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Robotic Cochlear Implantation for Direct Cochlear Access
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Implementation Strategy for Highly-Coordinated Cochlear Implant Care With Remote Programming: The Complete Cochlear

Ashley M Nassiri1, Aniket A Saoji1, Melissa D DeJong1

  • 1Department of Otolaryngology-Head and Neck Surgery, Mayo Clinic, Rochester, Minnesota.

Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [And] European Academy of Otology and Neurotology
|August 15, 2022
PubMed
Summary

The Complete Cochlear Implant Care (CCIC) model streamlines hearing healthcare by consolidating appointments. This coordinated approach, including remote programming, enhances patient access to cochlear implant (CI) services.

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Area of Science:

  • Otolaryngology
  • Audiology
  • Health Services Research

Background:

  • Cochlear implantation (CI) requires extensive, multi-stage care.
  • Traditional CI care models involve multiple appointments, potentially delaying treatment.
  • Streamlining CI delivery is crucial for improving patient access and outcomes.

Purpose of the Study:

  • To introduce and discuss the implementation strategy of the Complete Cochlear Implant Care (CCIC) model.
  • To evaluate the feasibility and process of a coordinated CI care delivery model.
  • To explore the use of telemedicine and remote programming in CI care.

Main Methods:

  • Prospective, nonrandomized, two-arm clinical trial at a tertiary referral CI center.
  • Adults meeting audiologic criteria for CI were enrolled.
  • The CCIC model involved same-day on-site consultation, surgery, activation, and 12 months of remote programming via telemedicine.

Main Results:

  • The CCIC model utilizes telemedicine and electronic materials for pre-operative preparation.
  • Implementation challenges include workflow inertia and hardware limitations for remote programming.
  • A dedicated CCIC coordinator is vital for overcoming obstacles and improving the process.

Conclusions:

  • The CCIC model offers a potential to significantly streamline hearing healthcare delivery for cochlear implant patients.
  • Successful implementation necessitates an adaptive approach, considering institutional infrastructure and policies.
  • Tailored team and patient materials are essential for adopting the CCIC model.