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Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages

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A Consensus to Revise the Minimum Speech Test Battery-Version 3.

Camille C Dunn^1,2, Teresa A Zwolan^1,3,4, Thomas J Balkany¹

¹Institute for Cochlear Implant Training, Miami, FL.

American Journal of Audiology

|July 9, 2024

Summary

This summary is machine-generated.

The updated Minimum Speech Test Battery (MSTB-3) now guides cochlear implant (CI) candidacy for more patients. This evidence-based tool streamlines care for adult CI candidates and recipients.

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Area of Science:

Audiology
Otorhinolaryngology
Biomedical Engineering

Background:

The Minimum Speech Test Battery (MSTB) has been a clinical standard for cochlear implant (CI) evaluations since 1996.
Previous MSTB versions (1996, 2011) require updates due to evolving CI candidacy criteria.
Changes in CI care necessitate a revised test battery for accurate patient assessment.

Purpose of the Study:

To revise and update the Minimum Speech Test Battery (MSTB) for adult cochlear implant (CI) evaluations.
To enhance the MSTB's applicability considering recent advancements in CI technology and patient selection.
To establish a new standard of care for assessing CI candidacy and documenting outcomes.

Main Methods:

A panel of expert CI audiologists convened in 2022.
A modified Delphi consensus process was employed for test battery revision.
The Institute for Cochlear Implant Training (ICIT) led the revision effort.

Main Results:

The revised battery is named MSTB-Version 3 (MSTB-3).
MSTB-3 includes protocols for traditional CI candidates, electric-acoustic stimulation, single-sided deafness, and asymmetric hearing loss.
New features include referral guidelines, patient-reported outcome measures, cognitive screener considerations, and report templates.
Electronic test stimuli and materials will be accessible via the ICIT website.

Conclusions:

MSTB-3 aims to be an evidence-based, streamlined standard of care for adult CI candidates and recipients.
The updated battery is designed for widespread adoption by CI clinicians.
This revision facilitates comprehensive and standardized care in cochlear implantation.