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Related Experiment Video

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Author Spotlight: Advancements in Impedance Monitoring for Cochlear Implant Surgery
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Validation of remote mapping of cochlear implants.

Robert H Eikelboom1, Dona Mp Jayakody2, De Wet Swanepoel3

  • 1Ear Sciences Centre, School of Surgery, The University of Western Australia, Nedlands, Australia Ear Science Institute Australia, Subiaco, Australia Department of Speech-Language Pathology and Audiology, University of Pretoria, South Africa rob.eikelboom@earscience.org.au.

Journal of Telemedicine and Telecare
|March 29, 2014
PubMed
Summary

Remote cochlear implant mapping using a PC-based system proved reliable for adjusting speech processors. This tele-mapping approach, assisted by family members, offers a viable alternative for patients needing regular adjustments.

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Area of Science:

  • Audiology
  • Biomedical Engineering
  • Telemedicine

Background:

  • Cochlear implant recipients require frequent mapping sessions for speech processor adjustment.
  • Conventional mapping necessitates in-person visits, posing challenges for remote or mobility-impaired patients.

Purpose of the Study:

  • To evaluate the reliability and efficacy of a PC-based remote mapping system for cochlear implants.
  • To compare remote mapping outcomes with conventional in-person programming.

Main Methods:

  • A PC-based system integrating voice, video, and text communication was developed.
  • Eleven cochlear implant recipients underwent both conventional and remote electrode programming.
  • Speech tests and recipient/audiologist surveys assessed outcomes and satisfaction.

Main Results:

  • No significant differences were found between conventionally and remotely programmed electrode settings.
  • Speech test results were excellent in most cases.
  • Remote mapping sessions were slightly longer (42 min) than conventional ones (37 min), P=0.034.

Conclusions:

  • Remote programming of cochlear implants is reliable and feasible using accessible technology.
  • Tele-mapping, especially with in-home assistance, can improve access to care for cochlear implant recipients.
  • Voice-video synchronization issues were noted but manageable with an assistant.