Statistics show that in the Russian Federation, there are about 12 million people with various hearing impairments. It is clear that people with hearing loss and those who have complete hearing loss experience difficulties in daily life when communicating and interacting with people around them. The trouble is especially noticeable when a person born with a normal hearing aid function for any unfortunate reasons completely dies or the acuteness of his hearing is drastically reduced.
To compensate for the loss of hearing ability, in most cases a special hearing aid is sufficient. Unfortunately, their use is not always effective. If a person with hearing loss hearing loss is ineffective or ineffective at all, they resort to the help of such a method of hearing care as cochlear implantation .
In the case of sensorineural hearing loss, an cochlear implant can help a patient-an adult or a child. In order to understand how it works, we will first understand how the ear works and why we hear, and also briefly discuss the types of hearing impairment.
In this article you will receive comprehensive information on cochlear implantation:
- what it is,
- to whom help,
- indications, limitations and contraindications,
- information on complications,
- how to do the operation for free according to quota,
- where and to whom to contact,
- videoon this topic.
CONTENTS
Why do we hear?
Sound is conducted through the outer and middle ear. A sound wave leads to a vibration of the eardrum. Further, it transmits this vibration to a chain consisting of auditory ossicles - a hammer, an anvil and a stapes. From the stapes, which is at the end of the chain of the ossicles, the oscillations pass into the cavity of the inner ear. It has the shape of a snail and is filled with liquid. In this cavity there are sensitive hair cells, which mechanical vibrations are converted into nerve impulses. These impulses enter the brain through the auditory nerve, there is the formation and perception of the sound image that we hear.
Why is hearing impaired? Hearing problems occur if at some stage in the formation of sound disturbances occurred. So, if the sensitive hair cells of the inner ear are irreversibly damaged as a result of some kind of trauma or illness, then complete deafness develops. It can be postlingual, if by the time of deafness the child has already learned to speak, or prelingual - in the event that speech has not yet mastered it.
Types of hearing impairment
Hearing impairments have their own classification, which is determined by the degree, location and timing of the onset of deafness.
According to the degree of hearing impairment, they are divided into complete deafness and deafness, if the perception of sound occurs, but it is difficult. Deafness can happen:
- sensorineal;
- is conductive;
- mixed.
Sensorineural hearing loss is due to a hearing problem that occurs as a result of a violation in the inner ear or conduction of the auditory nerves. The degree of such disorders ranges from mild to total deafness.
Conductive hearing impairment occurs because of problems in the outer or middle ear, due to which the conductivity of sound vibrations is disturbed and they are distorted or not carried into the inner ear at all. It can be damage to the tympanic membrane, sulfur plug, etc.
For the age of the onset, these problems can be:
- congenital;
- prelingual;
- postlingual.
By localization, deafness can spread to one ear or both, then such a hearing disorder is called binaural .
Cochlear implantation: indications
Cochlear implantation involves an operation on the head, which can affect the work of the brain. Therefore, before assigning this operation, it is necessary to carefully study the patient's medical history, consider the possibility of hearing restoration without resorting to the use of a cochlear implant, and also to predict the effectiveness of the operation in each specific case.
Cochlear implantation is indicated in the following cases:
- With deep sensorineural bilateral deafness.
- With a low threshold of perception in case of using sound devices in binaural hearing care.
- In the absence of speech perception in the case of optimally selected hearing aids for three months, with bilateral deep sensorineural hearing loss.
- In the absence of cognitive problems( mental disorders of a different nature).
- In the absence of mental problems.
- In the absence of various kinds of somatic diseases.
An indispensable condition for conducting an operation in children is the child's motivation, psychological support from the parents and their readiness for long-term rehabilitation.
It should be noted that in children who do not hear from birth or have lost hearing in early childhood, cochlear implantation will give the best result if it is performed as soon as possible.
Contraindications and limitations
Unfortunately, cochlear implantation is not an absolute solution to hearing problems.
The operation will not bring the desired result if the hearing loss is not due to damage or death of the cochlear hair cells, but is associated with damage to the auditory nerve or those parts of the brain that are responsible for auditory perception. So, if the hearing is lost due to neuritis( inflammation) of the auditory nerve or the cause was a cerebral hemorrhage that damaged the auditory centers of the cerebral cortex, the expediency of the operation is minimized.
In addition, cochlear implantation will be ineffective or completely useless if the cochlea of the inner ear has undergone calcification or ossification, that is, calcium salts have been deposited or bone has germinated. All this prevents the implant from implanting into the cochlea and reduces the effectiveness of the operation.
Good results should not be expected if the patient with sensorineural hearing loss for a long time did not hear sounds, as this could lead to atrophy of the auditory nerve and the impossibility of its recovery. However, to say that cochlear implantation of hearing to such patients does not fit, also it is impossible.
In addition, contraindications are:
- Inflammatory processes of the middle ear.
- Presence of perforation of the tympanic membrane.
- Safety and working condition of hair cells, which is determined by the method of otoacoustic emission.
- With prelinguinal deafness, the child's age is more than 6 years.
- With postlingual deafness, a period of deafness lasting more than a period of normal hearing.
Cochlear implantation - what is it?
Cochlear implantation: what it is, to whom help, indications, reviews When most of the ear snail receptors are damaged, to provide quality hearing is not in the power of even the most advanced apparatus. A person is available sounds at low frequency with a large and medium volume, while quiet and high-frequency are not available, speech is heard inaudible.
In such a situation the child will not be able to learn to perceive speech by ear and even more so to speak. In this case, cochlear implantation is coming to the rescue - a system of measures with the use of high-tech means, which is recognized today as the most effective way of hearing restoration.
Cochlear implantation is the standard method for treating severe bilateral hearing and deafness. It shows high effectiveness in case of strong and deep sensorineural loss of hearing and deafness, in other words, with a violation of the sound-receiving system.
What is a cochlear implant
The system consists of two parts, which are not connected by any physical methods. One part is attached to the outer ear and consists of a microphone and a processor( in modern models they are combined), as well as a transmitter that is attached to the skin like a magnet. The second part is internal, and is a receiver. It is fixed in the temporal bone. Actually, in the installation of the receiver and this operation is concluded - cochlear implantation.
The function of the cochlear implant is to obtain the transmitted digital information from the head transmitter and convert it to an electrical signal that will flow through the electrode array embedded in the cochlea or inner ear. The lattice electrodes stimulate the auditory nerve, through which impulses enter the brain, where they are recognized as sound.
The installation of a cochlear implant allows you to work around the damaged area of the ear and send an electrical signal through the auditory nerve directly to the brain.
Principle of the
implant The microphone attached to the outer ear captures sounds and transfers them to the speech processor located in the same place. In the processor, the received sounds are encoded and converted into electrical pulses. Then they pass through the transmitter, fixed on the skin, to the receiver located in the temporal bone. From there they enter the cochlea along the electrode and act on the spiral ganglion of the auditory nerve. Thus, the patient gets the opportunity to perceive sounds.
What is better: surgery or hearing aid?
To determine which option to eliminate deafness is best, only a qualified specialist will help. The choice of this or that technique depends on many factors. Among them - the type of deafness, the degree of hearing loss in the patient, his intellectual abilities, motivation, age, duration of hearing loss and others. Hearing aids are effective if the patient can hear sounds up to 80-90 dB, while cochlear implants are saved when the patient has pronounced hearing loss or does not hear on both ears, that is, the hearing threshold exceeds 90 dB.
How much will cochlear implantation cost:
Cost of implantation includes preoperative diagnostic examination, operation and postoperative correction. Usually the price starts from 1 200 000 rubles. Since cochlear implantation is an expensive medical aid, in Russia it can be carried out according to the quota ( OMS ) at the expense of funds that are allocated from the federal budget. In any case, it is better to consult with a specialist about where to do cochlear implantation - at us or abroad.
Cost of implantation
The total cost of a cochlear implant, examination, ongoing surgery and postoperative correction is determined specifically for each patient. The number of necessary examinations depends on the patient's anamnesis and general condition. So, for example, for patients who had a history of meningitis, magnetic resonance imaging is mandatory, which will determine the state of the temporal bones. The rest of the patients this survey can not be carried out. Also sometimes( not all) require consultation of a geneticist or neurologist. This all affects how much cochlear implantation will cost. Its cost is approximately 1 million 300 rubles. But for citizens of the Russian Federation, such an operation can be performed free of charge on a quota.
Hearing aids: prices, cost
For people with a low level of perception of sound, many devices have been developed - hearing aids that can help to adapt in a social environment. Hearing aids are behind-the-ear, which are attached behind the auricle, and in-the-ear - they are located in the patient's ear canal and are made to order. Currently, there are digital models on sale.
In addition, there are also deep-channel hearing aids. They are located in the auditory canal, quite small in size and almost invisible to others. But such devices are contraindicated for children under 12 years old.
The cost of hearing aids is different, but it is relatively small. This makes it possible for a large number of patients to use hearing aids. The prices are quite affordable. So, BTE models can be bought from 4,5 to 17 thousand rubles. In-the-ear devices cost a little more.
Cochlear implantation: stages of procedure
Cochlear implantation in children and adults - a whole complex of measures aimed at restoring auditory perception. It consists of three stages:
- preoperative examination of the patient;
- surgical operation;
- rehabilitation.
Necessary examinations for operation
- Survey of ENT doctor.
- Consultation of the otoneurologist.
- Consultation of the speech therapist.
- Audiometry.
- Impedance measurement.
- Promotional test.
- Otoacoustic emission.
- Evoked auditory potentials.
- Computer tomography of temporal bones.
Standard laboratory examinations, as for any surgical intervention( general blood and urine analysis, blood glucose, biochemical blood test).
Preparing for operation
Before an operation, an in-depth audiologic examination should be performed. In addition, his conclusion must be given by an otolaryngologist. To confirm the presence of sensorineural deafness, audiometry and other studies are conducted, indicating that the sound-receiving apparatus is really affected. Also, the pathology of the auditory nerve should be excluded, since in this case the operation will not give the desired result.
An indispensable condition for cochlear implantation is the integrity of the tympanic septum. In addition, computer and magnetic resonance imaging, Doplerography and other methods of instrumental diagnostics can be prescribed.
Surgery: features of
Surgery is performed under general anesthesia and, as a rule, lasts from two to five hours. During the operation, the surgeon places a cochlear implant under the skin on the temporal bone, and in the mastoid process behind the ear a hole is made. Through it, an electrode is transmitted to the cochlear, which transmits sound signals to the auditory nerve. The electrode is attached to the receiver, its operation is checked, after which the cut is sewn.
Next, during 7-10 days, dressings are made and seams are removed.
The system can be switched on in 3-5 weeks. The first setting can be done no earlier than one month after the operation. It is very important to conduct it carefully and not cause the patient negative emotions when returning him to the world of sounds.
Immediate simultaneous cochlear implantation is possible on both ears. At the same time, each side is put a separate independent cochlear system. Surveys and rehabilitation period are the same as for unilateral implantation.
Possible complications of
Before the operation, the surgeon is obliged to notify the patient and his family about the possible risk of the operation. World practice shows that cochlear implantation is sufficiently safe.
Only in rare cases can there be operational and post-operation complications, which can be caused by general anesthesia, infection, inflammation and damage to the facial nerve, loss of sensitivity in the ear, vestibular disorder, head noise, temporary taste disturbance, etc.
After the operation, the patient is in a medical facility for several days. The duration of wound healing in patients may differ. However, after 2-4 weeks children can attend school.
When the swelling and redness on the operated site( on average 4-6 weeks), you can connect the external part to the implant. In fact, it is from this moment that the rehabilitation period begins, during which the patient needs to learn to perceive and recognize sounds, and also to activate and adjust the sound processor, that is, the outer part of the cochlear system.
Post-operative rehabilitation
After the operation "cochlear implantation", rehabilitation is an indispensable stage. After the speech processor is connected, it needs to be properly configured and taught the patient to perceive sounds and recognize these sensations so that he can use the information he has received for speech development. Rehabilitation takes the most important, difficult and lengthy stage.
A whole team of specialists, including otho surgeons, speech therapists, audiologists, psychologists, helps to pass the rehabilitation period to the patient. Classes are held on special methods and long training sessions, as well as consultations of all these specialists. In the future, their observation is necessary throughout the life of the patient. In addition, periodically the speech processor will need to be reprogrammed.
It should be understood that after the operation, there is no possibility to adequately perceive speech and sounds in the patient. For a full-scale auditory perception, rehabilitation is necessary, which is the most difficult and long-lasting stage of cochlear implantation.
If the child has lost his hearing at a time when he has already formed a hearing and speech, the duration of recovery is significantly reduced. Mostly it concerns poorly hearing and late-withered children. This pattern is quite understandable, because in the memory of such children have survived auditory images. The main task is to extract them and adjust them to the sound that the implant reproduces.
Another thing - deaf patients who have not developed speech and lack aural image. Man has to learn how to isolate sounds, form speech and auditory images and learn to speak from scratch. Therefore, in this case, the rehabilitation process lasts much longer.
Components of rehabilitation
Is the cochlear implant always effective? Prospects for the effectiveness of the operation depend on many factors, in particular, such as the type and duration of deafness, the intellectual development of a person, the motivation of the child and parents, the duration of the postoperative period. Of particular importance is the quantity and quality of corrective exercises conducted.Training with a child after cochlear implantation is a whole complex of activities that includes classes with a faculty therapist-rehabilitator, fixing the material of the house passed with a specialist, practice with spontaneously arising situations.
An important part of the rehabilitation process is the adjustment of the implant. Since perception is constantly evolving and changing, the implant needs a regular change of settings, that is, it needs to be developed. The adjustment will eliminate the unpleasant sensations and make the sound perception with the implant as comfortable as possible.
In addition, it is necessary to clearly form a motivation, so that a person can learn to perceive sounds and speech faster.
Why use 2
devices Two-sided implantation, or bilateral cochlear implantation, involves the installation of two cochlear implants. Clinical studies have proven the great importance of using bilateral implants for many children with hearing loss.
The advantages of implanting two devices are that the sounds differ much more easily, are perceived much more naturally, and the sound quality is much better and clearer than using a single implant. In addition, in this case, there is no need to constantly adjust the sound. Bilateral implantation allows you to better determine the source of sound and perceive speech in a noisy environment. In addition, the wearing of two implants activates the operation of both ears, thereby preventing the possibility of losing the ability to hear and distinguish sounds, as can happen when using one device.
Reviews about implantation of cochlear
Is cochlear implantation effective and safe? Testimonials of patients with severe hearing loss indicate that this operation allows to restore and improve the perception of sounds and speaking, creates a sense of security and self-confidence, helps improve communication with people and, as a result, improve the quality of life.
The effectiveness of cochlear implants, which are constantly improved, has been repeatedly proven. According to experts, the best result is obtained if a child or an adult was able to talk before the operation. And the less time passed after the loss of hearing, the more effective will be cochlear implantation. Children with a diagnosis of "hearing loss" with the help of an implant develop faster and live a brighter and more fulfilling life.
Treatment and prevention with hearing loss
If there is a decrease in hearing, treatment will depend on the reasons that caused it. Among the options is possible:
- Removing the sulfur plug - this is done by rinsing, sometimes using a special tool.
- Use of hearing aids. In addition to behind-the-ear, in-the-ear and deep canal, hearing aids mounted in a spectacle or pocket frame, as well as a headband and even earrings can be used. Which of them will suit a particular patient, the otolaryngologist will consult.
- Cochlear implants - these were discussed in this article.
Hearing loss can be caused by illness, work in a noisy environment or a long stay in a noisy place. Hearing may decrease due to age-related changes.
If the work is related to noisy production, it is recommended that headphones or other devices be used in the workplace to protect against loud sounds, for example special earplugs.
Regularly check the hearing of all people associated with a long stay in a noisy place. This will help to detect hearing impairment at an early stage and in time to take measures, thereby preventing further hearing loss and development of hearing loss or deafness.
Avoid too loud noises during the holidays and do not listen to very loud music or at least periodically take breaks.
Cochlear implantation: where do, what is needed, to whom and where to go
Let's talk about the routing of a patient in need of cochlear implantation and subsequent rehabilitation.
The direction of the patient for cochlear implantation is carried out as part of the provision of high-tech medical care, not included in the basic program of compulsory medical insurance.
When and where the patient is referred
If a hearing disorder in a newborn is identified by audiological screening at a maternity hospital or a pediatric clinic or if there are complaints of hearing loss.
Thus, they go to a polyclinic at their place of residence.
There they hold consultations of specialized specialists in the presence of indications( a doctor - an otorhinolaryngologist, a neurologist, etc.).
Next, give the patient's direction to the audiologist in the surdologic center GBZU "Volgograd Regional Clinical Hospital No. 1", located at: Volgograd, ul. Angarskaya, 13, building No. 20.
Contact phone( 8442) 54-27-57.Email address: [email protected]
There is conducted:
- audiological examination,
- establishment of preliminary and final diagnosis of neurosensory hearing loss or deafness,
- definition of indications or contraindications for the operation of cochlear implantation( hereinafter - CI),
- informing parents.
- Preparation of a package of documents in the commission for the selection of patients for high-tech medical care( hereinafter - VMP) in the Volgograd Regional Medical Information and Analytical Center.
The Volgograd Regional Medical Information and Analytical Center is located at Volgograd, Lenin Avenue 56.
Contact phone( 8442) 24-88-44.E-mail address: [email protected]
A meeting of the commission of the Volgograd Oblast Health Committee on the selection of patients for the provision of VMP, not included in the basic program of compulsory medical insurance, using a specialized information system.
According to the results of the commission meeting, the "Talon-direction for the VMP" registration takes place in the information and analytical system of the Ministry of Health of Russia.
Presentation of patient information to the Federal State Budget Office, in which CI operations are carried out.
Then a person goes to a polyclinic at the place of residence. And there is a preparation for hospitalization: conducting clinical analyzes and studies, conducting additional surveys and consultations of specialized specialists( if necessary).
A referral is sent to the Federal State Budget Institution( hereinafter referred to as FGBU) - a center that performs cochlear implantation:
- hospitalization;
- additional audiological and obscheomaticheskoe inspection( if necessary);
- CI operation.
What do you do after cochlear implantation?
Surdology Center - The Volgograd Regional Clinical Hospital No. 1 gives out the direction for connecting the speech processor to the FGBU where the CI operation was performed.
A FGBU - the center that performed cochlear implantation, connects the speech processor and makes its initial adjustment( 1 to 1.5 months after implant implantation).
Further, the Regional Center of the Volgograd Regional Clinical Hospital No. 1:
- provides dispensary observation of a patient with hearing impairment;
- gives direction to replace the speech processor( 5 years after connection).
Rehabilitation treatment
Surgeon center of the Regional Clinical Hospital "Volgograd Regional Clinical Hospital No. 1" *, a polyclinic at the place of residence.
Medical rehabilitation, including adjustment and replacement of the speech processor of the cochlear implant, is performed at the Rehabilitation Center for Children with Hearing Impairment of the Russian Ministry of Health( where cochlear implantation was performed).
Where the operation was performed, also can provide rehabilitation services to the patient who underwent CI( 3, 6, 9, 12, 18, 24 months after the connection).For medical reasons, it is possible to conduct additional rehabilitation courses both in the first 2 years after the connection and in the subsequent rehabilitation period, in the direction of the surdologist-otorhinolaryngologist of the hearing center.
To whom and where to contact, where the operation is performed: centers, clinics
Medical facilities performing cochlear implant surgery
- FGBU "Scientific and Clinical Center for Otorhinolaryngology of FMBA", Moscow 123182, Volokolamskoe shosse, 30, bldg.2.
- FGAU "Scientific Center for Children's Health" of the Ministry of Health of the Russian Federation, Moscow, 119991, Lomonosov Avenue, 2, p.
- FGBU "St. Petersburg Institute of Ear, Throat, Nose and Speech", St. Petersburg, 190013, ul. Bronnitskaya, 9.
- FGBUN "Russian Scientific and Practical Center for Audiology and Hearing Aid of FMBA", Moscow, 117513, Leninsky Prospekt, 123.
- FGBU "Clinical Hospital No. 122 named after LG Sokolov FMBA", gSt. Petersburg, 199406, ul. Cash, d. 20, lit. V.
- FGBU "Federal Siberian Scientific and Clinical Center of FMBA", 660037, Krasnoyarsk Territory, Krasnoyarsk, ul. Kolomenskaya, 26.
- FGB of the Higher Military Educational Establishment of the Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation, St. Petersburg, 194044, ul. Academician Lebedev, 6.
- Regional Clinical Hospital "Samara Regional Clinical Hospital. VD Seredavina ", Samara, 443095, ul. Tashkent, 159.
- ГБУЗ «Scientific Research Clinical Institute of Otorhinolaryngology named after. LI Sverzhevsky, Department of Public Health of the City of Moscow, 117152, Zagorodnoe shosse, house 18A, building 2.
- Children's Regional Clinical Hospital, Ministry of Health of the Krasnodar Territory, 350007, Krasnodar, Victory Square, 1.
Where the medical rehabilitation is done: centers, clinics
Medical institutions that carry out medical rehabilitation after cochlear implantation
- Surgeon center of GBUZ "Volgograd Regional Clinical Hospital No. 1" Volgograd, ul. Angarskaya, 13, building No. 20.
- FGAU "Scientific Center for Children's Health" of the Ministry of Health of the Russian Federation, Moscow, 119991, Lomonosov Avenue, 2, p.
- FGBU "Rehabilitation Center( for children with hearing impairment)" Ministry of Health of Russia, 142190, Moscow, Troitsk, ul. Nagibina, 4, p. 1.
- FGBU "St. Petersburg Institute of Ear, Throat, Nose and Speech", St. Petersburg, 190013, St. Petersburg, ul. Bronnitskaya, 9.
- FGBU "Scientific and Clinical Center for Otorhinolaryngology of FMBA", Moscow, 123182, Volokolamskoe shosse, 30, bldg.2.
- FGBUN "Russian Scientific and Practical Center for Audiology and Hearing Aid" FMBA, Moscow, 117513, Leninsky prospect, d. 123.
Video
Reviews about cochlear implantation of Masha Masha
On the video channel "lprovideo" success stories of cochlear implantation."What has changed in my child's life since the operation. ..?".We prepared a video interview.
Reviews about cochlear implantation of grandmother Nikita
Ibid, continuation of the histories of the successful operation of cochlear implantation."What has changed in my child's life since the operation. ..?".
The device of the cochlear implantation system
The video channel "lprovideo" tells about the method of CI as the only method of rehabilitation of persons suffering from total deafness and profound sensorineural hearing damage.
Our video tells about the device and the principle of operation of the cochlear implantation system.
Video about cochlear implantation
On the video channel "NFCO FMBA of Russia".The program on cochlear implantation on the channel Health. Scientific and clinical center of otorhinolaryngology of FMBA of Russia.
Cochlear Implantation: Myths About Cochlear Implantation
On the video channel "mrUsharik".Is the implant inserted into the brain? Do people become cyborgs? How often do I need to change the inside? Answers to these and many other questions you will find in the webinar "Myths of cochlear implantation."No method of hearing restoration is wrapped up in such a lot of fictions and conjectures as cochlear implantation - it's time to find out where, really!
Project "Parent Environment" - monthly free online seminars for parents from leading experts in the field of auditory rehabilitation and cochlear implantation. Organizers: the program "I hear the world" with the support of the FGBU of the St. Petersburg Scientific Research Institute of ENT.
Patient Selection for Cochlear Implantation: Quota!
On the video channel "Evromaks, Moscow".
Here you will find out who can apply for the operation of cochlear implantation by quota? How is the selection of patients? These questions are answered by a surdologist-otorhinolaryngologist, coordinator of the cochlear implantation program at Clinic 122,L. G. Sokolova Larisa V. Painter.
Advice to parents who doubt the cochlear implant
On the video channel "Evromaks, Moscow".
Specialists: surdologists, defectologists, otosurgeons - give advice to parents who doubt whether it is worth doing cochlear implantation. On the video there are: Natalia Kichigina - audio audiologist, Svetlana Abramova - defectologist and mother of the child with hearing loss, Vladimir Fedoseev, Natalia Dementieva - surdologist, Neil Mileshina - otosururg, Olesya Zhukova - teacher.
New cochlear implant SYNCHRONY from MED-EL
On the video channel "mrUsharik".
MED-EL officially announced the release of SYNCHRONY, a fundamentally new system for cochlear implantation. It includes an implant SYNCHRONY( PIN) *, allowing an MRI examination of high resolution with a magnetic field induction of 3.0 T without the removal of a magnet, and a SONNET audio processor specially designed for more natural sound reproduction.
Now patients of any age who are implanted by this generation of patients will be able to undergo MRI examinations as often as they need without having to undergo a surgical procedure for extracting a magnet that carries many additional risks to his health.
SYNCHRONY( MED-EL) is the only cochlear implant currently available on the market that allows such a safe and comfortable passage of an MRI scan.
These and many other features listed below have made the SYNCHRONY system the new leader among the currently available cochlear implant systems. To date, a new system of cochlear implantation SYNCHRONY is available to patients in all countries that recognize the CE marking.
A new SONNET audio processor from MED-EL
On the video channel "mrUsharik".
The new SONNET audio processor introduces the latest development - the latest-generation automatic sound control system( ASM 2.0), which is the realization of MED-EL's goal of achieving a more natural hearing for people with severe or profound sensorineural hearing loss.
The audio processor actively adapts to the surrounding acoustic conditions, which ensures optimal audibility. The functions of automatic volume control, suppression of wind noise and directivity of the microphone make it a convenient tool in any acoustic situation.
SONNET is fully compatible with all MED-EL cochlear implants - today's and previous generations, that have been used for the past 20 years.
SONNET audio processors are even better protected against moisture, the Moisture and Dust Protection Index( IP) is 54.
SONNET is supported by the system software of the newest version of MAESTRO 6.0 **.
Cochlear implantation: Rehabilitation of children. Video lesson. Preposition "B".Surge advisor Shaikhieva Olga
On the video channel "I hear. I see. I say. "
Mother's occupation on the instructions of the faculty teacher with a child of the second year after cochlear implantation. Study of the preposition B. Competent use of case endings.
Video lessons of the teacher of speech of Shaykhiyeva Olga Rudolfovna for teaching parents methods of studying with children after CI.
Cochlear implantation: operation
The video channel "Stormoff" presents the first operation in Russia using an operating stereomicroscope with a 3D system in FGBU NFCs of FMBA Russia.
Source: editorial information material from sites
- https: //www.syl.ru/article/301938/ implantatsiya-kohlearnaya-pokazaniya-otzyivyi-kohlearnyiy-implantat
- http: //fb.ru/article/172054/ implantatsiya-kohlearnaya-chto-eto-takoe-komu-pomojet
- http: //volgazdrav.ru/media/files/ Marshrutizatsiya_patsienta% 2C_nuzhdauschegosya_v_provedenii_kohlearnoy_implantatsii_i_posleduuschey_reabilitatsii.pptx
