“Everyone carries a room about inside them. This fact can even be proved by means of the sense of hearing… “ Franz Kafka
Your sense of hearing plays an important role in your ability to perceive the world around you. There are numerous everyday tasks which we perform, such as listening and talking on the phone with family or detecting imminent danger, with this keen sense. For me, my sense of hearing enhances my quality of life. Not only is it a way to physically perceive the world, but it is also proven itself to be a powerful tool of social and emotional perception. Without this sense, I feel as if I would be incomplete. Just think….what if you were born deaf? Well, my eldest brother Walker was born deaf; however when he was 11 years old, he had a
cochlear implant, which enabled him to hear and perceive the world and its sounds.
A cochlear implant is a “small, complex electronic device that can help to provide a sense of sound to a person who is profoundly deaf or severely hard-of-hearing. The implant consists of an external portion that sits behind the ear and a second portion that is surgically placed under the skin” (NIDCD). My brother’s device is located on the lower, left side of his head. *sidenote* (Because the transmitter magnetically attracted to the receiver/stimulator in my brother’s head, my mom nicknamed him Magnificent Magneto….I still call him that today). Unlike hearing aids which aid and assist those who are hard at hearing, cochlear implants, as shown by the picture above, has several key components which assist to “bypass damaged portions of the ear and directly stimulate the auditory nerve, [which sends the signal to the brain,] which recognizes that signals as sound” (NIDCD). in other words, it helps generate sounds. Usually cochlear implants are implanted before the age of 3. Studies show that people who had their’s installed on or by their 3rd birthday, their ability to perceive the world through sound was greater than those who had it implanted afterwards.
My brother recounts the time he first heard his voice at the age of 11, “I was scared out of my mind, when I first heard myself. I showed every kind of emotion that day. I cried, laughed, and yelled. Not only was it the single most life changing event in my life, but it also was the scariest day ever. What were these sounds my sense of hearing perceived. I tapped my fingers on the desk. I knew what a tap was, but I never knew what it sounded like. Perceiving the sounds of my fingers tapping on the desk, as well as, the other sounds in the room, was the start of a new beginning.”
pic of me and Magnificent Magneto!
I interviewed by brother about his experiences with his implant:
Me: How long have you had your implant?
Brother: About 15 years
What were the first sounds you heard?
Well most of it wasn’t sound, in fact it was all noise! It was very difficult for me to perceive and discern between sound and noise. While walking around our house, I could hear what was the sound of people’s feet trotting up and down the steps, but it sounded much like mom calling my name to come to dinner. Everything was a blur. I actually preferred not wearing the implant, because it was very nerve wrecking and extremely difficult for me to train myself to discern between sound I noise. I much preferred reading lips, signing, and relying on my other keen senses to perceive the world around me. One thing I can say about being deaf is that my other senses have definitely become stronger than average in order to pick up the slack of my hearing….
What was the hardest obstacle you faced?
Getting use to my voice……It was definitely a change. I never heard it before.
Final comments
The cochlear implant has truly been an amazing, life changing device. My perceptions through hearing have greatly increased since I was 11. It has given me confidence to excel in other aspects of my life….Quick story, I’m sure you remember….Do you remember how mom use to get upset with me because I would intentionally turn the volume down on my cochlear implant, so when she called my name, I never heard her? Well, I would definitely have to put that into a category labeled: Advantages of the implant: When turned down of off, you cant hear your mom nag!
The cochlear implant has truly been an important asset to my life. I could not imagine having a brother who I was unable to communicate with through language.
Below briefly describes the future and ongoing research for cochlear implants:
- Research must attempt to explain the wide variation in performance across individual cochlear implant users. New tools, such as functional imaging of the brain, might be applied to unexplored variables such as the ability of the implant to activate the central auditory system. Investigations of the role of higher level cognitive processes in cochlear implant performance are needed.
- The strides that have been made in improving speech perception of cochlear implant users should continue through improvements in electrode design and signal processing strategies. Noise-reduction technologies and enhancement of performance using binaural implants are promising areas.
- Studies of the effects of cochlear stimulation on auditory neurons have provided clear evidence of plasticity in both the survival of neural elements and in receptive field organization. Comparisons of neural plasticity in animal experiments and of adaptation to cochlear implant electrical stimulation by humans provide a unique opportunity to study the relationships between neural activity and auditory perception.
- Comparative research on language development in children with normal hearing, children with hearing impairment who use hearing aids, deaf children with cochlear implants, and deaf children using American Sign Language should be conducted. These studies should be longitudinal and reflect current theoretical and empirical advances in neurolinguistics and psycholinguistics.
- Studies of the relationship between the development of speech perception and speech production in cochlear implant users must continue. Implanted deaf children provide a unique opportunity to examine these developmental processes and their relationship to the acquisition of aural/oral language. Such information is crucial to understanding and enhancing the performance of implanted prelingual children and may help define optimal age for implantation.
- Adequate tools for the assessment of nonspeech benefits of implantation should be applied to gain a better understanding of the full effects of implantation on the quality of life of implant recipients. This may be particularly useful for implant recipients who do not realize significant speech-perception benefit. Such data will help in evaluating the cost-utility of cochlear implantation.
- Identifying the components of successful (re)habilitation approaches will facilitate extension of these services to all children and adults receiving cochlear implants, as will comparison of model and routine service programs.http://www.medhelp.org/lib/100coc.htm








