Clinical Practice Guidelines: Cochlear Implants

Messersmith, Jessica J.; Entwisle, Lavin; Warren, Sarah E.; Scott, Mike

doi:10.3766/jaaa.19088

Cited by 31 publications

(29 citation statements)

References 168 publications

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“…This document intends to mirror contemporary evidence-based practices in pediatric CI candidacy to provide professionals and consumers guidelines for current clinical protocols, individualized patient decisions, and support for insurance and peer-to-peer review discussions. This document fills the need for separate CI candidacy guidelines for the pediatric population (Messersmith et al 2019) with the intent for regular updates based on research evidence and clinical expertise every 18 to 24 months.…”

Section: Purposementioning

confidence: 99%

American Cochlear Implant Alliance Task Force Guidelines for Determining Cochlear Implant Candidacy in Children

et al. 2022

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This article summarizes the available evidence on pediatric cochlear implantation to provide current guidelines for clinical protocols and candidacy recommendations in the United States. Candidacy determination involves specification of audiologic and medical criteria per guidelines of the Food and Drug Administration. However, recommendations for a cochlear implant evaluation also should maintain flexibility and consider a child’s skill progression (i.e., month-for-month progress in speech, language, and auditory development) and quality of life with appropriately fit hearing aids. Moreover, evidence supports medical and clinical decisions based on other factors, including (a) ear-specific performance, which affords inclusion of children with asymmetric hearing loss and single-sided deafness as implant candidates; (b) ear-specific residual hearing, which influences surgical technique and device selection to optimize hearing; and (c) early intervention to minimize negative long-term effects on communication and quality of life related to delayed identification of implant candidacy, later age at implantation, and/or limited commitment to an audiologic rehabilitation program. These evidence-based guidelines for current clinical protocols in determining pediatric cochlear implant candidacy encourage a team-based approach focused on the whole child and the family system.

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Section: Purposementioning

confidence: 99%

American Cochlear Implant Alliance Task Force Guidelines for Determining Cochlear Implant Candidacy in Children

et al. 2022

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“…Pada anak usia sekolah dan dewasa dengan perkembangan yang baik dapat dilakukan follow up setiap 6 bulan atau setahun sekali. (12)…”

Section: Aktivasi Dan Tindak Lanjutunclassified

Implan Koklea

Tandio

Indrasworo

2022

JK-RISK

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Prevalensi gangguan pendengaran sensorineural diperkirakan sekitar 0,07% sampai dengan 5,2% dan meningkat seiring dengan pertambahan umur. Salah satu modalitas yang dapat diberikan untuk membantu pendengaran adalah implan koklea. Implan koklea berfungsi untuk menghasilkan impuls listrik yang diperlukan untuk memberikan persepsi suara. Suara dari luar ditangkap oleh prosesor untuk dihantarkan ke implan koklea dan diubah menjadi impuls listrik yang akan menstimulasi nervus koklearis. Secara umum implan koklea digunakan untuk pasien dengan gangguan pendengaran sensorineural derajat sangat berat bilateral yang tidak terbantu dengan penggunaan alat bantu dengar lainnya. Implantasi Koklea merupakan prosedur yang relatif aman dengan komplikasi minor yang cukup jarang terjadi. Beberapa komplikasi minor yang sering terjadi adalah gangguan vestibuler dan sisanya paling sering disebabkan karena faktor iatrogenik. Perawatan paska implantasi koklea berperan dalam meningkatkan keberhasilan implan koklea. Hasil implantasi sangat tergantung dari individu, keluarga dan tim multidisipilin untuk mencapai peningkatan fungsi pendengaran dan kualitas hidup. Implan koklea menjadi pilihan alat bantu dengar pada gangguan pendengaran sensorineural. Keberhasilan implan koklea lebih dari sekedar minimnya komplikasi operasi, tetapi memerlukan peran serta tim multidisipilin dan individu serta keluarga penderita.

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“…CI centers may be a unique niche within audiology where the essential nature of verification is fully appreciated and utilized by more than 90% of audiologists prior to candidacy evaluation. 16 Both the American Academy of Audiology Cochlear Implant Practice Guidelines 21 and the Guidelines for Best Practice in the Audiological Management of Adults with Severe and Profound Hearing Loss 22 recommend probe microphone measures or simulated realear verification. When hearing aids do not meet prescriptive targets, 94% of respondents in a recent survey of CI audiologists purport to follow these standards by programing and verifying clinic loaner aids to use for testing.…”

Section: Hearing Aid Verificationmentioning

confidence: 99%

Functional Assessment of Hearing Aid Benefit: Incorporating Verification and Aided Speech Recognition Testing into Routine Practice

et al. 2021

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Potential cochlear implant (CI) candidates arrive to the clinic with a variety of hearing loss configurations, hearing aid history, and aided capabilities. CI candidacy is primarily determined based on aided speech recognition capability, which relies on benefit derived from use of hearing aids. Therefore, contemporary evaluation for CI candidacy should incorporate a battery of testing to determine abilities and limitations and must be predicated on appropriate verification of the hearing aid fitting. However, recent reports, including a retrospective chart review of patients presenting to Cleveland Clinic for CI evaluation, suggest that a significant subset of patients may be using inappropriately fit or programmed amplification. Thus, a combination of simulated real-ear measurements and aided speech recognition testing is essential for fully assessing the effect of amplification and ultimately determination of CI candidacy. Furthermore, waiting to incorporate these tools until CI candidacy is suspected may delay timely identification of problems or need to change technology. Utilization of evidence-based decision drivers ultimately leads clinicians to timely patient-specific interventions which may include surgical intervention or other amplification options. As audiology moves into a healthcare era in which payers consider the benefit of our services to overall health and well-being, demonstrating timely, optimal outcomes using thorough, multifactorial evaluation is essential.

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Clinical Practice Guidelines: Cochlear Implants

Cited by 31 publications

References 168 publications

American Cochlear Implant Alliance Task Force Guidelines for Determining Cochlear Implant Candidacy in Children

American Cochlear Implant Alliance Task Force Guidelines for Determining Cochlear Implant Candidacy in Children

Implan Koklea

Functional Assessment of Hearing Aid Benefit: Incorporating Verification and Aided Speech Recognition Testing into Routine Practice

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