Here’s a clear overview of the steps and recovery process for cochlear implant surgery in Kyiv, based on international standards and local practices:
Steps of Cochlear Implant Surgery
- Pre-Operative Assessment
You’ll undergo hearing tests, imaging (like CT or MRI), and consultations with ENT surgeons and audiologists to confirm candidacy and plan the procedure.
- Anesthesia and Preparation
The surgery is performed under general anesthesia for comfort and safety.
- Surgical Procedure
A small incision is made behind the ear.
The surgeon performs a mastoidectomy (removal of a small portion of the mastoid bone) to access the middle ear and cochlea.
The internal implant (electrode array) is carefully inserted into the cochlea through a small opening.
The receiver-stimulator is placed under the skin behind the ear and connected to the electrode array.
The incision is closed with sutures, and a dressing is applied.
- Immediate Post-Op
Surgery typically lasts 1–2 hours.
Most patients are observed for several hours and can go home the same day, though some may stay overnight.
Recovery Process
First Week
Expect mild pain, swelling, or dizziness; these are usually well-controlled with medication.
A bandage may be worn around the head, especially during sleep.
Avoid strenuous activity and protect the surgical site.
Wound Care
Keep the incision clean and dry.
Any bandage is usually removed after 1–2 days, but follow your surgeon’s instructions.
Stitches may dissolve on their own or be removed at a follow-up visit (usually 1 week after surgery).
2–4 Weeks Post-Surgery
Healing continues; you may feel a small lump behind the ear where the implant sits.
Avoid trauma to the head and do not blow your nose forcefully.
Most people can return to work or school within a week if they feel well.
Activation and Rehabilitation
The external processor (the part you wear on your ear) is fitted and activated about 3–4 weeks after surgery, once the incisions have healed.
At first, sounds may seem strange or unclear. Your audiologist will program (map) the device and guide you through auditory training to help your brain adapt to new sounds.
Several follow-up appointments are needed for adjustments and rehabilitation, which is crucial for optimal results.
Long-Term Care
Regular checkups and programming sessions are required to fine-tune the implant.
Ongoing auditory rehabilitation and speech therapy (especially for children) are important for learning to interpret sounds and develop speech.
Key Points
Risks: As with any surgery, risks include infection, bleeding, dizziness, changes in taste, or rarely, facial nerve injury.
Success: Most patients in Kyiv and worldwide experience significant improvements in hearing and quality of life with proper rehabilitation.
Summary:
Cochlear implant surgery in Kyiv involves a thorough assessment, a safe surgical procedure under general anesthesia, and a structured recovery with wound care and activity restrictions. Activation of the device and auditory rehabilitation begin about a month after surgery, with gradual improvement in hearing and communication skills. Ongoing support from your care team is essential for the best outcome.
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