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Author Spotlight: Advancements in Impedance Monitoring for Cochlear Implant Surgery
Published on: August 4, 2023
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Cochlear Implant Mapping Through Telemedicine-A Feasibility Study
Alexander L Luryi1, Jacob I Tower1, Jessica Preston2
1Department of Surgery, Yale University School of Medicine, New Haven.
Summary
Remote cochlear implant (CI) programming via telehealth is effective for audiologic care. This method provides reliable measurements and satisfactory hearing outcomes, improving access for patients with limited mobility or in remote areas.
Area of Science:
- Audiology
- Otolaryngology
- Telemedicine
Background:
- Access to postoperative aural rehabilitation is a barrier to cochlear implant (CI) adoption.
- Telehealth offers a potential solution to overcome geographical and mobility limitations.
Purpose of the Study:
- To evaluate the effectiveness of remote CI programming and aural rehabilitation using telehealth.
- To assess the feasibility and patient satisfaction with telehealth-based CI care.
Main Methods:
- Retrospective study at a single cochlear implant center.
- Included 22 CIs in 20 patients who underwent remote programming between 2015 and 2018.
- Collected data on AzBio scores, impedances, comfort/threshold levels, and IOI-CI questionnaire responses.
Main Results:
- Telehealth enabled reliable acquisition of threshold, comfort, and impedance levels, comparable to in-person sessions.
- AzBio scores and pure tone averages were similar across telehealth and live sessions.
- Patients reported high satisfaction with hearing outcomes and remote programming sessions via the IOI-CI.
Conclusions:
- Remote CI programming via telehealth yields reliable measurements and comparable hearing outcomes to in-person sessions.
- Telehealth is a cost-effective, safe, and patient-satisfactory method for delivering post-CI audiologic care.
- This approach is particularly beneficial for patients with limited mobility or those residing in remote locations.
