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The difference between cochlear implants and BAHA

When exploring solutions for hearing loss, two advanced technologies often come up: cochlear implants and bone anchored hearing aids (BAHA). While they might sound similar, these hearing solutions work in very different ways and are designed for different types of hearing loss. In this article, we’ll explain the difference between a cochlear implant and a BAHA, how each device works, and who might benefit most from them.

What is a cochlear implant?

A cochlear implant is a surgically implanted electronic device that helps people with severe to profound sensorineural hearing loss. Unlike traditional hearing aids, which amplify sound, cochlear implants bypass damaged parts of the inner ear and directly stimulate the auditory nerve.

How do cochlear implants work?

Cochlear implants convert sound into electrical signals. These signals are transmitted to an electrode array placed inside the cochlea, which sends them to the auditory nerve and then to the brain. This process allows the user to perceive sound even if the inner ear’s hair cells are no longer functioning properly.

Cochlear implant surgery and cost

The cochlear implant surgery involves placing an external sound processor behind the ear and an internal receiver under the skin. The procedure is typically performed by an ENT surgeon under general anaesthesia.

The cost of a cochlear implant can vary depending on individual circumstances, medical coverage and the clinic or hospital performing the surgery. In Australia, the process is often supported through public healthcare or private insurance, depending on eligibility.

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What is a BAHA?

A bone anchored hearing aid (BAHA), also known as a bone conduction hearing device, is an implantable system designed for people with conductive or mixed hearing loss or for those who are deaf in one ear.

Instead of sending sound through the ear canal, the BAHA transmits vibrations directly through the skull bone to the inner ear. This method bypasses the outer and middle ear, helping sound reach the cochlea more efficiently.

Bone anchored hearing aid vs cochlear implant

Although both devices involve a surgical procedure, they are designed to address different types of hearing loss and work in distinct ways.

A cochlear implant is typically recommended for individuals with severe to profound sensorineural hearing loss, where the inner ear’s hair cells are too damaged to transmit sound effectively. The device converts sound into electrical impulses that directly stimulate the auditory nerve, helping the brain perceive sound.

In contrast, a bone anchored hearing aid (BAHA) is intended for people with conductive or mixed hearing loss, or for those with single-sided deafness. Instead of bypassing the inner ear, it bypasses the outer and middle ear by transmitting sound vibrations through the bone directly to the functioning cochlea.

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Does Amplifon offer cochlear implants?

At Amplifon Australia, we specialise in hearing aid solutions but do not offer bone conduction hearing devices or rather than cochlear implants.

If you are considering a bone conduction hearing device or cochlear implant, your audiologist can refer you to a specialist clinic for a detailed assessment to determine if it’s the right solution for your type of hearing loss.

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FAQs on cochlear implants and BAHA

Is a cochlear implant a BAHA?

No, they are different devices. A cochlear implant sends electrical signals to the auditory nerve, while a BAHA transmits sound vibrations through the bone to the inner ear.

What should I avoid with cochlear implants?

Avoid strong magnetic fields, certain medical scans like MRI (unless approved), and keep the processor away from water, impact, and static electricity.

Why can't you sleep with a cochlear implant?

You should remove the sound processor at night to prevent damage, skin irritation, or discomfort while sleeping.

Is a BAHA better than a cochlear implant?

Neither is better — it depends on your hearing loss. Cochlear implants suit severe sensorineural loss, while BAHAs help with conductive or single-sided hearing loss.
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