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More than 550 Cochlear Implant surgeries since 1992 have made us the leading entity in Otology in Colombia. Many Colombian and foreign patients including children have benefited from our work and nowadays lead a normal life using Cochlear implants

How Normal Hearing Works

Outer Ear - Sound is directed into to ear by the visible outer portion, called the Pinna, and travels down the ear canal.

Middle Ear - Sound waves then hit the eardrum causing it and the three small bones behind it to vibrate.

Inner Ear - The inner ear is filled with fluid and contains thousands of sound receptors known as hair cells. Once sound enters the cochlea, the fluid is sent into motion causing these hair cells to sway or shear.

Hearing Nerve - Thousands of nerve pathways transmit sound information from the hair cells up to the hearing centers of the brain.

How Does a Cochlear Implant Work?

 

A cochlear implant replaces the damaged cochlear hair cells and uses electrical impulses to stimulate the auditory nerve.  The goal is to restore sound detection and enable speech recognition.

  • The microphone in the headpiece collects sound and sends it to the speech processor.
     
  • The speech processor converts the sound using a coding strategy compatible with the electrodes.
     
  • The signal is then sent back to the headpiece.
     
  • The headpiece transmits the signal via radio waves across the skin to the internal component of the implant.
     
  • The internal component delivers the signal to the electrode array that is implanted in the cochlea.
     
  • The electrodes stimulate the hearing nerve with electrical impulses.

How are hearing aids different?

Hearing aids are designed to make sound louder.  Just making sound louder won't provide much usable hearing for a severely damaged ear.

A cochlear implant doesn't make sounds louder, it stimulates the ear directly, bypassing the damaged part of the ear.  Sound is sent directly to the hearing nerve.  This sound stimulation can provide a range of benefits from simple sound detection, to speech understanding without lip-reading.

FDA Approved cochlear implant devices

Cochlear Corporation


 

Basic function of the Nucleus 24 cochlear implant, Cochlear Corporation. For more information visit the manufacturer’s website found here: www.cochlear.com

 


A. The speech processor (headpiece) which is not implanted and is worn externally either behind the ear (ear-level speech processor) or on the belt (body-worn processor)

B. Sound is picked up by the microphone which a component of the externally worn speech processor. The sound is converted in the speech processor to an electrical signal. The signal is then “coded” or converted to specific patterns or pulses.

The implant now sends the coded electrical signal to the electrode array which is implanted into the cochlea.Multiple channels and points of stimulation now fire in a pattern that the cochlea can recognize stimulating the acoustic nerve ending in the cochlea.

C. The auditory nerve pick up this signal and transmit them to the brain (auditory cortex) where they are perceived as sound
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Contact Information
 
Telephone(571) 612 2342 / (571) 215 7345 FAX(571) 619 8079
 Carrera 9ª No 117-20 Cons 219, Bogotá, Colombia
  If you wish to contact Dr. Juan Manuel García please
call his office 
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 Last modified:01/12/11
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