little girl sitting with her mom

Cochlear implants have revolutionized the way we think about hearing loss, offering a life-changing option for many who are profoundly deaf or severely hard of hearing. While cochlear implants provide access to sound, they do not restore hearing to normal levels.

Understanding what cochlear implants do, who they benefit, and their limitations is essential in determining whether they’re right for you. That’s where Louisiana ENT Specialists come in. In this blog, our professionals will explain how these implants work and what we can do to help.

How Do Cochlear Implants Work?

Cochlear implants are medical devices designed to provide a sense of sound to individuals with severe to profound sensorineural hearing loss. Unlike hearing aids, which amplify sound, cochlear implants bypass the damaged parts of the ear by directly stimulating the auditory nerve with electrical signals.

A cochlear implant consists of two main components:

  • External Component: This includes a microphone and a sound processor, which capture and convert sound from the environment into digital signals.
  • Internal Component: Surgically implanted under the skin, this part includes a receiver and electrodes that transmit the digital signals to the auditory nerve, allowing the brain to perceive sound.

When someone with a cochlear implant hears sounds, it’s different from natural hearing. The brain learns to interpret the signals from the implant, but the quality and clarity of what they hear can vary widely from person to person.

Here are some key criteria for determining if someone is a good candidate for a cochlear implant:

  • Candidates usually have severe to profound hearing loss in both ears
  • They must show little to no improvement in hearing with regular hearing aids
  • Cochlear implants can help both children and adults, but early implantation is often recommended for children to aid in language development
  • Candidates and their families should be ready to commit to the extensive rehabilitation process that follows the surgery

While cochlear implants can significantly enhance communication and improve the quality of life for those who qualify, they aren’t the right choice for everyone. The success of the implant can depend on several factors, including:

  • How long the person has been deaf
  • The health of their auditory nerve
  • Their ability to adjust to this new way of hearing

The Connection Between Cochlear Implants and Deafness

Cochlear implants can truly transform the lives of those who receive them. For many, these devices provide the chance to hear speech, environmental sounds, and even music. Children who get cochlear implants at a young age often develop spoken language skills similar to those of their hearing peers, which helps them succeed in regular educational settings.

Here are some additional benefits of cochlear implants:

  • Many recipients can participate in conversations without relying heavily on lip-reading or sign language
  • Being able to hear sounds makes it easier to navigate the world, respond to environmental cues, and join in social activities
  • Hearing sounds and interacting with others can help reduce feelings of isolation and boost overall well-being

It's important to understand that cochlear implants are not a traditional "cure." They don’t restore normal hearing, and the benefit level can vary from person to person. Some individuals may still find it challenging to hear in noisy environments or to understand speech in certain situations.

Let’s look at some of the limitations of cochlear implants:

  • The sound perceived through a cochlear implant is different from natural hearing, and it may take time to adapt
  • Extensive auditory rehabilitation is necessary to maximize the benefits of a cochlear implant, which can be time-consuming and requires dedication from the recipient and their support system  
  • Those with residual hearing, auditory nerve damage, or other medical conditions may not be candidates

Cochlear Implants and the Deaf Community

Cochlear implants have sparked significant discussion and debate within the Deaf community, where deafness is often viewed not as a disability but as a cultural identity. For many in the Deaf community, the idea of a "cure" for deafness is controversial, as it implies that deafness is something that needs to be fixed.

Think about the following cultural considerations:

  • Identity: Deafness is an integral part of identity for many people in the Deaf community. Some view cochlear implants as a threat to Deaf culture and the use of sign language.  
  • Choice: The decision to get a cochlear implant is deeply personal, and some individuals in the Deaf community choose not to pursue it, opting instead to embrace their deafness and rely on sign language and other forms of communication.

While cochlear implants offer incredible benefits for some, it’s essential to respect the diverse perspectives within the Deaf community and recognize that not everyone views deafness in the same way.

Questions About Cochlear Implants? LENTS Can Answer Them.

Cochlear implants are a remarkable technological advancement that can significantly improve the lives of individuals with severe to profound hearing loss. They provide access to sound and open up new possibilities for communication and engagement with the world. However, they are not a cure for deafness in the traditional sense. Cochlear implants do not restore natural hearing, and the experience of hearing with an implant differs from that of normal hearing.

If you or a loved one is considering a cochlear implant, it's essential to have a thorough evaluation and discussion with a specialist. At Louisiana ENT Specialists (LENTS), our team of ENT doctors and experts is dedicated to helping you explore your options and determine whether a cochlear implant is right for you. Contact us today to schedule a consultation and take the first step towards improved hearing and a better quality of life.


Back to Blog

With 13 convenient locations around the Louisiana area, we're never far away.

Find Your ENT Request Appointment
Contact us media
Accessibility: If you are vision-impaired or have some other impairment covered by the Americans with Disabilities Act or a similar law, and you wish to discuss potential accommodations related to using this website, please contact our Accessibility Manager at (225) 769-2222.