According to Cochlear statement, the majority of hearing loss in pediatric patients, Çolpan have experienced problems due to congenital hearing loss, can successfully detected the execution of the newborn hearing screening with congenital problem in Turkey, patients noted that immediately after hearing device is proposed and directed to rehabilitation.
Çolpan stated that preparations for cochlear implant operation were started in patients who did not benefit from the device, and noted that suitable candidates underwent bilateral cochlear implant operation at the age of 1.
Çolpan stated that while sensorineural hearing loss constitutes the majority of the problems in patients with congenital hearing loss, middle ear problems (serous otitis media, acute or chronic otitis media) caused the majority of childhood hearing loss, Çolpan said:
“In childhood, medical treatment can be performed primarily in hearing losses due to middle ear problems, and in cases where this is not sufficient, operations such as tube application and tympanoplasty can be performed. In addition, sensorineural hearing loss due to measles, mumps or other infections can develop in childhood. Cochlear implant operation can also be applied. “
2-4 years are important in language and speech development
Çolpan stated that children need to hear in a healthy way to be able to speak and communicate with their surroundings, and noted that especially the age of 2-4 is important in language and speech development.
Stating that connections (neuroplasty) are formed between neurons in the hearing-speech centers in the brain with hearing, Çolpan stated that if hearing loss is not detected and rehabilitated at these ages, neuroplasticity cannot occur and children develop speech problems.
Çolpan continued as follows:
“Children who develop hearing and speech problems have difficulties in communicating with their families and peers. The education and training life of these children will be negatively affected. But with early diagnosis and treatment, our children will be able to hear and talk and they will be able to continue their education life with their normal peers successfully.”
Age is the most important factor in adults
Stating that hearing loss in adults mostly develops depending on age, Çolpan stated that the incidence increases especially after the age of 60.
Çolpan noted the following:
“In addition to age, we also encounter hearing loss problems at earlier ages due to some ear diseases such as otosclerosis, chronic otitis media, acoustic trauma, sudden hearing loss. The treatment method of our patient varies according to the cause, type and severity of hearing loss. Treatment is applied with medical, surgical, hearing aid or implants. “
Hearing loss causes depression
Prof. Dr. Bahar Çolpan stated that hearing loss is a problem that negatively affects people’s work and social life and causes individuals to isolate themselves due to problems in hearing and understanding, and this situation causes depression, anxiety in patients and even the emergence of diseases such as dementia and Alzheimer’s at an earlier age. noted that the reason.
Çolpan drew attention to the following:
“Patients with hearing loss should be informed about these issues and should be enlightened about the importance of treatment. One of our biggest problems is to persuade our patients with hearing loss to use hearing aids. But if the importance of the event is well explained and help in choosing the appropriate device, it can be easier for patients to accept the device.
Unfortunately, untreated and unresolved hearing losses in adulthood cause our patients to gradually lose their ability to understand speech. Patients who have not used a hearing aid since the beginning of their hearing loss, their speech understanding decreases as time progresses. When these individuals buy hearing aids later, they do not benefit from the hearing aid sufficiently and therefore refuse to use it. “
Implant surgeries are within the scope of reimbursement
Çolpan stated that they recommend cochlear implant operation to adult patients with severe or severe hearing loss, who do not benefit from the hearing aid sufficiently and who do not have a health problem that would interfere with the operation, and that the patients are evaluated radiologically and audiologically, and that the patients are operated when appropriate.
Stating that patients who want to have implant surgery should apply to ENT physicians in centers where cochlear implant is applied, Çolpan noted that after the ENT examination, the radiological examinations of the patients who have had audiological tests are evaluated.
Stating that the language and speech levels were then determined, Çolpan continued as follows:
“After the council evaluates whether the patient is suitable for implant, the patient is informed. If our children under 4 years of age who have bilateral severe hearing loss and do not benefit from the device do not have any audiological and radiological disabilities and their condition is in accordance with the SUT criteria, the bilateral cochlear implant is covered by our state. Our state pays the single ear cochlear implant if the audiological and radiological evaluations and language speech levels of our patients over 4 years of age with bilateral severe hearing loss and who do not benefit from the device are suitable. “