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The UCH/RNID cochlear implant programme: patient selection.

J G Fraser, H R Cooper, J W Hazell

    British Journal of Audiology
    |February 1, 1986
    PubMed
    Summary
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    This study outlines the rigorous selection process for cochlear implant candidates, identifying key medical and psychological criteria. Out of 52 assessed applicants, 14 met the stringent requirements for cochlear implantation.

    Area of Science:

    • Otorhinolaryngology
    • Biomedical Engineering
    • Audiology

    Background:

    • Cochlear implantation is a complex surgical procedure for severe to profound hearing loss.
    • Patient selection is critical for successful outcomes in cochlear implant surgery.
    • Established criteria ensure that candidates can benefit from the technology and tolerate the procedure.

    Purpose of the Study:

    • To define and apply the selection criteria for cochlear implant candidates.
    • To assess the suitability of patients with hearing loss for cochlear implantation.
    • To report the outcomes of the patient assessment process.

    Main Methods:

    • Initial postal questionnaire followed by comprehensive medical, audiometric, vestibular, and psychological evaluations.

    Related Experiment Videos

  • Assessment of hearing loss severity (total or profound post-lingual).
  • Inclusion of electrical stimulation tests and hearing aid trials for appropriate candidates.

    • Main Results:

    • Fifty-two applicants were evaluated for cochlear implant suitability.
    • Fourteen out of 52 applicants (approximately 27%) met the established selection criteria.
    • Seven patients have successfully received cochlear implants following the assessment.

    Conclusions:

    • The defined criteria effectively identify suitable candidates for cochlear implantation.
    • A significant proportion of assessed individuals do not meet the stringent requirements.
    • The process ensures appropriate patient selection for this advanced hearing restoration technology.