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Inventi Impact - Transplantation
(Formerly Inventi Rapid/Impact: Implants)

Articles

  • Inventi:hip/83/14
    COCHLEAR IMPLANT PROGRAMMING: A GLOBAL SURVEY ON THE STATE OF THE ART
    Bart Vaerenberg, Cas Smits, Geert De Ceulaer, Elie Zir, Sally Harman, N Jaspers, Y Tam, Margaret Dillon, Thomas Wesarg, D Martin-Bonniot, L Gartner, Sebastian Cozma, Julie Kosaner, Sandra Prentiss, P Sasidharan, Jeroen J Briaire, Jane Bradley, J Debruyne, R Hollow, Rajesh Patadia, Lucas Mens, K Veekmans, R Greisiger, E Harboun-Cohen, Stephanie Borel, Dayse Tavora-Vieira, Patrizia Mancini, Helen Cullington, Amy Han-Chi Ng, Adam Walkowiak, William H Shapiro, Paul J Govaerts

    Theprogramming of CIs is essential for good performance.However, no Good Clinical Practice guidelines exist. This paper reports on the results of an inventory of the current practice worldwide. A questionnairewas distributed to 47 CI centers.They follow 47600 recipients in 17 countries and 5 continents. The results were discussed during a debate. Sixty-two percent of the results were verified through individual interviews during the following months. Most centers (72%) participated in a cross-sectional study logging 5 consecutive fitting sessions in 5 different recipients. Data indicate that general practice starts with a single switch-on session, followed by three monthly sessions, three quarterly sessions, and then annual sessions, all containing one hour of programming and testing. The main focus lies on setting maximum and, to a lesser extent, minimum current levels per electrode. These levels are often determined on a few electrodes and then extrapolated.They aremainly based on subjective loudness perception by the CI user and, to a lesser extent, on pure tone and speech audiometry. Objective measures play a small role as indication of the global MAP profile. Other MAP parameters are rarely modified. Measurable targets are only defined for pure tone audiometry. Huge variation exists between centers on all aspects of the fitting practice.

    How to Cite this Article
    CC Compliant Citation: Bart Vaerenberg, Cas Smits, Geert De Ceulaer, et al., “Cochlear Implant Programming: A Global Survey on the State of the Art,” The Scientific World Journal, vol. 2014, Article ID 501738, 12 pages, 2014. doi:10.1155/2014/501738.
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