The Dr. Cliff Show Episode 21 | Cochlear Implant Brands & Surgery

The Doctor Cliff Show Podcast
9 Feb 202357:01
EducationalLearning
32 Likes 10 Comments

TLDRIn this informative episode, Dr. Cliff Olson and Rachael Cook discuss cochlear implants, exploring various manufacturers, products, and the surgical process. They are joined by Nashlea Brogan, a Canadian audiologist and bilateral cochlear implant user, who shares her experiences and insights. The discussion also covers the compatibility of different devices, the evolution of electrode arrays, and the significant improvements in speech understanding and residual hearing post-implantation.

Takeaways
  • 🎧 The episode focuses on cochlear implants, discussing various manufacturers, products, and the surgical process.
  • 💡 The hosts, Dr. Cliff Olson and Rachael Cook, interview Nashlea Brogan, a Canadian audiologist and bilateral cochlear implant user.
  • 📈 Advanced Bionics offers different electrode arrays, including straight and curved options, to preserve cochlear structures and residual hearing.
  • 🔊 ReSound's OMNIA platform aims to improve speech understanding in noisy situations, with a 4.5 dB signal-to-noise ratio improvement.
  • 🎢 Cochlear Americas provides multiple electrode options based on the type of hearing loss and surgical technique.
  • 👂 Med-El has the most diverse electrode arrays, including straight, paramodiolar, curved, and hybrid arrays for varying degrees of hearing loss.
  • 🔋 Both Cochlear Americas and Med-El offer rechargeable battery options for their cochlear implant processors.
  • 💬 Patients' experiences with cochlear implants are overwhelmingly positive, with significant improvements in speech understanding.
  • 🩺 The surgery for cochlear implantation is typically a two-hour outpatient procedure under general anesthesia.
  • 📊 A study found that 92% of individuals who received a cochlear implant did not experience a significant change in their residual hearing after surgery.
Q & A
  • What is the primary focus of today's episode?

    -The primary focus of today's episode is to discuss cochlear implants, including different manufacturers, products, the surgical process, and outcomes after surgery.

  • What are the two main components of a cochlear implant?

    -The two main components of a cochlear implant are the internal electrode array and the external processors.

  • What is the significance of the ReSound OMNIA receiver in canal hearing aids?

    -The ReSound OMNIA receiver in canal hearing aids is significant because it was designed to help users understand speech better in background noise situations, with a feature that provides a 4.5 decibel signal to noise ratio improvement.

  • How does the T-mic in Advanced Bionics cochlear implants enhance sound quality?

    -The T-mic in Advanced Bionics cochlear implants enhances sound quality by利用 the pinna effect, which is achieved by its placement over the opening of the ear canal, resulting in a performance improvement in speech understanding.

  • What is the purpose of the Roger accessories in relation to cochlear implants?

    -The purpose of the Roger accessories is to provide a direct stream of audio from the microphone to the cochlear implant, resulting in a significant signal to noise ratio improvement and enhanced speech understanding, especially in background noise situations.

  • What is the role of the HearingUp spotlight provider in today's discussion?

    -The HearingUp spotlight provider, Nashlea Brogan, provides insights from her personal experience as an audiologist and a cochlear implant user, sharing her perspective on the selection process, benefits, and adaptation to cochlear implants.

  • What are the key factors to consider when choosing a cochlear implant brand?

    -Key factors to consider when choosing a cochlear implant brand include the specific needs and preferences of the patient, the surgeon's and audiologist's recommendations, the features of the product, and the fit on the individual.

  • How has the acceptance of cochlear implants evolved over time?

    -Over time, the acceptance of cochlear implants has increased significantly, with more people becoming open to the idea due to online research and a better understanding of the technology, leading to more informed decisions and higher satisfaction rates.

  • What is the significance of the bimodal setup in cochlear implant users?

    -The bimodal setup, which involves using a cochlear implant in one ear and a hearing aid in the other, is significant because it can greatly improve speech understanding and overall hearing experience, especially in challenging listening environments.

  • What are the benefits of the off ear processor design in cochlear implants?

    -The off ear processor design offers benefits such as a less conspicuous appearance, potential comfort for individuals who cannot tolerate something on their ear, and possibly reduced weight and bulkiness.

Outlines
00:00
🎤 Introduction and Cochlear Implant Overview

The episode begins with Dr. Cliff Olson and Rachael Cook introducing themselves and discussing cochlear implants. They plan to cover various manufacturers, products, and the surgical process. They also have Nashlea Brogan, a HearingUp spotlight provider, join the discussion. The episode is sponsored by ReSound, and they discuss the latest OMNIA receiver in canal hearing aids designed to improve speech understanding in noisy situations.

05:02
🔍 Advanced Bionics Cochlear Implants and Features

The discussion shifts to Advanced Bionics, a company offering various types of cochlear implant electrodes. The hosts describe the straight array and the mid-scale electrode designed to preserve residual hearing. They also discuss the external components, including the Marvel Naida and Marvel Sky implants, and their features. The processors have multiple microphones, including a unique T-mic for better phone audio and a headpiece microphone for waterproofing and bimodal setup compatibility with Phonak devices.

10:02
💡 Roger Accessories and Eosera Ear Care Products

The hosts delve into the benefits of Roger accessories for cochlear implants, highlighting the significant signal to noise ratio improvement. They also discuss the variety of Roger microphones and their compatibility with Advanced Bionics devices. The episode's second sponsor, Eosera, is introduced, promoting their comprehensive ear care lineup, particularly the Earwax MD kit for effective wax removal.

15:03
🌟 HearingUp Spotlight: Nashlea Brogan's Cochlear Implant Journey

Nashlea Brogan, a Canadian audiologist and cochlear implant user, shares her personal experience with hearing loss and cochlear implants. She discusses her journey from using hearing aids to receiving cochlear implants and emphasizes the importance of trusting professional advice when choosing an implant. Nashlea also talks about her reasons for joining the HearingUp Network and the impact it has had on her practice.

20:05
📊 Cochlear Americas:电极和处理器选项

The conversation turns to Cochlear Americas, highlighting their range of electrodes and processors, including the Slim 20, Slim Straight, and Slim Modiolar electrodes, as well as the Nucleus 8 and Kanso 2 processors. The hosts discuss the benefits of the Kanso 2's compact design and the compatibility of Cochlear Americas devices with ReSound hearing aids and accessories. They also mention the high satisfaction rates for bimodal users and the upcoming Auracast technology for public venue audio streaming.

25:10
🔎 Med-El Cochlear Implants and Hybrid Technology

The hosts discuss Med-El's extensive range of electrodes, including straight, paramodiolar, curved, and hybrid arrays. They also cover the Sonnet 2 and Rondo 3 processors, noting the slim design of the Sonnet 2 and the convenience of the off-ear Rondo 3. The conversation touches on Med-El's approval for single-sided deafness treatment and their MRI-compatible S-Vector magnet. The hosts wrap up by discussing the importance of telecoil compatibility and hybrid technology options available with Cochlear Americas and Med-El.

30:12
📖 Understanding Cochlear Implant Surgery

The hosts provide an overview of the cochlear implant surgery process, explaining that it's typically a two-hour outpatient procedure under general anesthesia. They describe the surgical steps, including the incision, bone drilling, electrode insertion, and implant placement. The hosts emphasize the minimally invasive nature of the surgery and the high success rate in preserving residual hearing post-implantation.

35:15
🎉 Success Stories and the Impact of Cochlear Implants

The hosts share inspiring stories from cochlear implant recipients who have experienced significant improvements in speech understanding and overall quality of life. They highlight the dramatic changes in users' abilities to comprehend speech and communicate effectively. The hosts also address common concerns about the potential loss of residual hearing after surgery, citing a study that shows minimal changes in hearing after implantation.

40:16
💬 Audience Q&A Session on Cochlear Implants

The hosts engage in a Q&A session, answering questions from the audience about cochlear implants. They discuss the healing process after surgery, the adaptation period, and the differences in sound perception with cochlear implants. They also address the potential for individuals with no previous hearing experience to receive cochlear implants and the compatibility of Roger devices with different brands of cochlear implant processors.

Mindmap
Keywords
💡Cochlear Implants
Cochlear implants are electronic devices designed to restore a sense of sound to individuals with severe hearing loss. They consist of an internal electrode array surgically implanted in the cochlea and an external processor that sends signals to the electrodes. In the video, the hosts discuss the various types of cochlear implants, their manufacturers, and the surgical process involved in their implantation.
💡Hearing Loss
Hearing loss refers to a decrease in the ability to hear sounds, which can range from mild to profound. It can be caused by various factors such as aging, noise exposure, or genetic conditions. The video script discusses individuals with hearing loss who are potential candidates for cochlear implants, emphasizing the transformative impact these devices can have on their lives.
💡Audiologist
An audiologist is a professional who specializes in the diagnosis, treatment, and prevention of hearing and balance disorders. In the context of the video, the hosts, both being audiologists, provide insights into the cochlear implant process, including the selection of appropriate devices and the importance of post-surgical rehabilitation.
💡Surgical Process
The surgical process refers to the medical procedure involved in implanting a cochlear device. In the video, the hosts describe the surgery as a two-hour outpatient procedure under general anesthesia, where an incision is made behind the ear to insert the implant and electrodes into the cochlea.
💡Electrode Arrays
Electrode arrays are the parts of a cochlear implant that are inserted into the cochlea to directly stimulate auditory nerves with electrical signals. Different manufacturers offer various electrode designs, such as straight, curved, or hybrid arrays, each intended for specific types of hearing loss and cochlear structures. The video discusses the different electrode types and their insertion methods.
💡Bimodal Setup
A bimodal setup refers to the use of both a cochlear implant on one ear and a hearing aid on the other ear to improve hearing. This combination takes advantage of any residual hearing in one ear while providing the benefits of a cochlear implant in the other. The video highlights the high satisfaction rates among bimodal users and the significant improvement in speech understanding this setup can offer.
💡Hearing Aid Compatibility
Hearing aid compatibility refers to the ability of cochlear implant devices to work in conjunction with traditional hearing aids, especially in a bimodal setup. The video mentions that certain cochlear implant brands are compatible with specific hearing aid brands, allowing for seamless communication between the devices and enhancing the user's overall hearing experience.
💡Telecoil
A telecoil, or T-coil, is a feature found in many hearing aids and some cochlear implant processors that allows users to receive audio signals directly from telephones, TVs, or public induction loop systems. The video discusses the availability of telecoils in certain cochlear implant devices and their importance for individuals with hearing loss in public venues.
💡Residual Hearing
Residual hearing refers to any remaining natural hearing a person may have despite having hearing loss. The video addresses concerns about cochlear implantation potentially affecting residual hearing, citing a study that shows minimal impact on residual hearing post-implantation.
💡Activation
Activation is the process of turning on a cochlear implant for the first time and beginning the process of auditory rehabilitation. The video mentions that the time frame for activation can vary, typically ranging from one week to one month after surgery, depending on the individual's healing process.
💡Over-the-Counter Hearing Aids
Over-the-Counter (OTC) hearing aids are a new category of hearing assistance devices designed for adults with mild to moderate hearing loss. They can be purchased without a prescription or hearing test, offering an accessible option for those seeking hearing support. The video briefly mentions OTC hearing aids and highlights the Soundwave Sontro as an example of such a device.
Highlights

Discussion on cochlear implants and their manufacturers

Introduction of different cochlear implant electrode arrays and their purposes

Overview of the surgical process for cochlear implantation

Explanation of how the electrodes work within the cochlea

Discussion on the preservation of residual hearing after cochlear implant surgery

Information on the compatibility of cochlear implant devices with hearing aids for bimodal hearing

Introduction of over-the-counter hearing aids and the Soundwave Sontro

真人真事分享:从几乎没有听力到通过植入式助听器恢复听力的个案

对cochlear implantation的恢复时间和适应性的讨论

解释cochlear implant的电极如何工作以及如何刺激耳蜗内的不同频率区域

讨论使用cochlear implant是否与正常听力相同以及用户的适应过程

对从未有过听力但考虑接受cochlear implant手术的个体的可能性进行探讨

讨论Roger设备与其他Phonak麦克风在使用cochlear implant时的区别

强调了cochlear implant对于听力恢复的显著效果和改变生活的潜力

Transcripts
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