Jack H. Noble|Andrea Hedley?Williams|Linsey Sunderhaus|Benoît M. Dawant|Robert F. Labadie|Stephen Camarata|René H. Gifford
Initial Results With Image-guided Cochlear Implant Programming in Children
Vanderbilt University|Vanderbilt University Medical Center|Vanderbilt University|Vanderbilt University Medical Center|Vanderbilt University Medical Center
imageguided cochlear implant ci programming improve hearing outcomes pediatric ci recipientscis highly successful children severetoprofound hearing loss offering potential mainstreamed education auditoryoral communication despite significant number recipients still experience poor speech understanding language delay even among best performers restoration normal auditory fidelity rare although significant research efforts devoted improving stimulation strategies developments led significant hearing improvement past two decades recently introduced techniques imageguided ci programming igcip permit creating patientcustomized ci programs making possible first time estimate position implanted ci electrodes relative nerves stimulate using ct images approach permits identification electrodes high levels stimulation overlap deactivate patients map previous studies shown igcip significantly improve hearing outcomes adults cisthe igcip technique tested 21 ears 18 pediatric ci recipients participants longterm experience ci 5 mo 13 yr ranged age 5 17 years old speech understanding assessed approximately 4 weeks experience igcip mapusing twotailed wilcoxon signedrank test statistically significant improvement p 005 observed word sentence recognition quiet noise well pediatric selfreported qualityoflife qol measuresour results indicate image guidance significantly improves hearing qol outcomes pediatric ci recipients