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Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages
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Cochlear implantation and partial deafness - A retrospective review on processor programming.

Karin Hallin1, Ulrika Larsson1, Elsa Erixon1

  • 1Department of Surgical Sciences, Otorhinolaryngology and Head and Neck Surgery, Uppsala University, Uppsala, Sweden.

Acta Oto-Laryngologica
|August 7, 2024
PubMed
Summary
This summary is machine-generated.

Choosing cochlear implant (CI) programming for partial hearing loss is complex. Some patients struggle to adapt to new sound processor settings, especially when low-frequency hearing declines.

Keywords:
Partial deafnesselectro-acoustic stimulationlong-time follow-upprogramming

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Area of Science:

  • Audiology
  • Biomedical Engineering
  • Neurosurgery

Background:

  • Selecting optimal cochlear implant (CI) programming parameters for patients with partial deafness presents significant challenges.
  • Understanding the nuances of different CI programming forms, including electrical complement (EC), electro-acoustic-stimulation (EAS), and electric stimulation (ES), is crucial for effective patient management.

Purpose of the Study:

  • This study investigated the utilization and challenges associated with switching between different processor programming forms (EC, EAS, ES) in patients with partial deafness.
  • The research aimed to identify factors influencing programming form selection and adaptation.

Main Methods:

  • A retrospective analysis of medical records and audiograms was performed on adult patients considered for EC and EAS programming.
  • Data from 84 ears across 80 patients were analyzed, focusing on initial fitting and subsequent programming changes.

Main Results:

  • While 64 ears met criteria for EC or EAS, only 54 were initially fitted with these forms. Twenty-eight patients switched between programming forms, with six experiencing adaptation difficulties, particularly with low-frequency hearing loss.
  • Approximately 25% of patients initially fitted with EC or EAS changed their programming within two years.

Conclusions:

  • Further research is needed to determine the most beneficial sound processor programming parameters for EC and EAS, and to establish optimal timing for switching between forms.
  • Clearer guidelines are required for selecting appropriate candidates for EC and EAS to improve patient outcomes.