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Related Experiment Videos

Implementation of Image-Guided Cochlear Implant Programming at a Distant Site.

Theodore R McRackan1, Jack H Noble2, Eric P Wilkinson3

  • 11 Department of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston, South Carolina, USA.

Otolaryngology--Head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
|April 5, 2017
PubMed
Summary

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This summary is machine-generated.

Image-guided cochlear implant programming (IGCIP) was evaluated remotely. While not statistically significant, most patients preferred the new IGCIP map, especially with high-resolution CT scans.

Area of Science:

  • Otolaryngology
  • Medical Imaging
  • Biomedical Engineering

Background:

  • Cochlear implant (CI) technology aims to restore hearing.
  • Current CI programming methods can be complex and time-consuming.
  • Image-guided cochlear implant programming (IGCIP) offers a novel approach.

Purpose of the Study:

  • To prospectively evaluate the implementation of IGCIP at a new clinical site.
  • To assess patient acceptance and outcomes of IGCIP compared to standard mapping.
  • To determine the impact of computed tomography (CT) image quality on IGCIP success.

Main Methods:

  • IGCIP maps were developed centrally and implemented at a distant tertiary care center.
  • 17 ears from 15 adult CI patients were included in the study.
Keywords:
cochlear implantcochlear implant programmingcochlear implantationcochlear implantsimage guided surgeryquality of life

Related Experiment Videos

  • Qualitative and quantitative measures were assessed before and 4 weeks after IGCIP implementation.

    • Main Results:

    • No statistically significant groupwise differences were found between baseline and IGCIP measures.
    • 64.7% (11 of 17) of patients elected to retain the IGCIP map.
    • High-resolution CT scans were associated with 100% map retention, versus 53.8% without.

    Conclusions:

    • IGCIP is a feasible technique for remote implementation in cochlear implant programming.
    • Patient preference suggests potential benefits of IGCIP, despite lack of statistical significance in this cohort.
    • CT image quality is a critical factor for successful IGCIP implementation and patient acceptance.