March 30, 2016

18

or more years of age

Age is just a number

Bilateral,

moderate to profound SNHL

Recorded tests of open set sentence
recognition with appropriately fit
amplification

50% correct or less in the ear to be implanted

60% or less in the best-aided listening condition
Medicare:40% or less in best aided listening
condition

Minimum

or little hearing aid benefit

No medical contraindications

 Length

of deafness or hearing loss

Prelingual
Perilingual
Postlingual

Consistent

If not, why?

Reason

use of hearing aids

for obtaining a cochlear implant

Expectations

Mode

of communication
Family dynamics and/or support system

 Binaural

Presented @ 50 dB HL (or SPL) normal

conversational level

Why?

Hearing

aided; LT aided; RT aided

in Noise Test (HINT) sentences

can be done in noise

AzBio

Sentences
CNC word lists

 Discuss

results of testing with patient and

family

What do all those words/sentences mean?

What

is a cochlear implant?

Internal vs external
How does it work ?
Why is it different from a hearing aid?

Risk

factors associated with surgery

Sound quality of cochlear implant

When is it activated?

Aural

Rehabilitation requirements
Benefits vs. Cons
Different CI systems

Cochlear Cooperation, Advance Bionics and

Med-EL

Infection

Infection of incision

Breakdown of skin around internal implant (foreign object)

Meningitis
Recommend Vaccine

Facial Nerve Paralysis

Temporary or permanent paralysis of facial nerve

Tinnitus
Dizziness

5% of pts have temporary issues after surgery (few days to month)

1 out of 500 pts have permanent issues

Numbness around incision site

Metallic taste following surgery

chorda tympani nerve (CTN) injury

Unsuccessful result

No guarantee it will work

Cochlear Nucleus 6

Med-El Rondo, Sonnet and Synchrony

system

Niada and Neptune

Cochlear Nucleus 6 (Resound)

Advance Bionics Niada (Phonak)

Med-El (use of T-coil)

 Hearing

vs. Listening

Auditory

Detection/awareness
Discrimination
Identification
Comprehension

Easy

Skill Hierarchy

tasks and progress to harder tasks

Analytic auditory training

Synthetic auditory training

 Form

of bottom-up processing

Speech

is understood by recognizing the

smallest distinguishing linguistic features

Speech

consists of suprasegmentals and

segmentals

Suprasegmentals= features of speech such as

intonation, pitch, stress and timing
Segmentals= phonemic elements of consonants
and vowels

Nip vs. pip

Dog vs. dogs
Bath vs. booth

 Form

of top-down processing

Phrases

and sentences of speech and

conversation are contextually-based
exchanges of words which are related in
several ways:

Syntactically (related to sentence construction and grammatical rules)

Semantically (related to meaning of, and associations between words)

Pragmatically (related to purpose or intention of sentences)

Examples:

Reading passage and asking questions

Asking patient to follow instructions

Listening to songs and filling in next word/phrase

Following flow of conversation

 Angel

Sound

interactive auditory training and hearing assessment program

http://angelsound.tigerspeech.com/

Cochlear

Cooperation

Communication Corner

http://www.cochlear.com/wps/wcm/connect/us/communication-corner?X

Med-El

Simple Practice at Home

http://www.medel.com/us/max-listening-and-com-simple-practice-at-home/

Advance

Bionics

Listening Room

http://thelisteningroom.com/

Amy Hunter, Au.D., CCC-A

Mercy Clinic-Audiology

Amy.Hunter@Mercy.net