-
Is a cochlear implant right for me or my child?
- There is an extensive evaluation process that includes discussion with you about the possible advantages and/or disadvantages of cochlear implantation. Generally we try to determine whether or not a cochlear implant would be more beneficial than hearing aids for effective communication.
-
Is my child too young?
- Children are never too young for the evaluation process. Since the evaluation takes some time, if you think your child might be a cochlear implant candidate eventually, it is a good idea to start the process. Some children are evaluated initially and then monitored over time with parents being kept informed about changing candidacy criteria as it relates to their child's auditory abilities.
-
Am I too old for a cochlear implant?
- There is no upper age limit for cochlear implantation. The cochlear implant surgeon will discuss issues related to your age and the surgery. The cochlear implant audiologist will discuss issues related to your age and post-implant performance.
-
Does Insurance cover cochlear implantation?
- Most insurance companies, including Wisconsin Public Aid (T19) and Medicare, cover cochlear implants. We have reimbursement specialists who work with you and the insurance companies throughout the process.
-
What are the surgical risks associated with cochlear implantation?
- The risks are similar to those with any middle ear surgery. During your appointment with the surgeon risks specific to cochlear implantation, to middle ear surgery, and to surgery in general will be discussed. Medical issues related to the cause of the hearing loss and the appropriateness of cochlear implantation will be addressed. Be sure to ask any specific questions you have or ask for clarification if you don't understand something.
-
What therapy is needed after implantation?
- Approximately a month after the surgery, you return to the clinic to be fit with the external equipment by the audiologist(s). Adults have an aural rehabilitation program integrated into the initial few months of post-implant appointments. Based on your communication skills, needs, and progress, you will make a decision with your audiologist about further therapy. Children typically are receiving some type of therapy, even before implantation. We work to coordinate services with your therapist. In addition, we may schedule some diagnostic therapy before and/or after cochlear implantation to aid in development of a rehabilitation plan. Some children receive their therapy from Children's Hospital of Wisconsin speech/language pathologists in coordination with services received at school. For families that live outside the Milwaukee area, we consult with your local service providers and provide guidance as needed.
-
Should I wait for technology to improve?
- Technology for cochlear implants, like that in other fields, will continue to improve. However, is waiting for these improvements in your best interest? A person's hearing history will influence their post-implant abilities much more significantly than changes in technology. For children the significant factors are the age at which they are implanted, their auditory abilities with hearing aids whether or not the loss has progressed over time. For adults the significant factors are the length of time they have been deaf, their auditory abilities with hearing aids, and the rate of progression of the hearing loss. If the cochlear implant audiologist is aware of any significant improvements in technology that warrant waiting, these will be discussed at one of your appointments.
-
Can I meet other cochlear implant recipients and/or their families?
- Yes! The cochlear implant support groups are an excellent way to meet other recipients. In addition, your cochlear implant audiologist can put you in touch with individuals or families who have agreed to talk with candidates who have questions.
-
How soon can surgery be scheduled?
- At the completion of the evaluation process, the information is sent to your insurance company for approval. After approval is received, you will be contacted to schedule the surgery. It generally takes 1- 2 months to hear from the insurance company, but this can vary greatly.
-
My child has auditory neuropathy. Are cochlear implants effective with children who have auditory neuropathy?
- Cochlear implants have been very effective for a number of children who have auditory neuropathy and are not able to develop auditory skills with or without hearing aids. The auditory abilities of children with auditory neuropathy vary greatly and each child should be evaluated individually in terms of cochlear implant candidacy. To discuss your child more specifically request an information packet via e-mail or call Jane Kellerman, Administrative Assistant at 414.266.2685. After receiving initial information from you, one of our audiologists will be able to call and discuss your child more specifically.