Expanding Cochlear Implant Criteria: Real World Applications and Outcomes

2017 ◽  
Vol 2 (8) ◽  
pp. 3-8
Author(s):  
Joseph E. Dansie ◽  
Sarah A. Cordingley ◽  
Brittany Brown
Keyword(s):  
Hearing Loss ◽  
Cochlear Implant ◽  
Cochlear Implants ◽  
Drug Administration ◽  
Real World ◽  
Off Label ◽  
Current Trends ◽  
Real World Applications ◽  
Single Sided Deafness ◽  
Asymmetric Hearing Loss

This article discusses the evolution, current criteria, expanded/expanding indications, and potential future indications for cochlear implants. Some of these areas of expansion include earlier implantation in pediatrics, electroacoustic stimulation for both adults and pediatrics, cochlear implants for single-sided deafness, significant asymmetric hearing loss, and cases of severe debilitating tinnitus associated with hearing loss. Note: Some of the discussion in this article is viewed/regarded as off label from the current Food and Drug Administration (FDA) criteria. The authors' intent for this article is for it to be a helpful overview in the current trends that are changing in cochlear implants. This article is not indented to be a definitive paper about new trends in cochlear implants.

Cochlear implant treatment of patients with single-sided deafness or asymmetric hearing loss

HNO ◽  
2017 ◽  
Vol 65 (S2) ◽  
pp. 98-108 ◽  
Author(s):  
S. Arndt ◽  
R. Laszig ◽  
A. Aschendorff ◽  
F. Hassepass ◽  
R. Beck ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Cochlear Implant ◽  
Single Sided Deafness ◽  
Asymmetric Hearing Loss ◽  
Implant Treatment

Considerations for Pediatric Cochlear Implant Recipients With Unilateral or Asymmetric Hearing Loss: Assessment, Device Fitting, and Habilitation

2017 ◽  
Vol 26 (2) ◽  
pp. 91-98 ◽  
Author(s):  
Laura Greaver ◽  
Hannah Eskridge ◽  
Holly F. B. Teagle
Keyword(s):  
Hearing Loss ◽  
Cochlear Implant ◽  
Cochlear Implantation ◽  
Clinical Report ◽  
Loss Assessment ◽  
Profound Hearing Loss ◽  
Single Sided Deafness ◽  
Asymmetric Hearing Loss ◽  
Case Basis ◽  
Moderate Hearing Loss

Purpose The purpose of this clinical report is to present case studies of children who are nontraditional candidates for cochlear implantation because they have significant residual hearing in 1 ear and to describe outcomes and considerations for their audiological management and habilitation. Method Case information is presented for 5 children with profound hearing loss in 1 ear and normal or mild-to-moderate hearing loss in the opposite ear and who have undergone unilateral cochlear implantation. Pre- and postoperative assessments were performed per typical clinic routines with modifications described. Postimplant habilitation was customized for each recipient using a combination of traditional methods, newer technologies, and commercial materials. Results The 5 children included in this report are consistent users of their cochlear implants and demonstrate speech recognition in the implanted ear when isolated from the better hearing ear. Conclusions Candidacy criteria for cochlear implantation are evolving. Children with single-sided deafness or asymmetric hearing loss who have traditionally not been considered candidates for cochlear implantation should be evaluated on a case-by-case basis. Audiological management of these recipients is not vastly different compared with children who are traditional cochlear implant recipients. Assessment and habilitation techniques must be modified to isolate the implanted ear to obtain accurate results and to provide meaningful therapeutic intervention.

Treatment choice in single‐sided deafness and asymmetric hearing loss. A prospective, multi‐center cohort study on 155 patients

2020 ◽  
Author(s):  
Mathieu Marx ◽  
Isabelle Mosnier ◽  
Christophe Vincent ◽  
Nicolas‐Xavier Bonne ◽  
David Bakhos ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Cohort Study ◽  
Treatment Choice ◽  
Single Sided Deafness ◽  
Asymmetric Hearing Loss

scholarly journals Treatment of Single-Sided Deafness and Asymmetric Hearing Loss in Adults

2016 ◽  
Vol 130 (S3) ◽  
pp. S111-S111
Author(s):  
Susan Arndt ◽  
Frederike Hassepass ◽  
Thomas Wesarg ◽  
Antje Aschendorff ◽  
Roland Laszig
Keyword(s):  
Hearing Loss ◽  
Single Sided Deafness ◽  
Asymmetric Hearing Loss

scholarly journals Subjective Benefits of Bimodal Listening in Cochlear Implant Recipients with Asymmetric Hearing Loss

2020 ◽  
Vol 162 (6) ◽  
pp. 933-941 ◽  
Author(s):  
Nicholas J. Thompson ◽  
Margaret T. Dillon ◽  
Emily Buss ◽  
Meredith A. Rooth ◽  
English R. King ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Hearing Loss ◽  
Word Recognition ◽  
Cochlear Implant ◽  
Sound Field ◽  
Profound Hearing Loss ◽  
Sentence Recognition ◽  
Academic Center ◽  
Asymmetric Hearing Loss

Objective To investigate the influence of cochlear implant (CI) use on subjective benefits in quality of life in cases of asymmetric hearing loss (AHL). Study Design Prospective clinical trial. Setting Tertiary academic center. Subjects and Methods Subjects included CI recipients with AHL (n = 20), defined as moderate-to-profound hearing loss in the affected ear and mild-to-moderate hearing loss in the contralateral ear. Quality of life was assessed with the Speech, Spatial, and Qualities of Hearing Scale (SSQ) pragmatic subscales, which assess binaural benefits. Subjective benefit on the pragmatic subscales was compared to word recognition in quiet and spatial hearing abilities (ie, masked sentence recognition and localization). Results Subjects demonstrated an early, significant improvement ( P < .01) in abilities with the CI as compared to preoperative abilities on the SSQ pragmatic subscales by the 1-month interval. Perceived abilities were either maintained or continued to improve over the study period. There were no significant correlations between results on the Speech in Quiet subscale and word recognition in quiet, the Speech in Speech Contexts subscale and masked sentence recognition, or the Localization subscale and sound field localization. Conclusions CI recipients with AHL report a significant improvement in quality of life as measured by the SSQ pragmatic subscales over preoperative abilities. Reported improvements are observed as early as 1 month postactivation, which likely reflect the binaural benefits of listening with bimodal stimulation (CI and contralateral hearing aid). The SSQ pragmatic subscales may provide a more in-depth insight into CI recipient experience as compared to behavioral sound field measures alone.

An Introduction to Cochlear Implant Technology, Activation, and Programming

2002 ◽  
Vol 33 (3) ◽  
pp. 153-161 ◽  
Author(s):  
Jan A. Moore ◽  
Holly F. B. Teagle
Keyword(s):  
Hearing Loss ◽  
Cochlear Implant ◽  
Cochlear Implants ◽  
Speech Processing ◽  
Academic Development ◽  
School Age Children ◽  
School Age ◽  
Technology In The Classroom ◽  
Processing Strategies ◽  
Cochlear Implant Surgery

Over the last decade, cochlear implantation has become an increasingly viable alternative for the treatment of profound sensorineural hearing loss in children. Although speech and hearing professionals play an important role in the communicative, social, and academic development of children with cochlear implants, many may be unfamiliar with recent advances in implant technology. This article provides an overview of the components of cochlear implant systems and the speech processing strategies that are currently being used by toddlers, preschoolers, and school-age children. A brief description of cochlear implant surgery and the procedures for programming these devices are also included. Finally, information regarding the use of assistive listening technology in the classroom is presented.

Cochlear Implants in Children: Reliability of Computed Tomography

1992 ◽  
Vol 107 (3) ◽  
pp. 410-417 ◽  
Author(s):  
Michael A. Seicshnaydre ◽  
Michele H. Johnson ◽  
M. Suzanne Hasenstab ◽  
George H. Williams
Keyword(s):  
Computed Tomography ◽  
Hearing Loss ◽  
Cochlear Implant ◽  
Temporal Bone ◽  
Cochlear Implants ◽  
Cochlear Implantation ◽  
Ct Scans ◽  
Presurgical Evaluation ◽  
Preoperative Ct ◽  
Ct Studies

Preoperative temporal bone computed tomography (CT) can demonstrate anatomic details relevant to surgical management and is therefore essential in the presurgical evaluation of patients receiving cochlear implants. The purpose of this study was to evaluate preoperative CT studies and compare them to surgical findings in 34 children who received the Nucleus multichannel cochlear implant. The focus of this report is to discuss the dependability of CT scans in predicting surgical findings at the time of cochlear implantation. Results indicate that agreement of CT interpretations with surgical findings is partially related to the etiology of hearing loss and the experience of the surgeon and neuroradiologist. Advantages and limitations of the CT scans in predicting surgical findings are discussed.

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