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Robotic Cochlear Implantation for Direct Cochlear Access

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Published on: June 16, 2022

Evaluating the Feasibility of Using Remote Technology for Cochlear Implants.

Jenny L Goehring¹, Michelle L Hughes², Jacquelyn L Baudhuin¹

¹Cochlear Implant Program at Boys Town National Research Hospital in Omaha, NE.

The Volta Review

|September 16, 2014

Summary

This summary is machine-generated.

Remote technology is feasible for cochlear implant services, with objective tests matching in-person results. However, speech perception outcomes are challenging due to non-sound-treated environments, necessitating further research for widespread adoption.

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Area of Science:

Audiology
Telemedicine
Rehabilitation Engineering

Background:

Remote technology is increasingly used for cochlear implant (CI) services.
Existing research evaluates the feasibility of remote service delivery for CI recipients.

Purpose of the Study:

To review and evaluate research on remote service delivery for cochlear implant recipients.
To identify challenges and barriers to the widespread adoption of telepractice for CI services.

Main Methods:

Review of published studies on remote cochlear implant service delivery.
Analysis of objective tests (e.g., programming, impedance, action potentials) and speech perception outcomes.
Evaluation of videoconferencing equipment and testing environments.

Main Results:

Objective measures like speech-processor programming are equivalent remotely versus face-to-face.
Speech perception scores are poorer with remote technology, primarily due to testing in non-sound-treated rooms.
Videoconferencing transmission does not significantly compress speech stimuli; environmental factors are key.

Conclusions:

Telepractice is a feasible option for delivering cochlear implant services.
Barriers include standardizing speech perception evaluation, validating services for pediatric patients and initial activations, and addressing licensing and reimbursement.
Further research is needed to overcome challenges for remote CI care.