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Hearing · Cochlear Implant · Hisar Advanced Hub

From hearing difficulty to the right hearing solution.

A coordinated pathway for children and adults with significant hearing difficulty—combining ENT assessment, audiology, appropriate hearing technology, cochlear implant evaluation when indicated, surgery and long-term rehabilitation.

Where are you in the journey?

Start from your current situation.

New or unexplained hearing difficulty

Begin with clinical and audiological assessment to understand the type and degree of hearing loss and identify the appropriate next step.

Start assessment →
Hearing aids are not giving enough benefit

Existing hearing tests and hearing-aid performance can be reviewed before considering whether further technology or implant evaluation is appropriate.

Request technology/CI review →
Already advised a cochlear implant

Bring audiology, imaging and previous medical records for candidacy review, counseling and surgical planning rather than repeating the entire journey unnecessarily.

Request candidacy review →

Hearing pathway

A cochlear implant is a programme of care—not only an operation.

Implant candidacy is individualized. Hearing levels, aided performance, medical findings, communication needs, expectations and the ability to participate in follow-up and rehabilitation all matter.

1ENT + audiology

Clinical history, ear examination and comprehensive hearing assessment.

2Technology review

Assess current hearing-aid benefit and other appropriate hearing options.

3CI candidacy

Team-based evaluation of likely benefit, medical suitability and expectations.

4Imaging & planning

Imaging and additional investigations are used when clinically indicated for surgical planning.

5Implant surgery

Surgical care at the advanced hub when implantation is the agreed treatment pathway.

6Activation & rehabilitation

Programming/mapping, auditory rehabilitation and outcome monitoring continue after surgery.

Who may benefit from specialist hearing assessment?

Hearing needs differ across patients and age groups.

Children with significant hearing loss

Timely assessment should consider hearing, speech-language development, communication goals and family-centered rehabilitation planning.

Adults with severe hearing difficulty

Patients struggling despite appropriately fitted hearing technology may benefit from formal implant candidacy evaluation.

Asymmetric or single-sided hearing problems

Marked difference between ears requires diagnosis first; available hearing solutions depend on the individual clinical and audiological picture.

Complex ear disease or previous surgery

Hearing rehabilitation may need to be coordinated with otology management where chronic ear disease or previous operations affect the pathway.

Second opinion before implantation

Existing hearing tests, aided speech testing, imaging and recommendations can be reviewed to clarify candidacy and expectations.

Long-term implant follow-up

Successful implant care continues through device programming, listening assessment, rehabilitation and surgical follow-up as needed.

Clinical leadership: Dr Bhushan Kathuria — Network Clinical Director & Lead Surgeon. Cochlear implant care is delivered as a multidisciplinary pathway involving the implant surgeon, audiology and rehabilitation professionals, with pediatric/developmental or other specialist input when required.

Connected hearing ecosystem

Assessment closer to home. Advanced decisions through the hub.

The wider Santosh Healthcare Haryana pathway can support local first contact and referral into the Hisar advanced hub. Hearing-care and technology collaborators may support appropriate audiology, hearing-device and continuity functions according to the patient's pathway.

No single hearing technology is assumed to be the answer. The goal is to identify the most appropriate option after clinical and audiological assessment, and to preserve continuity after that decision.