Title
Cochlear implant programming : a global survey on the state of the art Cochlear implant programming : a global survey on the state of the art
Author
Faculty/Department
Faculty of Arts. Linguistics and Literature
Publication type
article
Publication
Subject
Engineering sciences. Technology
Source (journal)
The scientific world journal
Volume/pages
(2014) , p. 1-12
ISSN
1537-744X
1537-744X
1537-744X
Article Reference
501738
Carrier
E-only publicatie
Target language
English (eng)
Full text (Publishers DOI)
Affiliation
University of Antwerp
Abstract
The programming 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 questionnaire was 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 are mainly 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.
Full text (open access)
https://repository.uantwerpen.be/docman/irua/9b0271/7186.pdf
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