After the cochlear implant collection is implemented, hearing-impaired patients will face "double benefits" and more and more people will return to the "audio world"

CCTV.com2025-05-05

CCTV News: March 3 is the 26th National Ear Day, and the theme of this year is "Healthy Listening, No hindrance of Communication". Since March, Beijing, Tianjin, Guangdong and other places have successively implemented the results of cochlear implant centralized procurement, and the price of a single set of cochlear implant consumables has dropped from an average of more than 200,000 yuan to about 50,000 yuan.

There are about 27.8 million people with hearing disabilities in my country, and cochlear implants are currently an effective method for treating deafness. However, the medical expenses of hundreds of thousands of yuan are discouraged by many patients. In December last year, the state organized the centralized procurement of cochlear implant medical consumables, and all three foreign-funded enterprises and two domestic-funded enterprises participated in the centralized procurement were selected. The demand for cochlear implants in this centralized procurement is 11,000 sets. In addition to commonly used clinical products, a new generation of cochlear implants that can support (3.0T) nuclear magnetism are selected. Patients who are implanted can undergo MRI examination.

Starting from March 1, Tianjin will be the first to implement the national centralized procurement of cochlear implants for centralized procurement of medical consumables, and include the selected products in the scope of medical insurance reimbursement.

Wang Wei, chief physician of the Department of Otolaryngology, Head and Neck Surgery at Tianjin First Central Hospital, said: "The surgical fee for cochlear implants, including his, is also included in medical insurance, which will greatly reduce the burden on hearing-impaired patients."

Doctors introduced that cochlear implant implants can restore part of their hearing and can restore normal communication after language training, especially for hearing-impaired children under 3 years old who are in the golden period of the development of the auditory center. The inclusion of cochlear implants in centralized procurement will enable them to receive treatment as soon as possible, and hearing and language training are expected to produce better results.

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In the Department of Otolaryngology and Head and Neck Surgery at Tianjin First Central Hospital, Mr. Cai is taking his 3-year-old daughter for preoperative examination of cochlear implants. Mr. Cai’s daughter suffers from congenital hearing impairment and was implanted with a cochlear implant on the right in 2023. After rehabilitation training, we can now have simple communication. Last year, Mr. Cai wanted to continue implanting the other side of the child with cochlear implant, but the high cost discouraged him.

With the implementation of the centralized procurement price of cochlear implants, Mr. Cai's daughter's total operation cost has been reduced to about 60,000 yuan, which also strengthened his confidence in implanting the other side of the child with a cochlear implant.

In order to reduce the medical burden of hearing-impaired patients, in recent years, more than 10 provinces including Shanghai, Jiangsu, and Zhejiang have successively included cochlear implants in the medical insurance reimbursement scope, and more and more hearing-impaired patients have been implanted with cochlear implants. Especially for hearing-impaired children at critical stages of development, timely cochlear implantation has brought new hope to these families.

This 3-year-old child is from Shanxi. She completed cochlear implant surgery at the Beijing People's Liberation Army General Hospital 20 days ago. After the recovery period, when the cochlear implant was turned on, she heard the sound from the outside for the first time.

The National Medical Insurance Administration issued a guide: Standardizing the price of otolaryngology medical services

Recently, the National Medical Insurance Administration issued the "Guidelines for the Pricing of Otolaryngology Medical Services", integrating the current 512 otolaryngology technical specification projects into 164, and guiding local governments to standardize the price of otolaryngology medical services.

Cochlear implants are currently recognized worldwide as one of the most effective methods for treating bilateral severe or extremely severe sensorineural deafness. Especially for children, 1, 3 and 6 years old are the golden window period for implantation. The earlier intervention, the more conducive it is to children's identification, understanding and memory of sounds. In order to optimize and improve cochlear implant treatment services, the "Guidelines for the Project of Otolaryngology Medical Service Price Project" has established projects such as "Cochlear implant adaptation", "Cochlear implant implantation", and "Cochlear implant removal". Among them, cochlear implantation uses "deformal cochlear" as an additional item. On the one hand, it encourages medical institutions to provide more standardized treatment services for patients with complex cases, and on the other hand, it is also a reflection of the value of complex medical technology. The Guide also provides a clear basis for charging when the implant is damaged or needs to be removed due to infection, bumps, etc.

Lacrimal cancer is one of the common malignant tumors in the head and neck. Patients with advanced or recurrent often need to undergo total laryngeal resection. The auxiliary pronunciation tube implantation after total laryngeal resection is an important method to regain speech function after total laryngeal resection, but medical resources in some areas are limited and it is difficult for patients to obtain corresponding treatment. In order to encourage the popularization of projects, the "Guidelines for the Project of Otolaryngology Medical Services Price Project" has established the "Pronunciation Device Installation, Pronunciation Device Removal/Replacement" project, encouraging medical institutions to provide diagnosis and treatment services for patients with pronunciation disorders to help patients better adapt to normal social life.

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