/adult cases with local expertise.
Q10. What success rates for cochlear implant types?
Success rates exceed 99.8% surgically across types (low rejection); unilateral achieves 70-85% open-set speech, bilateral boosts to 85-95% especially in noise. Kids implanted early reach near-normalcy (90% conversational fluency); adults regain phone/work use in 3-6 months. Long-term studies confirm sustained gains, with bilateral enhancing spatial outcomes by 20-30%.