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Hearing, Speech Impairment Health Feed

Cochlear Implant - Know Utility Of It!

MS - ENT, DNB (ENT), MBBS, Fellowship in Laryngology
ENT Specialist, Mumbai
Cochlear Implant - Know Utility Of It!

A cochlear implant is an electronic device that is used to restore hearing ability in people who suffer from hearing loss due to inner ear damage. Unlike hearing aids which amplify sounds so people with hearing loss are better able to perceive them, cochlear implants directly transmit electronic sound signals to the auditory nerve. They work by compensating for damaged cochlea, the part of the inner ear that converts sound waves into neural impulses which are perceived by the brain. 

  1. A child who cannot hear will also never be able to speak. 
  2. Inability to hear and speak puts a person at a disadvantage in society. 
  3. Simple tasks like talking on the phone which we take for granted become impossible. 
  4. Conventional methods of learning like attending a classroom lecture become impossible. 
  5. Brain development and intelligence is closely linked to the development of speech and language. 
  6. Inability of parents to communicate with the child leads to emotional distancing. 
  7. Integrating a hearing disabled person into society becomes a frustrating experience for all involved. 
  8. Cost of integration per capita is much higher when compared to the cost of Cochlear Implant. 
  9. Children with Cochlear Implants are fully integrated into society with normal hearing & speech. 
  10. Children with Cochlear Implants can attend regular schools & colleges 
  11. Early identification of hearing impairment gives children a better chance of developing speech and language skills, and of making the most of social and emotional interaction from an early age. 

Cochlear implants offer a multitude of benefits to people experiencing hearing loss, especially infants and children with severe hearing loss who are just starting to process language and speech. Some of these benefits are: 

  1. Hearing and communication – Cochlear implants improve hearing significantly, especially to a level where normal communication can be restored. It enhances the person’s ability to hear speech without relying on visual cues such as lip reading or hand signs. It makes telephonic conversation a lot easier. Cochlear implants also help people regulate their own voice and volume so that it is easier for others to understand them. 
  2. Quality of life - It can help people with hearing loss listen to and enjoy music and also watch television with sounds. It helps people listen to sounds in a noisy environment and differentiate soft sounds from loud ones. 
  3. Safety – Cochlear implants enhance the individual’s safety as it allows the person to be able to hear warning sounds like honking cars or ambulance sirens. This will allow people to navigate public spaces in a much safer way. 
  4. Society - For children with hearing loss, cochlear implants can help them adjust a lot better to regular schools instead of requiring special institutions. 
  5. Brain development - It can help infants with cochlear damage develop their speech recognition and speaking skills much faster. 

Cochlear implants 

  1. Only device of its kind that can restore a special sense.
  2. Consists of 2 parts-
    • One part is surgically implanted in the body 
    • Second part is worn behind the ear and communicates with internal part using wireless signals 
  3. Persons of any age can get a cochlear implant, from less than one-year-old children to 90-year-old persons have received implants all around the world. 
  4. Cochlear implants can be done for partial hearing loss also, know as Hybrid implant that preserves the residual natural hearing and augments hearing only in certain sound frequencies in which hearing loss is present. 
  5. Are being used for indications other than hearing loss also like Tinnitus
  6. Surgery is a daycare procedure for most patients. 

Consult a doctor to get a clear assessment of whether you would be an eligible candidate for a cochlear implant and what to expect from the procedure.

2536 people found this helpful

What is a Hearing Aid & Who As An Audiologist?

BASLP (Bachelor of Audiology Speech Language Pathology), DHLS Audiology
Audiologist, Pune
What is a Hearing Aid & Who As An Audiologist?

Hearing aid is a small electronic device that you wear in or behind your ear.It makes sound louder so that a person with hearing loss can listen, communicate and participant more fully in daily activities.

A hearing aid can help people hear more in both quiet and noisy situation.

A Hearing aid has three basic parts: a microphone, amplifier, and receiver. The hearing aid receives sound through a microphone, which converts the sound waves into electrical signals and sends them to an amplifier. The amplifier increases the power of signals and then sends to the ear through receiver.

How does it help?

Hearing aids are primarily useful in improving the hearing and speech comprehension of people who have hearing loss or impairment.

How can I find out if I need a hearing aid?

If you think you might have hearing loss or your family says that you can’t hear once said then you need to Visit Audiologist to investigate whether you have hearing loss or not

Signs of hearing loss:

  1. Asking people for repetition
  2. Difficulties on telephone
  3. Difficulties while watching TV , Turning the TV or radio volume
  4. Speaking loudly
  5. Problem in noisy surrounding.
  6. Withdrawal from conversation.
  7. Avoidance of social meetings.
  8. Difficulty in understanding words  
  9. Frustration and anger if not able to hear other people.

If you find any of these you need to consult Audiologist.

Who is an Audiologist?

  • Audiologist is a hearing health care professional who investigate or identifies and measures hearing capacity by administering various audiological tests.
  • Audiologist has Degree in Audiology and he is a registered member of Rehabilitation council of india.
  • Audiologist will help you to find out whether you have hearing loss or not.
  • Audiologist will tell you type and degree of hearing loss.
  • Audiologists will advice you further management according to your reports.
  • If you have condition which can be corrected by medicine or surgery then he will refer to ENT specialist.
  • If you have hearing loss then Audiologist will help you to select type of hearing aid suitable for you.
  • He will also tell you which hearing aid works best for you
  • Audiologist will program your hearing aid according to your audiogram.
  • Audiologist will also look after you hearing aid- repair, programming, change of parts, servicing, minor repair, batteries, re-evaluation and programming in future.

He will also guide you before and after ear surgery.

2462 people found this helpful

6 Ways To Help Your Baby Learn Speaking

Diploma in Child Health (DCH), MRCPCH, MRCP (UK), MD - Paediatrics, MBBS
Pediatrician, Delhi
6 Ways To Help Your Baby Learn Speaking

The role of parents in language development of children is a primary one. Basically, it will be a one way communication as babies will not respond but that should not deter you from speaking to them. It has been shown that talking to children early on helps them to talk faster and learn more words. The number of words a child hears is directly proportional to the amount of vocabulary he/she will be able to master.

6 ways to help your baby learn speaking:

1. Let them listen a lot

Children learn speaking by listening first. So more and more words they will listen, so do they will speak. Make sure your child comes in contact with children in the peer group and plays with them. Many words they will learn with the help of their friends.

2. Read a book

You should start to read to your child as early as possible. The type of book is not as important as you may use various touch and feel books such as graphic novels. Initially, you may start with board books and then move on to picture books and finally to story books. It helps in increasing the child's vocabulary.

3. Talk as much as you can

Part of a child's ears and brain that respond to sound are developed since birth, so even though talking to your baby may not make much sense, talking to them enhances their development of speech. The infant absorbs the words which facilitates speaking.

4. Look for cues

If the child is interested in something such as a book or a toy, then engage with the child on that subject. Encourage him/her to ask questions and interact as much as possible. These interactions help in enhancing the child's language skills.

5. Limit television

Using television to teach vocabulary to your child is not as effective as talking directly. The primary reason is that characters in television do not react to your child's cues. This does not allow the child interact which results in reduced language learning.

6. Treat ear infections early

It is important to treat ear infections early as this causes hearing problems which in turn delays language learning. Consulting a pediatrician to get treatment for ear infections of your child is advisable. You should see to it that the child is being administered medications at regular intervals.

2544 people found this helpful

Best ENT Specialist in Bangalore!

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurvedic Doctor, Lakhimpur Kheri
Best ENT Specialist in Bangalore!

Suffering from problem related to ear, nose and throat (ENT) and confused about where to get it treated in Bangalore. Below are the best ENT specialist or otolaryngologists in Bangalore who can help you. These ENT specialist in Bangalore have years of experience in treating problems related to hearing and speech as well as cases like sinusitis and allergies. Best ENT Surgeons and consultants in Bangalore are:

1. Dr. Jagdish Chaturvedi

DNB (ENT), MBBS

Dr. Jagdish Chaturvedi has years of experience as an ENT specialist. In his career of 12 years he has treated several cases of simple as well as advanced problems related to ear, nose, throat diseases. He has conducted several surgeries like endoscopic sinus surgeries, tracheostomies and ear nose throat endoscopies. He has done several additional courses to upgrade his knowledge and has innovated over 16 medical devices. He is currently affiliated to Sinus Hospital.

Consultation fees: ₹500-550

2. Dr. Sandeep Dachuri

MS - ENT, MBBS

Dr. Sandeep Dachuri is a practicing ENT/ Otorhinolaryngologist in Bangalore with 7 years of experience. He currently practices at Shri Vishnu Ent Speciality Center in Banashankari 3rd Stage, Bangalore.Some of the areas of special interest and expertise are Sinusitis Evaluation, ENT Consultation & treatment, Nasal endoscopy and Foreign Body Removal and vertigo.

Consultation fees: ₹300

3. Dr. Chandre Gowda

MBBS, MS - ENT

Dr. Chandre Gowda is one of the very senior doctors who has 40 years of experience. He currently practices at Sankalp ENT Care Centre. His areas of specialization are eardrum rupture treatment, head and neck cancers, phono surgery, tonsillectomy. He is a life time member of Academy of Oral Implantology (AOI),Indian Medical Association (IMA) and Association of Otolaryngologists of India (AOI).

Consultation fees: ₹100

4. Dr. Sandhya Patil

D.N.B, D.L.O

Dr. Sandhya Patil, is a reputed Ear-Nose-Throat (ENT) specialist in Bangalore with 10 years of experience. She is associated with best hospitals as a visiting consultant and also runs her own private practice called Daivik ENT Center. She is a recipient of many awards in her field and specialises in treatment foreign body removal, tonsillitis, hearing and speech impairment

Consultation fees: ₹300

5. Dr. Shankar B Medikeri

MBBS, MS - ENT, DORL, DNB (ENT), FICS

Dr. Shankar B. Medikeri is a topper and gold medallist in his graduation and post graduation. With more than 40 years of experience he has worked with several hospitals in Bombay and Bangalore. He currently practices at Medikeri's Super Specality ENT Center. He has keen interest in conducting Live Surgical Workshops on Microsurgery of the Ear & Larynx, Endoscopic Sinus Surgery, Laser Surgery and Cadaver dissection Courses on Temporal Bone. In last 13 years he has done more than 600 cochlear implants.

Consultation fees: ₹600

6. Dr. Anita Krishnan

MBBS, Diploma in Otorhinolaryngology (DLO), DNB - ENT, Diploma in Medical Law and Ethics (PGDMLE)

Dr. Anita Krishnan has done several fellowships and certifications nationally and internationally. She has more than 26 years of experience and is associated with Apollo Spectra and Bangalore ENT Care Centre. SHe has attended and conducted several CMEs and seminars to upgrade her skills and knowledge as well as to help her fellow colleagues. She is known for his treatment and services like- Laryngostroboscopy, Laser Surgery, Functional Endoscopic Sinus Surgery - FESS using XOMED & Smith Nephew Microdebrider.

Consultation fees: ₹600

7. Dr. Alok Banka

ENT Surgeon, M.S., MBBS

Dr. Alok Banka is a qualified and well experienced ENT surgeon with 14 years of experience. He is is a visiting consultant at many hospitals and clinics in Bangalore like- Cogent Care Clinic, Narayana Hospital, Apollo Clinic, Columbia Asia Hospital. His areas of keen interest are micro-ear surgeries, and endoscopic sinus surgeries. He has also dealt with cases of cosmetic nasal and micro laryngeal surgeries. He is known for use of new technologies and therapies that provide best treatment to his patients.

Consultation fees: ₹450

8. Dr. Gladson Guddappa Uchil

MBBS, Diploma In Otorhinolaryngology (DLO)

Dr Gladson Guddappa Uchil is considered to be amongst the otolaryngologist, head & neck surgeon. With 21 years of experience he has worked with some of best hospitals like Fortis Healthcare Ltd, HCG Hospitals & Sparsh Superspeciality Hospitals in Bangalore. He is an expert in treating ENT related diseases or disorders snoring & sleep apnoea, ear infection. He has also done several surgeries to treat sinusitis & deviated nasal septum. He is a member of Indian Society of Otology, Association of Otolaryngologists of Bangalore (AOB), and Association of Otolaryngologists of India (AOI). 

Consultation fees: ₹600

9. Dr. Manjunath Mk

Fellowship In Laryngology, MS - ENT, MBBS, USMLE

Dr. Manjunath has 17 years of experience is a prominent name among ENT surgeons. He has done his fellowship from USA. During his tenure he has performed micro-laryngeal surgery, cosmetic nose surgery and endoscopic sinus surgery. He is also known for his perfection when it comes to micro-ear surgical procedures and has a special interest in treating snoring & sleep disorders, hearing problems, surgery for deviated nasal septum.

Consultation fees: ₹350

10. Dr. Sushma Patil

MBBS, Diploma in Otorhinolaryngology (DLO)

Dr. Sushma Patil is a ENT/ Otorhinolaryngologist with 11 years of practice. She is a reputed name in Bangalore and is member of South Zone SOI and Karnataka Medical Council. She has successfully treated cases of sleep apnea, thyroplasty, tinnitus evaluation  and management.

Consultation fees: ₹300

11 people found this helpful

I can't able to speak, listen, understand, read, write, feel, think. Simply you can say that my mind can't work properly it refuses all work of my body, my body wants to be unconscious. Please tell me the reverse tablet of Oleanz rt 10 (45 days I take this before 4 months ). And I'm sure this is happening by this tablet.

MBBS
General Physician, Mumbai
Apart from taking symptomatic treatment I will suggest you to take injection vitcofol 2cc intramuscularly every fourth day for five pricks over the buttocks through a health professional

Speech & Language Delay - Spot The Signs!

D.H.L.S, B.A.S.L.P, M.A, B.Ed .SE . ( H.I )
Speech Therapist, Delhi
Speech & Language Delay - Spot The Signs!

There are instances when a kid doesn’t show the usual signs of development compared to their peers. Most parents take it casually thinking that their child will catch up in due course only to find a larger problem associated with it. It is therefore extremely important to discuss speech and language related delays with a medical practitioner to find out whether a child is immature or has a genuine problem which requires medical help. A child can show different signs as per age:

Different age group:

  • Within the first 12 months, a baby should be able to relate to his environment and make babbling and cooing sound. It is often observed that by month 9, a baby is capable of stringing sounds after seeing things. If a baby is intently watching objects, but is unable to make any sound, this may be an early symptom of speech or language related problem.
  • Between the 12th and the 15th month, a baby should be capable of making a wide array of sounds including few commonly used words. Babies should also be able to take few basic instructions and oblige those.
  • Between the age of 18th and 24th months, a baby becomes smart enough to pronounce anywhere in the range of 20 to 50 words. They also start combining words and make simple sentences. They should be capable of identifying common objects and remember their names.
  • By the age of 3, a toddler should be smart enough to combine 4-5 words and form sentences. Kids of this age also become smart enough to take straightforward instructions and perform them comfortably. Any deviation on this should be immediately reported to the Doctor.

What are the warning signs?

If a child between the age of 1-2 is not able to do the following things:

  1. Fails to use gesture
  2. Use more gesture than vocalising by the age of 18 months
  3. Produce no voice by 18th-month
  4. Fails to perform simple instructions

A child between the age of 2-3 needs evaluation if:

  1. Capable of imitating words but isn’t spontaneous in vocalising
  2. Repeats certain words multiple times
  3. The tone of voice is unusual compared to his peers

Possible causes of speech and language delay:

  1. Problems with palate leading to oral impairments
  2. Short frenulum restricting sufficient tongue movement to produce speech
  3. Oral-motor problems leading to speech limitation
  4. Problems related to hearing
  5. Chronic infection of the ear leading to speech delay

What does the pathologist assess?

  1. What can the child speak?
  2. What can the child understand?
  3. Oral-motor status
  4. Clarity of speech

Post the above evaluation a pathologist directs a plan of action. Sometimes speech therapy sessions are recommended in order to improve kids’ skill. For a motor related problem, a doctor can state a plan of action and limit the expectation of parents. If you wish to discuss about any specific problem, you can consult a Speech Therapist.

3910 people found this helpful

I talk very loudly. People say I talk as if giving lectures. I have 40 decibels conductive hearing loss n both ears but I am able to manage it. I have issue only when people talking very softly. Pls guide.

Reparenting Technique, BA, BEd, Transactional Analysis
Psychologist, Bangalore
I talk very loudly. People say I talk as if giving lectures. I have 40 decibels conductive hearing loss n both ears b...
Other people talking is not yoru problem: you say that people's observation is that you speak loudly. It is definitely coming from your own hearing loss whereby you have not accurate feedback mechanism to know your volume and to make necessary corrections. Now that you know about this is it possible to speak in a volume that is less audible to you but that you know it is sufficient to the hearing level of the other people. With time and practice you will be able to master this technique.
3 people found this helpful
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