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Effects of Tinnitus on Cochlear Implant Programming.

Robert H Pierzycki1,2, Charlotte Corner1,2, Claire A Fielden1,3

  • 11 National Institute for Health Research Nottingham Biomedical Research Centre, UK.

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|March 19, 2019
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Summary

Tinnitus complicates cochlear implant (CI) programming, making threshold measurements difficult for 80% of audiologists and 45% of patients. Specific programming strategies may be needed for CI users with tinnitus.

Keywords:
appointments and schedulesattentionaudiometryconfusionsurveys and questionnaires

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Area of Science:

  • Audiology
  • Neuroscience
  • Otolaryngology

Background:

  • Tinnitus is common in cochlear implant (CI) users, yet its impact on CI programming remains unclear.
  • CI programming optimizes acoustic information for speech perception, a process potentially disrupted by tinnitus.

Purpose of the Study:

  • To characterize the effects and impact of tinnitus on CI programming for both audiologists and patients.
  • To investigate the nature and time-course of tinnitus-related difficulties during CI programming appointments.

Main Methods:

  • Thematic analysis of semistructured interviews with six CI audiologists.
  • Cross-sectional surveys of 67 adult CI patients with tinnitus and 20 audiologists.
  • Comparison of CI programming parameters between 10 patients with tinnitus and 10 without.

Main Results:

  • 80% of audiologists and 45% of patients found tinnitus interferes with threshold (T) level measurements.
  • Tinnitus-related difficulties were most prevalent during initial CI activation appointments.
  • 26% of patients feared loud stimulation worsening tinnitus, impacting comfortable (C) level measurements.

Conclusions:

  • Tinnitus presents significant challenges during CI programming, affecting crucial measurements like T and C levels.
  • Programming appointments are perceived as more difficult and tiresome by patients experiencing tinnitus.
  • Further research is needed to develop and evaluate specific programming strategies for CI users with tinnitus to optimize outcomes.