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Cochlear Implant Surgery: What to Expect at Home

Your Recovery

A cochlear implant is a small electronic device that can help you hear if you have severe or total hearing loss. Your doctor made a cut, called an incision, behind your ear. Then the doctor placed the implant in the inner ear. The implant does the job of the damaged or absent nerve cells that in a normal ear make it possible to hear (auditory nerve). A small device worn outside the ear turns on the implant. The implant may make a small bump under the skin behind your ear. Your hair may cover the scar, the bump, and the device that's worn outside your ear.

You may have mild to moderate pain in and around your ear and have a headache for a few days. You may have some popping or clicking in your ear and feel dizzy. This usually goes away within 1 week. The area behind your ear will be swollen for about 3 to 5 weeks. The incision will leave a scar that will fade with time.

The doctor will not turn on, or activate, the implant until the incision has healed. This is in about 3 to 6 weeks. Most people are able to return to work 1 to 2 weeks after surgery. Discuss what is best for you with your doctor. Your doctor may recommend that you work with a speech therapist to learn how to make the most of your implant.

This care sheet gives you a general idea about how long it will take for you to recover. But each person recovers at a different pace. Follow the steps below to get better as quickly as possible.

How can you care for yourself at home?

Activity

Rest when you feel tired. Getting enough sleep will help you recover. Sleep with your head up by using three or four pillows. You can also try to sleep with your head up in a reclining chair.
Try to walk each day. Start by walking a little more than you did the day before. Bit by bit, increase the amount you walk. Walking boosts blood flow and helps prevent pneumonia and constipation.
Avoid strenuous activities, such as bicycle riding, jogging, weight lifting, or aerobic exercise, for about 4 to 6 weeks or until your doctor says it is okay.
For 4 to 6 weeks or until your doctor says it is okay, avoid lifting anything that would make you strain. This may include a child, heavy grocery bags and milk containers, a heavy briefcase or backpack, cat litter or dog food bags, or a vacuum cleaner.
You may shower and wash your hair about 1 week after the surgery. Keep water out of your ear by using an ear plug or shower cap. Do not put your head underwater until your doctor tells you it is okay.
Ask your doctor when you can drive again.
Avoid sudden head movements and bending over for the first 2 to 3 days after surgery. These actions may cause dizziness.

Diet

You can eat your normal diet. If your stomach is upset, try bland, low-fat foods like plain rice, broiled chicken, toast, and yogurt.

Medicines

Your doctor will tell you if and when you can restart your medicines. The doctor will also give you instructions about taking any new medicines.
If you stopped taking aspirin or some other blood thinner, your doctor will tell you when to start taking it again.
Take pain medicines exactly as directed.
- If you are not taking a prescription pain medicine, ask your doctor if you can take an over-the-counter medicine.
- If the doctor gave you a prescription medicine for pain, take it as prescribed.
- Store your prescription pain medicines where no one else can get to them. When you are done using them, dispose of them quickly and safely. Your local pharmacy or hospital may have a drop-off site.
If you think your pain medicine is making you sick to your stomach:
- Take your medicine after meals (unless your doctor has told you not to).
- Ask your doctor for a different pain medicine.
If your doctor prescribed antibiotics, take them as directed. Do not stop taking them just because you feel better. You need to take the full course of antibiotics.

Incision care

You may have a bandage over the incision. You can remove the bandage 2 or 3 days after surgery or when your doctor says it is okay.
After you remove the bandage, wash the area daily with warm, soapy water, and pat it dry. Don't use hydrogen peroxide or alcohol, which can slow healing.
Keep the area clean and dry.

Other instructions

Do not blow your nose. If you need to sneeze or cough, do not try to stop it. Open your mouth, and do not pinch your nose.

Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line (811 in most provinces and territories) if you are having problems. It's also a good idea to know your test results and keep a list of the medicines you take.

When should you call for help?

Call 911 anytime you think you may need emergency care. For example, call if:

You passed out (lost consciousness).
You have chest pain, shortness of breath, or you cough up blood.

Call your doctor or nurse advice line now or seek immediate medical care if:

You have a fever with a stiff neck or a severe headache.
You have signs of infection, such as:
- Increased pain, swelling, warmth, or redness.
- Red streaks leading from the incision.
- Pus draining from the incision.
- A fever.
You bleed through the bandage.
You seem to be getting sicker.

Watch closely for changes in your health, and be sure to contact your doctor or nurse advice line if:

You are not getting better as expected.

Where can you learn more?

Go to https://www.healthwise.net/patientEd

Enter N153 in the search box to learn more about "Cochlear Implant Surgery: What to Expect at Home".

Care instructions adapted under license by your healthcare professional. If you have questions about a medical condition or this instruction, always ask your healthcare professional. Healthwise, Incorporated disclaims any warranty or liability for your use of this information.