Tests Before Cochlear Implant Surgery

Why Are Pre-Surgery Tests Done?

Pre-operative tests ensure the patient is medically fit for surgery, confirm cochlear implant eligibility, and plan the procedure.


Key Pre-Cochlear Implant Tests

1. Comprehensive Audiological Evaluation

  • Repeat pure-tone and speech testing to finalize candidacy.
  • For children: Play-based assessments to measure responses to sound.

2. Medical Examinations

  • Physical Health Check: Heart, lungs, and anesthesia readiness.
  • Ear Exam: Rule out infections, tumors, or abnormalities.

3. Imaging Scans (MRI/CT)

  • Purpose: Detailed view of the cochlea and auditory nerve.
  • Outcome: Confirms the cochlea’s shape and detects ossification (calcification) that may complicate surgery.

4. Balance Testing

  • Why?: Cochlear implants may affect vestibular function.
  • Process: Tests like VEMP (Vestibular Evoked Myogenic Potential).

5. Cognitive and Psychological Assessments

  • For children: Evaluates readiness for post-surgery therapy.
  • For adults: Ensures realistic expectations and commitment to rehabilitation.

Preparation Steps

  1. Vaccinations: Ensure up-to-date vaccines (e.g., pneumococcal).
  2. Stop Blood Thinners: To reduce surgery risks.
  3. Counseling: Discuss risks, benefits, and post-op care.

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