Cochlear Implant

Under general anaesthesia with continuous facial-nerve monitoring, the surgeon makes an incision behind the ear and creates a bony bed in the skull for the receiver-stimulator. A mastoidectomy is performed and a posterior tympanotomy gives access to the middle ear and round window. The electrode array is threaded through the round window or a cochleostomy into the scala tympani. The receiver-stimulator is anchored, intraoperative impedance and neural-response telemetry confirm function, and the wound is closed in layers. The external processor is fitted weeks later.

1. 1Comprehensive audiological assessment, hearing-aid trial and speech-in-noise testing.
2. 2High-resolution CT and MRI of the temporal bones to confirm cochlear anatomy and patency.
3. 3Vestibular testing and counselling on rehabilitation expectations.
4. 4Vaccinations (pneumococcal) before implantation per NHS protocol.
5. 5Pre-operative bloods, dental review and arrangement of post-operative speech and language therapy.

1. 1Day 0-1: Same-day or one-night hospital stay; wound dressing and head bandage briefly.
2. 2Days 1-7: Mild pain, swelling and bruising; antibiotic course completed.
3. 3Weeks 1-4: Wound healing; the device remains internally inactive.
4. 4Week 4: Switch-on appointment - the sound processor is fitted and first sounds heard.
5. 5Months 1-6: Multiple mapping sessions tune the device; intensive auditory rehabilitation.
6. 6Months 6-24: Speech-perception abilities continue to improve, especially in noisy environments; lifelong annual review.

Typically $50,000 to $100,000, according to CostHelper, citing the University of Miami.

Plan on about 5 days, from arrival to the flight home. Your surgeon will confirm when it is safe to travel.

Most U.S. health plans do not pay for elective surgery abroad, and cosmetic procedures are not covered at all. The CDC also warns that care for complications after surgery abroad may not be covered, so check your plan before you book.