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Cochlear implants have become a viable option for those with severe to profound sensorineural hearing loss who gain little benefit from hearing aids and have poor word recognition ability. However, the techniques audiologists use to program these devices are not standardized (Sorkin, 2013). There is little data available which analyzes how audiologists handle clinical cochlear implant programming between the top manufacturers. These companies supply default settings in their products but is it unknown how often audiologists use these in practice in the United States. In the present study, a questionnaire based on previous European data from Vaerenberg et al. (2014) was designed to address which settings professionals are using with their patients, how they approach bimodal fitting with a cochlear implant and a hearing aid, and which tests they use to evaluate patient and device performance. This questionnaire was distributed through the platform, Qualtrics, to cochlear implant audiologists throughout the United States by email. 47 responses were recorded with a response rate of 70%. Results indicate a preference for the default value for some parameters, like default pulse width, but not others. Additionally, there are differences between manufacturers, including in the use of default strategy. Relative to Cochlear, there is a trend toward less use of default strategy for MED-EL and especially Advanced Bionics. Preferences for bimodal fitting techniques trend toward using a partner company's hearing aid, like Cochlear and ReSound. There is no significant correlation between number of implants activated and preference for default. New and experienced audiologists may benefit from this research in that they may better understand the state of the art of cochlear implant programming. It is clear that there is much variability among audiologists' cochlear implant programming practices, and documenting these differences is important for the betterment of the field.
Clinical information for Otolaryngologists is provided in topics that include: Imaging and Anatomy; Genetics of Hearing Loss, Testing and Relevance to Cochlear Implantation; Candidacy Evaluation, Medical and Surgical Considerations, expanding criteria in Children; Surgical Technique and Accepted Variations in Children; Bilateral Cochlear Implantation; Implanting Obstructed and Malformed Cochleae; Device Programming NRT, NRI, Streamlined programming; Cochlear Implants and Music; Rehabilitation and Educational Considerations; Outcomes and Variables Affecting Outcomes; Language Development and Cochlear Implantation; New Frontiers in Cochlear Implantation, electroacoustic, hearing preservation, etc; Revision Cochlear Implantation in Children; and Current and Future Device Options.
This is a comprehensive multi-author handbook covering all aspects of cochlear implantation, fully updated since its first edition was published in 1991. All aspects of this rapidly developing field are covered, from implant design, speech processing strategies, assessment and rehabilitation of children and adults to future developments. Chapters written by implant users and their parents give fascinating insight into the experience of hearing again with a cochlear implant.
Cochlear Implants: Audiologic Management and Considerations for Implantable Hearing Devices provides comprehensive coverage of the audiological principles and practices pertaining to cochlear implants and other implantable hearing technologies. This is the first and only book that is written specifically for audiologists and that exhaustively addresses the details involved with the assessment and management of cochlear implant technology. Additionally, this book provides a through overview of hybrid cochlear implants, implantable bone conduction hearing technology, middle ear implantable devices, and auditory brainstem implants. Key Features: Each chapter features an abundance of figures supporting the clinical practices and principles discussed in the text and enabling students and clinicians to more easily understand and apply the material to clinical practice.The information is evidence based and whenever possible is supported by up-to-date peer-reviewed research.Provides comprehensive coverage of complex information and sophisticated technology in a manner that is student-friendly and in an easily understandable narrative form.Concepts covered in the narrative text are presented clearly and then reinforced through additional learning aids including case studies and video examples.Full color design with numerous figures and illustrations. Cochlear Implants is the perfect choice for graduate-level courses covering implantable hearing technologies because the book provides a widespread yet intricate description of every implantable hearing technology available for clinical use today. This textbook is an invaluable resource and reference for both audiology graduate students and clinical audiologists who work with implantable hearing devices. Furthermore, this book supplements the evidence-based clinical information provided for a variety of implantable hearing devices with clinical videos demonstrating basic management procedures and practices.
The latest on cochlear implantation Thieme congratulates author Dr. J. Thomas Roland, Jr. for being chosen by New York magazine for its prestigious 'Best Doctors 2018' list. Praise for the previous edition: Cochlear Implants, Third Edition, has been completely revised to include the most up-to-date information on the clinical and translational sciences related to this rapidly evolving technology. It contains chapters on the latest developments in the field, including those in: genetics, neuroplasticity, expanding criteria for implantation, the application of implant technology to tinnitus and vestibular issues, music perception, and intraoperative monitoring. Key Features: Covers basic techniques as well as new concepts and areas of expansion, making it appropriate for beginners as well as experienced practitioners Includes information on the latest advancements in cochlear implant programming concepts Written by experts in the field who are spearheading advancements in cochlear implant technology This book will be a valuable reference for otolaryngologists – head and neck surgeons, audiologists, neurotologists, speech pathologists, and all professionals involved in the design and usage of cochlear implants as well as an essential text for audiology students.
Not all cochlear implant cases present in a traditional manner, which calls for audiologists to seek a second opinion in more intricate and difficult cases. Complex Cochlear Implant Cases: Management and Troubleshooting offers both new and experienced cochlear implant audiologists the opportunity to tap into the knowledge and experience of skilled colleagues who have handled unique and challenging clinical situations with current or potential implant recipients. The book includes pediatric and adult complex cases pertaining to issues in mapping because of various medical conditions, equipment issues, improper device programming, lack of objective methods, and more. Each case starts with a clinical presentation, audiological testing, device programming, and suggested reading with research-backed references. The addition of questions for the reader offers time for the clinician to work through the case in their mind before providing answers, insights, summary, and key points. In addition to cases, the book also includes information on common methods for troubleshooting, objective measures, and instruction, as well as supplemental information regarding programming electrical-acoustic stimulation (EAS) cochlear implants. Key Features: * Includes pediatric and adult complex cases * Cases are descriptive and offer highly illustrative insights * Cases written by experienced cochlear implant audiologists working in high-volume cochlear implant centers in hospital and university settings * 125+ figures including audiograms, mapping, and objective measures provide a visual representation to each case, helping the reader rationalize recommendations from leaders in the field "In this book you'll be exposed to a variety of complex cases that will help you improve your clinical skills. You'll learn about practices that clinicians use to alleviate problems and improve outcomes. Some of these practices are standard while many are unique steps you may never have considered." –Terry Zwolan, PhD, CCC-A, Clinical Professor Emerita, Department of Otolaryngoloay, Head & Neck Surgery, Michigan Medicine, Universtiy of Michigan, Ann Arbor
A cochlear implant is a surgically implanted electronic device that provides a sense of sound to a person who has a severe or profound hearing loss. A cochlear implant does not cure deafness or hearing impairment, but is a prosthetic substitute which directly stimulates the cochlea. There are over 250,000 users worldwide with 12,000 in the UK. This book is a multidisciplinary guide to cochlear implantation in children and adults with sensorineural hearing loss (where the root cause lies in the inner ear or sensory organ, ie the cochlear and associated organs). Beginning with discussion on the aetiology of hearing loss and assessment of cochlear implant candidacy, the next chapter discusses preoperative cochlear implant imaging. Each of the following sections provides in depth coverage of different types of cochlear implantation and their potential outcomes. The final sections examine miscellaneous topics such as music perception in cochlear implantation, drug eluting electrodes, cost effectiveness, and reliability reporting. Authored by internationally recognised, US-based specialists, the text is further enhanced by clinical and surgical photographs and illustrations. Key points Multidisciplinary guide to cochlear implantation in children and adults Covers different types of cochlear implant and potential outcomes Includes miscellaneous topics such as music perception, drug eluting electrodes, and reliability reporting Internationally recognised, US-based author team
The second edition of Cochlear Implants provides a comprehensive review of the state-of-the-art techniques for evaluating and selecting the cochlear implant candidate. Clear descriptions of surgical techniques guide the reader through implantation procedures, and chapters address important issues such as speech production, language development, and education in implant recipients. This second edition features: New chapters on the genetics of hearing loss, sound processing, binaural hearing, and electroacoustic stimulation Complete discussion of the most recent advances in evaluation procedures, surgery, programming methods, speech processing strategies, and more Precise, easy-to-follow tables and figures enhance comprehension of the basic science, research and clinical concepts covered in the text Coverage of the medical and surgical complications of cochlear implantation Insights from an interdisciplinary team of experts in otolaryngology, audiology, the basic sciences, speech pathology, and education Ideal for learning and reference, Cochlear Implants synthesizes the key information needed by practitioners, researchers, and students in a range of disciplines. Readers will benefit from both the scope and thoroughness of this authoritative reference. Dr. Roland honored in Best Doctors 2012 issue of New York Magazine