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Paediatric Cochlear Implantation Candidacy

Children (2-17 Years)

· Severe to profound sensorineural hearing loss in both ears

· Limited benefit from binaural amplification

· Multisyllabic Lexical Neighborhood Test (MLNT) or Lexical Neighborhood Test (LNT) scores ≤ 30%

Children (9-24 Months)

· Profound sensorineural hearing loss in both ears

· Limited benefit from binaural amplification









Step by Step : Cochlear Implantation

STEP-1  Consultation with a team of Hearing Implantalogist, Audiologist and Speech and language Pathologist


STEP-2   Audiological and Speech and language Evaluation

·    Pure Tone Audiometry/Conditioned play Audiometry

·    Tympanometry

·    Oto acoustic emissions

·    Brainstem Evoked Auditory Responses 

·    Promontory test, EABR

·    Speech and language assessment to measure the patient’s language aptitude

·    Trial with hearing aids along therapy before cochlear implantation


STEP-3  Medical and Radiological examinations

·        Various medical examinations to check the patient’s general state of health

·        CT scan and an MRI of the inner ear

STEP-4    Patient Education Program

We believe in through education to parents so that they can decide what is best for their child. Parents are informed about all the implantable device options, procedure for the surgery, risk and advantages involved, and what to expect after surgery.

Parents also provided with self read materials, and are prepared for journey ahead.

STEP-5    Surgery, Activation & Fitting 

·        Surgery procedures that is least invasive to the child with best outcomes are chosen and success of the surgery is documented .

·        Post 3-2 weeks of the surgery, professionals activate the sound processor to an optimal level so that the child accepts the sound.

STEP-6    Aural Rehabilitation and optimization of sound

A team of Audiologist, auditory verbal therapist and speech therapist works with the recipient and the family to help develop listening and speaking skills, to monitor their progress and optimize the maps frequently.

    Highlights of our program

·    Quick & accurate evaluation process to preserve the Sensitive period of language learning of the child.

·    Careful monitoring of the child's performance on hearing aids before implantation.

·    Least invasive surgical procedures.

·    Aural rehabilitation and speech and language intervention program to achieve developmental milestones more accurately reflecting         the child’s true potential

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