Severe hearing difficulty
If speech understanding remains poor with hearing aids, or existing results raise the question of cochlear implantation, the full audiology picture needs to be reviewed rather than relying on one number.
Cochlear implants
Clear audiology support before and after implantation
A cochlear implant is not simply a more powerful hearing aid. It is a different technology. At an appointment we can review previous results, decide what hearing assessment is useful, explain the findings and program a supported processor when appropriate.
When to discuss it
Three common situations
Before surgery
Previous test results can be reviewed so you understand what further assessment may be needed and what information is useful to take to the implant centre.
After implantation
Processor programming, follow-up hearing assessment and a clear plan for the next stage may be needed after activation and during ongoing use.
What happens at the appointment
Evidence first, decisions second
1
History and recordsPrevious audiograms, ABR/ASSR results, surgery records and processor details are reviewed.2
Hearing assessmentThe useful test battery depends on age, current concerns and the information already available.3
ProgrammingSupported MED-EL and Advanced Bionics processors can be programmed according to the clinical task and follow-up data.4
Next stepThe results are explained and the follow-up plan is set, including referral to another specialist when needed.Important: cochlear implant surgery is not performed at this office. The surgical stage takes place at a specialist implant centre.
Two different technologies
A hearing aid and a cochlear implant solve different problems
Hearing aid
An external device that processes and amplifies sound according to the person's hearing profile. Selection and programming depend on the audiogram and day-to-day communication needs.
Cochlear implant
A system with an internal component placed surgically. Candidacy cannot be determined from an online test or a single threshold; it requires a complete specialist assessment.
Experience
Ekaterina Kravchenko
21+years of clinical practice
10+years of cochlear implant processor programming experience
2main supported systems: MED-EL and Advanced Bionics
The goal is not to discuss a device name in isolation, but to consider hearing results, real communication needs and follow-up evidence together.
Frequently asked questions
Short answers
What is the difference between a hearing aid and a cochlear implant?
A hearing aid is worn externally and processes and amplifies sound. A cochlear implant has an internal component placed surgically. The appropriate option depends on the complete audiological and clinical assessment.
Is cochlear implant surgery performed at this office?
No. Surgery is performed at a specialist surgical centre. This office provides hearing assessment, explanation of results, programming of supported processors and follow-up audiology care.
What should I bring to the appointment?
Bring previous audiograms, ABR or ASSR reports, postoperative documents and information about the processor you use, if available.
Is processor programming a one-time appointment?
Programming needs vary with listening experience, device and follow-up results. The appropriate follow-up schedule is decided for the individual case.
Next step
Bring your records and review the situation together
If you have earlier hearing-test reports or a cochlear implant processor, bring them with you. This makes it easier to understand the starting point and avoid repeating information unnecessarily.