Over the last few days, I’ve had time to sit down and do some research. My main aim was to find out what the risks and disadvantages of having a Cochlear Implant might be. There is an overwhelming amount of information out there, some biased, some balanced. The difficulty is identifying which is which.
Here’s some of what I’ve found so far:
- Not everyone is a good candidate for a Cochlear Implant – I’m still waiting to find out…
- Implant procedure is invasive and could destroy any existing “conventional” hearing (i.e. picked up by my ear drum, small bones and cochlear) on the side they operate on – only a problem if the operation doesn’t work? – this is because the insertion of the implant into the cochlear can damage the few remaining hair cells that actually work
- Risk of serious infection to the surface lining of the brain and meningitis – they vaccinate against meningitis to reduce the risk
- Risk of fluid leakage from the brain or cochlear into the area created for the implant
- Risk of implant rejection, if the body rejects the implant
- Risk of increased tinnitus – I get this already…
- Risk of dizziness and vertigo
- Risk of permanent paralysis to the facial nerve – I don’t like the sound of this one
- Risk of changes in taste sensation – could be useful for chocolate and wine
- Risk of Cochlear Implant manufacturer going bust – means no support, or software upgrades, surely not very likely in the current climate…??
- Pain and numbness around the ear for a few days or weeks – I expected this
- Must avoid contact sports forever, to reduce risk of damaging implant, more surgery would be needed if it was dislodged or damaged – I’m not really one for them anyway
- Must avoid CAT / MRI scans forever and anything with a strong magnetic field, like metal detectors – what happens if I need a scan in the future?
- You only get one Cochlear Implant due to limited funding, although children can get two – one is better than none though?
- Cost and hassle – leading up to, and after the operation, weekly visits to Cambridge, arranging childcare, disruption to my family, rehabilitation over a year, not to mention the non-stop effort of learning all the new sounds I’ve never heard before – not sure this last one is a disadvantage…
So… suddenly the no-brainer doesn’t seem quite so straight-forward. Perhaps my hearing isn’t so bad after all?
This article was first published on Catherine’s own blog, which you can find here: http://sounds-different.blogspot.co.uk/
Catherine lives in Norfolk and has a young family. Born profoundly deaf in 1978, she leads a busy life using a combination of hearing aids, lip reading and sign language. Following a deterioration in hearing in recent years, she is now in the early stages of getting a Cochlear Implant, and currently awaits feedback on her suitability. This is her story, told as it happens.
The Limping Chicken is supported by Deaf media company Remark!, provider of sign language services Deaf Umbrella, training and consultancy Deafworks, the National Deaf Children’s Society’s Look, Smile Chat campaign, and the National Theatre’s captioned plays.
messagesfromouterspace
July 16, 2012
CAT scans are fine, and MRI’s up to 1.5 Tesla are fine too – I’m a CI’er and have had both!
Contact sports are okay – just take the processor off.
Most of these things are just complications of surgery – and you are up for these with any type of surgery anyway 🙂
Catherine Cooper
July 16, 2012
Thanks!
Я.
July 16, 2012
Most of the risks you listed above are typical to any surgical procedures. Infections happen, hence the loads of antibiotics we take. Etc..Etc..
Point I’d like to make though, why worried about losing the remaining surviving hair cells? You’re still going to lose them anyway…so what have you got to lose when going for CI?
Catherine Cooper
July 16, 2012
Thanks for your comment. Those were my thoughts that I wrote a couple of weeks ago. I’ve had more time to think things through and it’s the least of my worries now. Roll on the operation!
Я.
July 16, 2012
That’s the attitude! Good luck. 🙂
Jayne Langdale
July 16, 2012
For me and my implant, my tinnitus has dramaticaly decreased. Before my op 10 years ago, I suffered severe tinnitus, kept me awake at night, I was depressed because of this, I was inspired by my friend who had a CI op prior to mine that her tinnitus has decreased, I decided to go for it as my hearing was deteriorating anyway. Now, I suffer hardly any tinnitus, just when I have a cold or stress. Massive change in my life, living life with hardly any tinnitus. I would highly recommend that you research the positives rather than focusing on the negatives.
Catherine Cooper
July 16, 2012
You are right. I’ve had a lot more time to think these things through now and I’m getting very excited. I’m glad it worked out for you. It’s horrible having tinnitus.
sk3
July 16, 2012
It’s called a cochlea, not a cochlear. Cochlear is an adjective. Cochlear implant — an implant that goes in the cochlea.
KAM
July 16, 2012
Technically, the definition is correct, but personally, I’d just ignore the “negative implication” of the correction. 😉
Catherine
July 17, 2012
Thanks!
deaflinguist
July 16, 2012
Some random responses to some of your fears:
Permanent facial paralysis WAS a risk many years ago when the implant process was fairly new. They work very close to the facial nerve even today and what they do now is fit a miniature alarm that sounds before the surgeon even approaches the risk zone. Your consultant should be able to reassure you about this. I was told about this before my operation two years ago. On a recent Ch4 programme they showed such an alarm being fitted at a hospital different from mine, so I would think it’s common or universal.
I had no issues – not even taste disturbance or anything like that – from the facial nerve. Sometimes taste disturbance may happen just with the proximity to the facial nerve but not actually touching it, but this goes away with time in most people affected.
The dizziness may happen as a result of any ear surgery, not just having a CI. I was braced for awful dizziness and in fact didn’t have any post-surgery or subsequently. I did have very slight vertigo issues at height for a while as I adjusted from having no sound input and being 100% reliant on my eyes for balance, to incorporating unilateral sound input in my balance mechanism. The end result is that my balance is actually better!
If a manufacturer goes bust, I would expect it would be bought up by its competitors or a business with which it is a good fit (e.g. hearing aid business) rather than their customers being left adrift.
It was a no-brainer for me – no hearing to lose at all. And I still agonized over it. Two years down the line it’s been the best thing that’s ever happened to me.
Catherine
July 17, 2012
Thanks for your lovely comment. I’m glad it has all worked out for you.
Tina
July 17, 2012
I’ve been bilaterally implanted in London. I have absolutely no regrets and I wish I’d done it sooner. I’d agree with all the comments above. I had my doubts too, even 30 minutes before my first operation, I was asking “Am I doing the right thing?”. You don’t know what you’re missing if you’ve never had it. I am simply blown away by what I can hear with my CIs.
For others reading, I’ll touch on a couple of points ….
I do contact sport (Taekwondo) and discussed this with my instructor – he constantly reminds others not to touch my head during sparring, and I know how to fall properly. I’ve not had any problems.
You can apply to your PCT for a 2nd CI – they may say yes. It largely depends on whether they have funding – NICE guidelines are just that – guidelines. They are not set in stone. It also depends on your medical history, having the support of your surgeon and medical team, if they are aware of the evidence supporting bilateral implantation (there isn’t much in the UK). I wrote a post about how to prepare a case for applying for a 2nd implant at http://cochlearimplanthelp.com/journey/needing-a-cochlear-implant/should-i-go-bilateral/
Catherine
July 17, 2012
Thanks for your lovely comment. It’s good to know that you can still do Taekwondo, and I didn’t think you could apply for a second implant. I’m looking forward to reading your link later.
cem4881
July 17, 2012
Taekwondo teaches you to fall properly? I am nervous now about falling after the last one where I broke my arm.
Tina
July 17, 2012
Any good martial arts class should teach their students how to break a fall properly. Here’s a link showing how it’s done.
http://sooshimkwan.blogspot.com/2010/12/front-break-fall-and-back-break-fall.html
Janet Durbidge
July 17, 2012
You need to look at the pros AND cons. My cochleas and inner ears were severely ossified because I had meningitis at the age of 6 months. Therefore, hearing aids never helped me because my inner ears and cochleas were solid with new bone, I was implanted last February, when the surgeon scraped away the new bone and and inserted a split electrode array that is suitable for ossified cochleas. Now, for the first time in 54 years, I am able to hear people talking, background noises and enjoy listening to music. Prior to the implant, I had a very bad balance problem, but my balance was immediately restored after the op, because new bone had been scraped away from inner ears, allowing fluids to return, which stabilised my balance. I can hear my first grandchild’s cry and I have so many positive things that I could say about my implant, but I won’t go on. I had slight numbness to the face after the op, which disappeared the next day, and I didn’t suffer any sickness or dizziness. So, I think that the majority of cochlear implantees do very well after overcoming initial problems which can happen, just like any other major surgery. I spoke to as many cochlear implantees as possible before my op, and only two were failures, however, one subsequently had a successful CI in her other ear. Before the implant, my audio gram read at 120 decibels, and at my last hearing test it was reading at 45 decibels. This could still I prove because I am still having rehab and programming.
Catherine
July 17, 2012
Thanks for your comment. It’s amazing to see how much your hearing has improved!
Я.
July 17, 2012
Regarding contact sports (sorry forgot to mention it! Thanks, Tina!): I do extreme sports and did train in MMA (Mixed Martial Arts) – Tae Kwon Do, Brazilian Jiu-Jitsu & Kickboxing. There are times I literally black out from the extreme exercises we do. But never during my time at the academy did anyone touch my head or I fall on it. We are taught to protect our faces/heads at ALL times. So it’s all good! 🙂
Catherine
July 17, 2012
That’s good to know. My son does Kuk Sool Won and it all looks very complicated!