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implanted into the temporal bone (the
bone surrounding the ear). It consists of a
receiver-stimulator, which accepts, decodes, and
then transmits an electrical signal to the brain.
The second part of the cochlear implant is an
external device. This consists of a
microphone/receiver, a speech processor, and an
antenna. This portion of the implant receives the
sound, converts the sounds into an electrical
signal, and transmits it to the internal portion of
the cochlear implant.
Cochlear implants allow deaf people to receive and
process sounds and speech. To a certain degree, they
are devices that allow deaf people to "hear."
However, it is important to understand that these
devices do not re-establish normal hearing - they
are tools that allow sound and speech input to be
processed and transmitted to the brain.
The criteria used to select appropriate candidates
for cochlear implants are changing over time - as
both the technology changes, and our understanding
of the brain's auditory (hearing) pathways improves.
Both children and adults can be candidates for
implantation. They may have been born deaf or become
deaf after learning to speak. Children as young as 1
year old are now candidates for this surgery.
Although adult and pediatric criteria are slightly
different, they are based on similar guidelines.
Surgery for inserting a cochlear implant is
performed with the patient fully asleep. An incision
is made behind the ear. Then a microscope and a bone
drill are used to open the bone, allowing the
insertion of the internal part of the implant.
The electrode array is then passed into the cochlea
(inner ear). The receiver is placed into a "well"
created behind the ear to help keep it in place, and
to make sure it is close enough to the skin to allow
transmission of electrical information from the
external portion of the device.
After surgery, there will be stitches behind the
ear, and you may be able to feel the receiver in its
"well" behind the ear. The external portion of the
device will be placed about 3-4 weeks after surgery,
to give the incision time to heal.
Vocal Box and Larynx - Voice
disorders, tumors etc.
Vocal folds vibrate so fast during sound production
that this vibration is impossible to see with the
naked eye, similar to the wings of a hummingbird.
Stroboscopy is a special method used to visualize
vocal fold vibration. It uses a synchronized,
flashing light passed through a flexible or rigid
telescope to visualize vocal fold vibration. The
flashes of light from the stroboscope are
synchronized to the vocal fold vibration at a
slightly slower speed, allowing the examiner to
observe vocal fold vibration during sound production
in what appears to be slow motion. This "slow motion
picture" is an illusion, as the speed of actual
vocal fold vibration is not changed by stroboscopy.
This special viewing allows the voice care team to
evaluate each vocal fold's vibration properties
during the different phases of the vocal fold's
vibration cycle.
Phonosurgery is the term of various surgical
procedures that maintain, restore, or enhance the
human voice. Phonosurgery includes phonomicrosurgery
(microsurgery of the vocal folds done through an
endoscope), laryngoplastic phonosurgery (open-neck
surgery that restructures the cartilaginous
framework of the larynx and the soft tissues),
laryngeal injection (injection into the larynx of
medications as well as synthetic and organic
biologic substances), and the re-innervation
(restoration of the nerve supply) of the larynx.
Laryngectomy refers to the surgical
removal of the voice box, or larynx, in people whose
larynx has been affected by cancerous tumor or any
other trauma. Since a laryngectomy is a major
surgery that affects the patient's ability to speak,
the procedure also involves extensive rehabilitation
program for the patient after surgery. ENT
Departments in Israel offer the best treatment for
neck and throat problems, including treatment for
tumors and accidents that have damaged the larynx.
However, if treatments like radiation and
chemotherapy, as well as minor surgery, fail, then a
complete laryngectomy is the only option. Israeli
hospitals offer the best in terms of post operative
care and rehabilitation. After Laryngectomy,
patients may opt for the excellent speech therapy
sessions available at the hospital plus thorough
evaluation and treatment of disorders arising from
conditions like hearing disorders and Laryngectomy.
Neuro-otologic surgery (facial paralysis and tumors)
Skull Base Surgery
Endoscopies of the aero-digestive
tract, including diagnostic
procedures and extraction of foreign bodies
Laser surgery of the upper airway including
treatment of
glottic, subglottic and tracheal stenosis and
obstruction
Treatment and surgery for obstructive sleep apnea
Correction of swallowing problems
Nasal and facial plastic and aesthetic surgery
Endoscopic surgery of the paranasal sinuses and the
skull base
Functional nasal surgery
Surgery and treatment of head and neck tumors
including
diseases of the thyroid and parathyroid glands,
salivary glands, larynx and pharynx
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