Pros and Cons of Cochlear Implants

Pros and cons of cochlear implants vary greatly depending on individual experiences. Each person or caregiver will weigh the advantages and disadvantages when deciding what is best for them or their loved one for the hearing journey. 

Key Takeaways

  • Cochlear implants provide sound to those with severe hearing loss by bypassing damaged ear parts.
  • Pros: Improved hearing, better speech comprehension, enhanced quality of life.
  • Cons: Adaptation period, minimal surgical risks, rare technical issues.
  • Early implantation in children can lead to better language development.
  • Individual needs and expectations should be considered before deciding.

Man with a RONDO 3 is talking to a womand with a SONNET 3 audio processor

What are Cochlear Implants and How Do They Work?

A cochlear implant is designed to provide a sense of sound to a person with moderate-to-profound sensorineural hearing loss. Unlike hearing aids, which amplify sound, cochlear implants bypass damaged parts of the ear and directly stimulate the auditory nerve.

The cochlear implant system consists of two primary parts. The external audio processor, worn on either the ear or head, captures sound and transmits it to the internal component, surgically positioned beneath the skin behind the ear.

group of elderly people participating in a cooking class

Pros of Cochlear Implants

The reasons why people choose an implant vary greatly depending on their hobbies and priorities. Some people would like to enjoy music again while others would like to be able to go to lunch and actively participate in the conversation. For parents, they want their children to attend mainstream schools and participate in activities they love. 

Improved Hearing Ability

For those with hearing loss, restaurants, grocery stores, and even airports can be extremely difficult to navigate. With a cochlear implant, the ability to perceive and localize sound is greatly enhanced in these environments.

Cochlear implant technology has come a long way, with some users enjoying their love of music again.

Better Speech Comprehension

While loud and busy environments can be difficult, quiet environments can also be challenging for those with hearing loss. Cochlear implants help those with hearing loss understand speech better, allowing for more socialization and less isolation. Cochlear implant recipients enjoy talking on the phone and video chatting with their friends and family.

For children, the first few years of life are a crucial period for language. Cochlear implants, especially when provided early, can give a child access to spoken language during this formative time. A child's cochlear implant can help them develop speech and listening skills, potentially aligning their abilities more closely with hearing peers. Research shows that early implantation often leads to better language outcomes compared to later intervention.

Enhanced Quality of Life

Access to sound can greatly improve independence among individuals who choose to get a cochlear implant. They will be able to hear alarms or traffic which can keep them safe. And it allows them to socialize easier with friends and family. When a person is hard of hearing, the energy it takes to follow a conversation can be draining. A cochlear implant allows a person to have a longer social battery life since it makes socializing easier. A dinner party or concert that once seemed exhausting or even daunting is possible with a cochlear implant.

Teenager with a SONNET 3 audio processor standing in the hall of the main station

Cons of Cochlear Implants

A cochlear implant offers clear advantages to those who receive it, but, as with anything in life, there are also important factors for people to weigh before deciding

Expectations vs Reality

Receiving a cochlear implant marks the start of a new hearing journey. Adjusting takes time as the brain learns to interpret new sounds. Daily listening exercises can help maximize results. There are many types of rehabilitation programs, such as sound recognition and musical pitch comparison, which can be done either with a partner or on your own. Over time, these efforts help users feel more confident and capable in everyday situations.

 

Surgical Risk

Cochlear implantation has been established for decades as a successful and safe treatment for hearing loss. However, as with all surgical procedures, there are certain risks. These are minimal and no greater than those associated with other ear surgeries. While inflammation in the area of the cochlear implant cannot be ruled out, it is extremely rare. Causes can include bacterial infections or an allergic reaction. In such cases, rapid diagnosis and treatment are essential to avoid complications and ensure the functionality of the implant.

Technical Problems

Although cochlear implants are rigorously tested, malfunctions do occur in isolated cases. These can lead to impaired hearing and require technical adjustments. The fact is that such malfunctions are extremely rare with MED-EL cochlear implants, and our implants are characterized by excellent long-term reliability. We attach great importance to communicating our reliability figures and CSR data comprehensively and transparently.

Ask for Yourself

Our community of HearPeers are standing by to share their experience and answer any questions you may have. Whether you're a parent of a newborn or an adult who doesn't want to give up your motorcycle, we're confident we can match you with someone who can help you better understand the process and share how their life was changed by a cochlear implant.

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The Cochlear Implant Debate: Weighing Pros and Cons

Individual Considerations

The needs of every individual will differ as they weigh their quality of life and expectations against the risk of surgical implantation and living with a cochlear implant.

Have you started to decline more invitations to social events or have you felt yourself disengage due to having to ask people to repeat themselves? If so, you may be ready to take the next steps to get your life back. Hearing loss does not have to be the end and cochlear implants could open your world back up to you.

For parents of children who failed their hearing screening, the timing may be an important factor to consider. As discussed above, the first few years are crucial for a child's development. With a cochlear implant implanted sooner rather than later, your child could reach the same milestones as their peers before starting kindergarten.

The goals and expectations that you and your family set will greatly impact the results you receive from a cochlear implant. Make sure you're ready to do this and know that there may be some required work in the form of rehabilitation to achieve the best possible outcome.

Technological Advancements and Future Prospect

Deciding to receive a cochlear implant is a lifetime decision and you want to make sure that you're making the right decision for you or your loved one. At MED-EL we've done our best to consider the future implications and when you'll need your cochlear implant to perform at its best. 

First, SYNCHRONY cochlear implant electrode arrays are soft and flexible. Our soft and flexible electrodes are the foundation of our implant. Our electrode arrays could:

  • help preserve delicate cochlear structures which may allow you to retain any residual hearing you may have.
  • reach the innermost part of your cochlea, unlocking access to sounds you may have missed—like the gentle crash of ocean waves or the distant rumble of an airplane.
  • use Anatomy-Based FItting to ensure that each frequency inside your cochlea is matched to the frequency of the electrodes to allow you to hear as close to natural hearing as possible.

Second, we offer a lifelong MRI Guarantee. Statistically, each person will need to undergo at least one MRI in their lifetime. That's why our cochlear implants are designed to offer you hassle-free MRIs* with no surgery.^

Third, MED-EL cochlear implants are backward compatible. This means that no matter when you received your cochlear implant, the newest audio processors will always be compatible with your implant. You won't be left behind with old technology or need to receive a new implant to use the latest technology. 

Learn More about MED-EL's Individualized Cochlear Implants

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We’re Here for You on Your Hearing Journey

Would you like to find out more about how MED-EL’s hearing solutions could help you or someone you care for? Don’t wait any longer to take the next step. Our team of hearing professionals is ready to answer any questions you may have to help you decide what is right for you.

* MED-EL cochlear implants are MR conditional at 1.5 Tesla. Recipients with a SYNCHRONY 2 or SYNCHRONY Cochlear Implant may be safely MRI scanned at 1.5 and 3.0 Tesla following the conditions detailed in the instructions for use.

^ Unless required for diagnostic reasons.

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