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Questions and Answers
What are the important components of cochlear implant candidacy assessment?
A comprehensive audiologic evaluation, hearing aid verification, aided speech perception testing, otologic exam, imaging, psychology consult, and vestibular assessment.
What additional tests are included in a pediatric cochlear implant candidacy assessment battery?
ABR, OAEs, and age-appropriate speech-language assessments.
What factors are considered in the cochlear implant candidacy assessment?
Listening configuration, duration of deafness, etiology of hearing loss, device location, neural survival, age, and comorbid conditions.
What are absolute contraindications for cochlear implantation?
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What does the FDA require for new internal cochlear implant devices?
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What were added as indications for cochlear implant candidacy in 2019?
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Why is calibration of sound field testing crucial during candidacy testing?
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What are some reasons for a decision not to implant after a cochlear implant candidacy assessment referral?
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What factors lead to improved outcomes in pediatric cochlear implantation?
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What is the purpose of a psychology consult in cochlear implant candidacy assessment?
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What are some additional tests included in a pediatric cochlear implant candidacy assessment battery?
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What are some factors considered in predicting post-operative speech perception benefit?
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What are some examples of absolute contraindications for cochlear implantation?
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What is the purpose of clinical trials for new internal cochlear implant devices?
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What are some specific criteria for cochlear implant candidacy in adults and children?
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What is the purpose of calibration in sound field testing during candidacy testing?
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What are some reasons for a decision not to implant after a cochlear implant candidacy assessment referral?
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What measures are used to ensure prescriptive targets are met with current aids during candidacy testing?
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Study Notes
Cochlear Implant Candidacy and Evaluation: Key Considerations and Processes
- A comprehensive audiologic evaluation, hearing aid verification, aided speech perception testing, otologic exam, imaging, psychology consult, and vestibular assessment are important components of cochlear implant candidacy assessment.
- A pediatric cochlear implant candidacy assessment battery includes additional tests such as ABR, OAEs, and age-appropriate speech-language assessments.
- The candidacy assessment considers factors such as the listening configuration, duration of deafness, etiology of hearing loss, device location, neural survival, age, and comorbid conditions to predict post-operative speech perception benefit.
- The absence of IAC or cochlea, neurofibromatosis II with bilateral acoustic neuromas, adult patients with pre-lingual deafness, and extremely long duration of deafness are absolute contraindications for cochlear implantation.
- The FDA requires clinical trials for new internal cochlear implant devices, with manufacturers specifying the population to be studied, and select clinics participating in the trials.
- Cochlear implant candidacy guidelines for adults and children have specific criteria for hearing loss severity and word recognition scores.
- Single-sided deafness and asymmetric sensorineural hearing loss were added as indications for cochlear implant candidacy in 2019.
- Calibration of sound field testing is crucial to ensure accurate presentation of speech materials during candidacy testing.
- Meningitis is a double-edged sword, as early intervention is crucial, while untreated meningitis can cause additional complications or damage to the cochlea.
- The referral for cochlear implant candidacy assessment can result in a decision not to implant, with greater benefit from revised hearing aid fitting, general or mental health exclusions, or medical contraindications being some reasons.
- Early implantation, good pre-operative hearing aid use, family involvement, and spoken language communication are factors that lead to improved outcomes in pediatric cochlear implantation.
- Probe microphone measures are used to ensure prescriptive targets are met with current aids, and if under-amplified, a loaner aid is fitted for a 3-month trial with an appropriately fitted hearing aid.
Cochlear Implant Candidacy and Evaluation: Key Considerations and Processes
- A comprehensive audiologic evaluation, hearing aid verification, aided speech perception testing, otologic exam, imaging, psychology consult, and vestibular assessment are important components of cochlear implant candidacy assessment.
- A pediatric cochlear implant candidacy assessment battery includes additional tests such as ABR, OAEs, and age-appropriate speech-language assessments.
- The candidacy assessment considers factors such as the listening configuration, duration of deafness, etiology of hearing loss, device location, neural survival, age, and comorbid conditions to predict post-operative speech perception benefit.
- The absence of IAC or cochlea, neurofibromatosis II with bilateral acoustic neuromas, adult patients with pre-lingual deafness, and extremely long duration of deafness are absolute contraindications for cochlear implantation.
- The FDA requires clinical trials for new internal cochlear implant devices, with manufacturers specifying the population to be studied, and select clinics participating in the trials.
- Cochlear implant candidacy guidelines for adults and children have specific criteria for hearing loss severity and word recognition scores.
- Single-sided deafness and asymmetric sensorineural hearing loss were added as indications for cochlear implant candidacy in 2019.
- Calibration of sound field testing is crucial to ensure accurate presentation of speech materials during candidacy testing.
- Meningitis is a double-edged sword, as early intervention is crucial, while untreated meningitis can cause additional complications or damage to the cochlea.
- The referral for cochlear implant candidacy assessment can result in a decision not to implant, with greater benefit from revised hearing aid fitting, general or mental health exclusions, or medical contraindications being some reasons.
- Early implantation, good pre-operative hearing aid use, family involvement, and spoken language communication are factors that lead to improved outcomes in pediatric cochlear implantation.
- Probe microphone measures are used to ensure prescriptive targets are met with current aids, and if under-amplified, a loaner aid is fitted for a 3-month trial with an appropriately fitted hearing aid.
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Description
Are you familiar with the key considerations and processes involved in assessing candidacy for cochlear implants? This quiz will test your knowledge on the various components of a comprehensive audiologic evaluation, hearing aid verification, speech perception testing, imaging, and psychology consult. You'll also learn about the specific criteria for cochlear implant candidacy and contraindications, as well as the importance of calibration and the role of meningitis in the evaluation process. Take this quiz to test your knowledge on cochlear implant candidacy and evaluation
