Who is a candidate for cochlear implants? Flashcards
Who is on the cochlear implant team?
audiologists, neuro-otologists, otolaryngologists, SLPs, psychologists, parents, and teachers
What role does an audiologist play on the C.I. team?
determine whose a candidate for C.I., create aural rehab plan, and program speech processor
What role does a neuro-otologist play on the C.I. team?
perform the C.I. surgery
What role does an otolaryngologist play on the C.I. team?
They make the medical decision (i.e. decide who gets the C.I. procedure)
What role does an SLP play on the C.I. team?
they train speech and language skills
What role does a psychologist play on the C.I. team?
they help the C.I. recipient and their loved ones understand the expectations prior to and after surgery
What role does a teacher play on the C.I. team?
They determine if the C.I. is working by using the Ling Six test
With a unilateral C.I., patients will typically use a ______ on the other side.
Hearing aid
What are some factors that make someone not a candidate for C.I.?
middle ear infection; malformation of middle ear or inner ear; medical contraindications, hearing is too good, profound hearing loss for a really long time; environment that does not provide auditory rehabilitation; unrealistic expectations; lack of motivation
What are the general criteria for someone to be a candidate for C.I.
Support system, motivation; realistic expectations, no active middle ear disease; indications that HAs don’t improve hearing, severe or profound hearing loss; a setting that provides aural rehabilitative services
What are the general criteria for an infant to be a candidate for C.I.?
severe or profound bilateral hearing loss; no improvement in audiological skill development with the use of a HA or EI
What are the general criteria for a child (25 mo-17 years) to be a candidate for C.I.?
severe or profound bilateral hearing loss; poor word recognition at conversation level in the best aided conditions; no audiological development despite using HAs
What are the general criteria for an adult to be a candidate for C.I.?
Severe or profound hearing loss unilaterally or bilaterally; little to no improvement in hearing when using a HA
What are some surgical complications from C.I. surgery?
malformation; severe bleeding; gushing of perilymph; damage to the electrode array; damage to the facial nerve; dizziness, and nausea