About Auditory Neuropathy
Key Highlights
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Provides a definitive diagnosis for unexplained hearing difficulties, especially when standard hearing tests show normal outer hair cell function.Enables personalized management plans, which may include advanced hearing technology like cochlear implants.Aims to improve neural synchronization of sound signals, potentially enhancing speech perception in noisy environments.Multidisciplinary approach involving audiologists and therapists for comprehensive auditory rehabilitation.Management can significantly improve quality of life and communication abilities for both children and adults.
Who is this surgery for?
- Patient reports poor speech understanding despite seemingly normal or near-normal hearing sensitivity on a pure-tone audiogram.
- Discrepancy between normal Otoacoustic Emissions (OAEs) and abnormal Auditory Brainstem Response (ABR) test results.
- Difficulty hearing in background noise that is disproportionate to the degree of hearing loss.
- Fluctuating hearing levels or speech perception abilities.
- Suspected underlying causes such as genetic conditions, neonatal jaundice (kernicterus), lack of oxygen at birth, or neurological disorders.
How to prepare
- Comprehensive audiological evaluation including pure-tone audiometry, speech testing, OAEs, and ABR.
- Detailed medical history review and physical examination by the ENT specialist.
- Possible imaging studies like an MRI to rule out structural abnormalities of the auditory nerve or brainstem.
- Genetic counseling and testing may be recommended in some cases, especially for infants.
- Discussion of potential management options (hearing aids, cochlear implants, FM systems) and setting realistic expectations.
Risks & possible complications
- Note: The diagnostic process is non-invasive and carries minimal risk. Risks are primarily associated with subsequent interventions if needed.
- For cochlear implantation (a potential treatment): Risks include surgical complications like infection, bleeding, facial nerve injury, dizziness, or device failure.
- Hearing aids or implants may not fully restore normal hearing or speech understanding.
- Potential for frustration or slow progress during auditory rehabilitation and therapy.
- Financial cost associated with long-term management, device maintenance, and therapy.
Recovery & hospital stay
- Recovery from diagnostic testing is immediate; no downtime is required.
- If a cochlear implant is placed, initial recovery involves healing from surgery over 1-2 weeks, with activation of the device occurring 3-6 weeks later.
- Post-procedure care focuses on consistent use of prescribed hearing technology (aids or implants).
- Commitment to long-term auditory-verbal therapy or rehabilitation is crucial for optimizing outcomes and training the brain to interpret new auditory signals.
- Regular follow-up appointments with the ENT and audiologist are necessary for device programming (mapping) and progress monitoring.
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Typical hospital stay: 0 days (for diagnosis) or 1-2 days (if cochlear implant surgery is performed)
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Expected recovery time: Varies; diagnostic process has no recovery. For cochlear implant, initial surgical recovery is 1-2 weeks, but full auditory rehabilitation is a long-term process over months to years.
Frequently Asked Questions
If you are considering auditory neuropathy in India, these questions and answers can help you make a confident, informed decision.
Popular choices for auditory neuropathy in India include Manipal Hospital Dwarka, Manipal Hospital Jayanagar, Manipal Hospital Malleshwaram, Manipal Hospital Hebbal, Manipal Hospital Hebbal, KMC Hospital Mangalore, known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform auditory neuropathy. MediFyr helps you compare ent specialists and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for auditory neuropathy compare across other countries where we have data.
| Country | Estimated cost range | Typical stay | Recovery time | View details |
|---|---|---|---|---|
| India | INR 5 Thousand – 150 Thousand | 0 days (for diagnosis) or 1-2 days (if cochlear implant surgery is performed) | ~ Varies; diagnostic process has no recovery. For cochlear implant, initial surgical recovery is 1-2 weeks, but full auditory rehabilitation is a long-term process over months to years. | Know More |
| Turkey | TRY 17.5 Thousand – 525 Thousand | 0 days (for diagnosis) or 1-2 days (if cochlear implant surgery is performed) | ~ Varies; diagnostic process has no recovery. For cochlear implant, initial surgical recovery is 1-2 weeks, but full auditory rehabilitation is a long-term process over months to years. | Know More |
Top hospitals for Auditory Neuropathy in India
These partner hospitals in India have dedicated ent teams and experience managing patients undergoing auditory neuropathy.
Vikram Brown, a 42-year-old software engineer...
Vikram Brown, a 42-year-old software engineer and father of two young children, had always been an active listener. Over the past two years, he noticed a baffling decline in his ability to understand speech, especially in noisy environments like the office or a busy restaurant. He could hear sounds, but they seemed distorted and muffled, as if everyone was mumbling. Conversations became exhausting, leading to social withdrawal and frustration at work. His primary care doctor referred him to an ENT specialist, Dr. Chen. After comprehensive testing, including otoacoustic emissions (OAEs) and auditory brainstem response (ABR), Vikram was diagnosed with Auditory Neuropathy Spectrum Disorder (ANSD). Dr. Chen explained that while his cochlear hair cells were working, the neural signal to his brain was disrupted. She recommended a trial with hearing aids, but they amplified sound without clarifying speech, worsening the distortion. The next step was a cochlear implant evaluation. Emotionally, Vikram felt isolated and anxious about his career and ability to connect with his family. He underwent cochlear implant surgery on his right ear. The activation and mapping sessions were challenging, as his brain had to learn to interpret the new electrical signals. However, after three months of intensive auditory therapy, Vikram began to discern speech patterns. The constant mental strain of listening eased. He could now participate in family dinners and follow meetings. While his hearing isn't 'normal,' the implant provided access to clear, usable sound. His journey moved from confusion and isolation to hope and re-engagement, reclaiming his role as a present father and effective professional.
ENT Specialists for Auditory Neuropathy
Explore experienced ent specialists who regularly perform auditory neuropathy and provide pre- and post-operative care in India.
- 16 Years Experience
- ENT Specialist
Miot Hospital Chennai, Chennai
- 21 Years Experience
- ENT Specialist
Manipal Hospital Yeshwanthpur, Bangalore
- 14 Years Experience
- ENT Specialist
Manipal Hospital Sarjapur Road, Bangalore
- 9 Years Experience
- ENT Specialist
- 26 Years Experience
- ENT Specialist
Manipal Hospital Whitefield, Bangalore
- 24 Years Experience
- ENT Specialist
Manipal Hospital Whitefield, Bangalore
- 21 Years Experience
- ENT Specialist
Manipal Hospital Whitefield, Bangalore
- 18 Years Experience
- ENT Specialist
Manipal Hospital Whitefield, Bangalore
- 43 Years Experience
- ENT Specialist
Manipal Hospital Old Airport Road, Bangalore
- 38 Years Experience
- ENT Specialist
Manipal Hospital Old Airport Road, Bangalore
- 36 Years Experience
- ENT Specialist
Manipal Hospital Old Airport Road, Bangalore
- 24 Years Experience
- ENT Specialist
Manipal Hospital Old Airport Road, Bangalore
- 29 Years Experience
- ENT Specialist
Manipal Hospital Old Airport Road, Bangalore
- 20 Years Experience
- ENT Specialist
Manipal Hospital Patiala, Patiala
- 10 Years Experience
- ENT Specialist
Manipal Hospital Patiala, Patiala
- 14 Years Experience
- ENT Specialist
Manipal Hospital Mysore, Mysore
- 14 Years Experience
- ENT Specialist
Manipal Hospital Mysore, Mysore
- 19 Years Experience
- ENT Specialist
Manipal Hospital Malleshwaram, Bangalore
- 8 Years Experience
- ENT Specialist
Manipal Hospital Kharadi, Pune
- 26 Years Experience
- ENT Specialist
Manipal Hospital Jayanagar, Bangalore