01 Hoerverlust erkennen en 01

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What are cochlear implants?

Cochlear implants are the only medical technology that is able to functionally restore one of the five human senses; hearing. Since 1990, thousands of children and adults have received cochlear implants. Cochlear implants are designed for persons with severe to profound hearing loss who obtain limited benefit from hearing aids.

Cochlear implants are electronic devices (also called bionic ears) that allow many people with severe-to-profound hearing loss to hear better than they do with hearing aids—and for those who’ve never heard before to hear for the very first time. It’s different from a hearing aid, which sends amplified sound to the inner ear. Instead, a cochlear implant bypasses the inner ear sending electrical signals directly to the hearing nerve. Hearing through an implant sounds different from normal hearing. However cochlear implants allow many people to communicate orally in person and over the phone.

Cochlear implants and hearing

In order to understand how a cochlear implant works, it is important to understand how we hear. The outer ear collects sound waves and sends them to the middle ear.  The sound waves bounce off the eardrum and are made louder by three tiny bones: the hammer, anvil and stirrup.  The sound waves travel into the fluid filled inner ear. The waves go through the cochlea (organ of hearing). Microscopic hair cells in the cochlea turn the vibrations into electrical impulses. Then the brain receives and interprets this energy as sound or speech.

Here is how the basic parts of a cochlear implant work:

cochlea implantat illustration 02

1. A tiny microphone turns sound into electrical signals.
2. The electrical signals are sent to a sound processor which then selects, arranges and codes these signals.
3. A transmitter sends these signals to a receiver/stimulator.
4. The receiver/stimulator sends these signals to the electrode array in the cochlea.
5. The auditory nerve picks up the signals from the electrode array and send them to the brain.
6. The brain recognizes these signals as sounds.

Cochlear implant companies such as Advanced Bionics are focused on continuing to improve the implant design and functionality. Very recent advances in implant technology are allowing more implant users to cope effectively with the challenges that they face in their every day life: noisy backgrounds, soft speech and music, use of telephone plus business or school environments.