Implantable Devices Flashcards
Bone anchored hearing aid/implant age
infants 9 mos- headband
5 years - implant
BAHA
for patients who can’t use AC devices
stimulates better cochlea/VIII nerve and overcomes head shadow effect
BAHA type/degree of loss
mild to moderate conductive/mixed HL
BAHA candidates
conductive hearing loss
atresia - no ear canal
chronic otitis media
single sided deafness
BAI vs BAHA
insurance covers implant but not hearing aid
Middle ear implant
bypasses outer and tympanic membrane
stimulates middle ear
MEI age
18 yrs and older
MEI type/degree of HL
moderate to severe sensorineural
can be conductive with ossicle loss
MEI candidates
rejection of HA due to occlusion effect
Electroacoustic Implant
part hearing aid and part CI in same ear
HA for low freq
CI for high freq
stimulates VIII nerve
EAS age
18 years and older
EAS type/degree of HL
moderate sloping to severe to profound sensorineural
Auditory brainstem Implant
bypasses VIII nerve and stimulates brainstem
early speech understanding and late sound awareness
ABI age
3 years and older
ABI candidates
no cochlea
no CI b/c of bone growth
neurofibromatosis II
good for no VIII nerve