my prof in order to explain it you have to hear it first explain it works so that sound over the auditory canal the eardrum and the middle ear 1 inner ear is just passed only if we also have a model in the cochlea in the inner ear will the sound converted into electrical nerve impulses is usually the case that with hearing loss, the hair cells damage the sensory cells in the inner ear if there is a hearing loss in a medium If the area is very pronounced, this can still be compensated very well With a hearing aid it still works even if a much stronger one Damage is only due to damage but this technical possibility is reaching its limits and what do you do if then even when hearing aids no longer help patients then complain that you hear sounds early but no longer speak the language understand well hearing aids actually fired your limits and then comes a method called the cochlea implant ion denotes a cochlear implant is an implant that is in the cochlea is inserted into the cochlea right here in this area and with this method, an implant is placed directly inserted into the cochlea, the implant then creates a electrical stimulus that is transmitted to the auditory nerve and directly to the hearing center is transmitted to the auditory nerves and to the brain how does a cochlea work, what does it look like and how does it work because the cochlear implant works so it is actually made up of two parts that is the inner part of the one behind that the ear is implanted under the skin over a roughly 2-hour operation The implant works so an outer part of the so-called speech processor sound picks up the language and translates the language into different frequencies are then broken down with a radio signal from outside through the closed skin sends to the implant located under the skin and the inside implant then generates a nerve impulse that goes directly to the auditory nerve nature has given us the wonderful please done that the cochlea is organized so that the deep and topo tones organized like a scale and separated from each other so that the heard and the respective dismantled frequencies in exactly the right place in the cochlea and thus not only hear one sound but actually an understanding of the language for the patients treated in this way results and what are the chances of success they depend very much on how long the hearing loss has been present it is crucial that the patient has heard the ear once, then it is generation time is not that important the chances of success are meanwhile so that we can assume that the the vast majority of patients achieve free speech understanding also usually able to make phone calls and effortlessly to operate communication again and there are still risks as with everyone surgery, there are also risks associated with a Kochler implantation giant ones are now at the level of a normal operation the risk is therefore very manageable, at least in one clinic, the major one therefore has experience with cochlear implants are the initial difficulties that many years ago because this method is yes now almost 30 years old have long overcome and in the rule is a process that does not pose any great risk to the person can be applied to patients and which conditions influence this the result of the implantation is now decisive that one hearing was present on the ear which can be reactivated ever The shorter the generation time, the better the result will usually be but there are also factors that are difficult for us to grasp the patient’s motivation also plays a major role so that the will to learn to hear again is what training listens to So complete the training to go through rehabilitation For us, this is a complete package that then allows us to draw a forecast as a rule we have favorable conditions for a short generation long-term with good hearing in the past and high motivation on the patient side

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