WHAT IS A COCHLEAR IMPLANT?

Cochlear Implantation involves the surgical placement of an electrode array into the cochlea of the inner ear to provide direct electrical stimulation of the auditory nerve. Cochlear implants are different from hearing aids. While hearing aids amplify sounds to facilitate sound detection by impaired ear structures, cochlear implants bypass damaged portions of the ear and directly stimulate the auditory nerve. This type of stimulation improves clarity and speech understanding.

Advances in the technology, including combining hearing aids with CIs, have expanded candidacy to include individuals with usable residual hearing.

Surgery is performed by an otolaryngologist specializing in hearing implants

Evaluation and follow-up is carried out by a multidisciplinary team that includes an ENT surgeon and an audiologist

Since development in the 1980’s, cochlear implants have evolved to provide sound that allows clear speech. Most recipients can converse on the phone (without seeing the speaker)

Dramatically improves quality of life, even beyond that of many typically performed medical procedures such as knee or hip replacement

100,000 Americans have received cochlear implants, a utilization rate among adults who may benefit of 5 percent

Low utilization is due to a lack of awareness about candidacy and outcomes

Kindly reproduced from the National Institute on Deafness and other Communication Disorders (NICD). Visit the NIDCD website at https://www.nidcd.nih.gov to read, print, or download publications.

Kindly reproduced by the American Cochlear Implant Alliance (ACIA) www.acialliance.org/page/cochlearimplantfaq

ADULT COCHLEAR IMPLANTATION

Dr Jason Barnes discusses the intervention with Dr Matthew Carlson.

Listen to the podcast here.

Footage courtesy of The Headmirror Initiative

Jason Barnes
Matthew Carlson

HEAR FROM RECIPIENTS

Against All Odds

“When I put on my cochlear implant in my right ear, it feels as if I am in a world full of sounds, (even though) I might not be able to hear the same as others who have normal hearing.”

So says Tahseen Ahmed, chief occupational therapist for the surgical unit in the occupational therapy department at Groote Schuur Hospital. Ahmed (37) was born deaf in both ears, but she did not allow her hearing impairment to deter her from working hard and achieving her goals.

Hearing Loss and Job Search

Karin Weiser has a professional background in communications and learning and development. She has lived and worked in nine countries across four continents and speaks four languages. Karin lives with hearing loss and got her first CI in 2017. Karin works as an International Business Coach and (copy)writer. She offers coaching to support other hearing-impaired individuals (globally) who need to build self-coping strategies. Learn more at www.karinweiser.com.

Stigma: Why it’s so hard to talk about hearing loss

Katherine Bouton has had progressive bilateral hearing loss since 1978. In September 2009, she received a cochlear implant. She discussed why it took her so long to admit she needed treatment when her hearing loss occurred.

She is the author of “Shouting Won’t Help” (2013), a memoir of adult-onset hearing loss, and “Smart Hearing” (2018), a guide to living with hearing loss. She is a former editor at The New York Times.

Between Sound and Silence

For a generation of people with cochlear implants, technology is transforming the experience of deafness.

Irene Taylor Brodsky is the mother of a deaf son and was born to deaf parents. This has allowed her a unique perspective on the ways that technology and cochlear implants have changed the lives of the profoundly deaf.

Courtesy of the Pindrop Foundation NZ, adults who have lost their hearing and need cochlear implants to give them access to sound share what it is like living with a disabling hearing loss.

LEVEL OF AWARENESS OF CIS

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Action for Hearing Loss – Cochlear Implants.

If you have severe to profound deafness and get little or no benefit from hearing aids, a cochlear implant may help you to hear. This factsheet explains what a cochlear implant is, how it works, who can receive one and how it is fitted.

Clinical Practice Guildelines: Cochlear Implants.

Prepared by the American Academy of Audiology (the Academy) Task Force on Cochlear Implant Practices. July 2019

Cochlear implantation outcomes in adults: A scoping review.

Isabelle Boisvert , Mariana Reis, Agnes Au, Robert Cowan, Richard C. Dowell
Published: May 5, 2020 https://doi.org/10.1371/journal.pone.0232421

It’s time to talk about Cochlear Implants.

BAA Service Quality Committee.

Roadmap for Hearing Health.

Australian Hearing Health Sector Committee

WORLD REPORT ON HEARING

On 31 March 2021, the World Health Organization released the World Report on Hearing (WRH).

The WRH was developed in response to the World Health Assembly resolution (WHA70.13).

The WRH was developed in collaboration with experts and stakeholders in the field of ear and hearing care who informed the report’s strategic direction and ensured that it reflects a range of cultural contexts and approaches to hearing care.

INTERNATIONAL FEDERATION OF ORL SOCIETIES MATERIAL LIBRARY

CLICK HERE TO ACCESS THE IFOS EDUCATIONAL MATERIAL LIBRARY.

The International Federation of ORL Societies (IFOS)

HEARING 101: WHAT HAPPENS TO HEARING AS WE GET OLDER

Johns Hopkins Cochlear Centre for Hearing and Public Health

PINDROP FOUNDATION NZ

Pindrop Foundation campaign to end silence. This video features cochlear implant recipient Richard Milne as he talks about his journey.

The campaign to end silence follows the World Health Organization’s mission to make early detection and treatment of hearing loss a priority.

Hearing loss is lonely but it doesn’t have to be that way.

We need your help.

Please take a minute to tell your MP that you want all adults who need a cochlear implant to get one.

GLOBAL GUIDELINES ON STANDARDS OF CARE FOR ADULT COCHLEAR IMPLANTATION

BEST PRACTICE CLINICAL PATHWAY FOR DIAGNOSIS

CI CANDIDACY FOR ADULTS

Gain insight into cochlear implant candidacy for adults from Meredith Holcomb, University of Miami audiologist.

BEST PRACTICE GUIDELINES FOR SURGERY

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COCHLEAR IMPLANT SURGERY

Gain insight into cochlear implant counselling tips and best practice for adults from Oliver Adunka, Director of Otology, Neurotology and Cranial Base Surgery, Department of Otolaryngology-Head and Neck Surgery, Ohio State University.

CLINICAL EFFECTIVENESS OF COCHLEAR IMPLANTS

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COCHLEAR IMPLANTATION IN CANDIDATES WITH MODERATE-TO-SEVERE HEARING LOSS AND POOR SPEECH PERCEPTION.

Ulrich Hoppe, PhD; Thomas Hocke, PhD; Anne Hast, PhD; Heinrich Iro, MD, PhD

Effective Health Care Age Related Hearing Loss.

Author Diana Pham: The nominator, American Academy of Otolaryngology – Head and Neck Surgery, is interested in a new evidence review on age-related hearing loss to inform future guideline recommendations and associated quality measures.

COCHLEAR IMPLANT – STATE OF THE ART.

Thomas Lenarz Department of Otolaryngology, Head & Neck Surgery, Hannover Medical School, Hannover, Germany

MORE AWARENESS NEEDED ON COCHLEAR IMPLANT BENEFIT FOR SENIORS.

Hear from Professor Cathy Birman, medical director of the Sydney Cochlear Implant Centre (SCIC)

MY COCHLEAR IMPLANT JOURNEY

A year in the life of Charlotte, courtesy of Pindrop Foundation NZ, follows teacher, entrepreneur and mum Charlotte De Jong on her cochlear implant journey from pre-surgery, surgery, rehab and beyond.

FACTORS ASSOCIATED WITH POST-IMPLANTATION OUTCOMES

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Watch Dakota Bysouth-Young (Audiologist, B.BehavSci(Psych)., M. AudSA., AA (CCP).) from Hearing Implants Australia in discussion with adult cochlear implant recipients on the importance of wireless programming remotely.

THE RELATIONSHIP BETWEEN HEARING LOSS AND DEPRESSION, COGNITION, AND DEMENTIA

HEARING LOSS AND COGNITION: A DISCUSSION FOR AUDIOLOGISTS AND HEARING HEALTHCARE PROFESSIONALS.

Journal of Otolaryngology-ENT Research. Douglas L Beck1, Sarah Bant2, Nathan A Clarke3
1Vice President of Academic Sciences, Oticon Inc., Adjunct Professor of Communication Disorders and Sciences, State University of New York at Buffalo, USA
2Principal Clinical Scientist, Betsi Cadwaladr University Health Board, UK
3Candidate & Clinical Audiologist, National Institute for Health Research (NIHR) Nottingham Biomedical Research Centre, UK

HEARING WELL TO TRAIN YOUR BRAIN.

Amplifon, Lin and Kramer.

HEARING LOSS AND DEMENTIA: HOW ARE THEY RELATED?

Johns Hopkins Cochlear Center for Hearing and Public Health

STANDARD OF CARE: THE RELATIONSHIP BETWEEN HEARING LOSS AND DEPRESSION, COGNITION AND DEMENTIA IN ADULTS

Associate Professor Piers Dawes Department of Linguistics, Macquarie University, presents on the relationship between hearing loss and depression, cognition and dementia in adults.

COST IMPLICATIONS OF CIS

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Cost-benefit Analysis of Cochlear Implants: A Societal Perspective

Olaf M. Neve ,1 Jenneke A. Boerman,2 Wilbert B. van den Hout ,3 Jeroen J. Briaire,1 Peter P.G. van Benthem ,1 and Johan H.M. Frijns 1,4
Ear and Hearing 2021

EVIDENCE GAPS IN ECONOMIC ANALYSES OF HEARING HEALTHCARE: A SYSTEMATIC REVIEW

Ethan D. Borre, Mohamed M. Diab, Austin Ayer, Gloria Zhang, Susan D. Emmett, Debara L. Tucci, Blake S. Wilson, Kamaria Kaalund, Osondu Ogbuoji, Gillian D. Sanders. 2021

IMPROVING ACCESS TO COCHLEAR IMPLANTATION: CHANGE LIVES AND SAVE MONEY.

Brian Lamb OBE, Sue Archbold PhD Ciaran O’Neil PhD

CLINICAL PRACTICE GUIDELINES

FRANCE

Décrets, arrêtés, circulaires

JOURNAL OFFICIEL DE LA RÉPUBLIQUE FRANÇAISE

Development of Good Practice Guidelines

HAS/Department for Good Professional Practice

French Society of ENT (SFORL) guidelines. Indications for cochlear implantation in adults

European Annals of Otorhinolaryngology. Head and Neck Diseases.

GERMANY

Weißbuch Cochlea-Implantat(CI)-Versorgung

Empfehlungen zur Struktur, Organisation, Ausstattung, Qualifikation und Qualitätssicherung in der Versorgung von Patienten mit einem Cochlea-Implantat in der Bundesrepublik Deutschland

Erstellt durch das Präsidium der DGHNO

German CI Indications

Max Word Scores excerpt

S2K Guideline – Cochlear Implantation

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

SPAIN

Guideline on Cochlear Implants

Acta Otorrinolaringologica

CI FUTURES FORUM WEBINAR SERIES

Recorded between July and Sep 2020, The CI Futures Forum presents a five-part global leadership webinar series that explores the future of cochlear implantation following the global pandemic.

In these unpredictable times, the CI COVID collaborative are bringing together globally renowned experts in their respective fields to focus on key issues facing the world of cochlear implants. Using a global platform to share best practice, our purpose is to help hearing health professionals to meet the challenges of adapting cochlear implant services post COVID-19.

Nothing about me, without me: Each virtual seminar will also include a short presentation from a patient, to better understand the impact of COVID-19 from their perspective.

The panel of global experts includes:

Susan Arndt

 Katherine Bouton

 Rob Briggs

Teresa Ching

 Hannah Cooper

 Helen Cullington

Pu Dai

Howard Francis

 Kevin Franck

 Bruce Gantz

Rene Gifford

Valeria Goffi

Paul Govaerts

Rachel Haines

 Douglas Hartley

 Lise Henderson

Dan Jiang

 Michelle Kraskin

 Caroline Leal

 Daniel Lee

Thomas Lenarz

 Frank Lin

 Youri Maryn

Catherine McMahon

Kevin Munro

 Gerard O’Donoghue

 Stephen O’Leary

Gaetano Paludetti

Blake Papsin

 Colleen Psarros

 Ranjith Rajeswaren

Helge Rask-Andersen

Thomas Roland

 Jay Rubinstein

 De Wet Swanepoel

George Tavardkiladze

Michael Tong

 Neelam Vaid

 Frederic Venail

Deborah Vickers

Daniel & Bianka Wasserman

Bradley Welling

Libby Whitlock

Christine Yoshinaga-Itano

RECONFIGURING CI SERVICES: THE 'NEW NORMAL'

Covid-19 has necessitated that many patient pathways to be reconfigured due to social distancing as well as personal protective considerations for patients and staff.  In this seminar we will consider the patient experience, the public health implications of Covid-19 for hearing healthcare professionals, surgery and anaesthesia risks, and organisational changes needed within a service to facilitate recovery of clinical activity.

Katherine Bouton (US) presents on ‘Surviving the Pandemic with Hearing Loss: Challenges and Unexpected Benefits’

Frank Lin (US) presents on ‘Hearing Loss, Aging and Public Health’

Bruce Gantz (US) presents on ‘Re-Instituting Patient Interactions and Programming in the Pandemic’

Thomas Roland (US) presents on ‘COVID-19: Returning to the New Normal’

Douglas Hartley (UK) presents on ‘CI Surgery and COVID-19’

Thomas Lenarz (DE) presents on ‘Cochlear Implantation During and After Corona Times’

Robert Briggs (AU) presents on ‘The Melbourne CI Clinic – Reconfigured’

NO TOUCH CI PATHWAYS: WILL COVID-19 DRIVE INNOVATION?

The need to maintain social distancing during the pandemic has required clinical services to restrict ‘face to face’ contact episodes and thus remote care may become a necessity. We begin with the patient experience and then draw on the field of remote hearing-aid fitting prior to considering clinical experience with cochlear implants. Could intraoperative cochlear neurophysiology inform this approach? We will then consider how the domain of artificial intelligence could be transformative in enabling the wider adoption of remote care.

Patrizia DiGiovanni (AU) discusses a consumer’s perspective on “remoting”

De Wet Swanepoel (ZA) presents on ‘Rethinking audiology during COVID-19 and beyond’

Frederic Venail (FR) presents on ‘Lessons from remote fitting of hearing aids. One more step towards CI remote fitting’

Stephen O’Leary (AU) presents on ‘Monitoring cochlear health with a CI: emerging technologies to remotely assess recipients’ residual hearing and cochlear status’

Michelle Kraskin (US) presents on ‘Paediatric Audiologic care throughout a global pandemic’

Colleen Psarros (AU) presents on ‘Catalysing the dormant innovation in Cochlear Implantation’

R Ranjith (IN) presents on ‘Evolving Remote Care for CI in South India- MERF model’

Paul Govaerts (BE) presents on ‘Are home testing and home fitting within reach?’

ASSURING EARLY CI INTERVENTION POST-COVID-19

Outcomes from paediatric cochlear implantation depend on the quality of early intervention and habilitation services to minimise the deleterious effects of auditory deprivation. We plan to start the webinar with the account of a parent’s experience accessing hearing healthcare for their child during Covid-19 and will then examine how the pandemic disrupted hearing screening programmes and imposed delays to the referral pathways for early intervention. We will consider the barriers clinicians encountered and what strategies worked to recover services.

Hannah Cooper & Carolina Leal (UK) present on ‘A snapshot of Newborn Hearing Screening services in the UK during the COVID-19 pandemic’

Christine Yoshinaga-Itano (US) presents on ‘Meeting challenges of later identification, delayed cochlear implantation, early intervention
services and developmental progress monitoring Post-Covid-19’

Blake Papsin (CA) presents on ‘The Missing Cohort: Can we Track and Trace Deafness too?’

Kevin Franck (US) presents on ‘How Best Paediatric Audiological Services Should Adapt to the Post-COVID Era’

Lise Henderson (UK) presents on ‘Then and Now: the Manchester Experience’

GLOBAL RESPONSES OF CI SERVICES TO COVID-19

The impact of Covid-19 on health-care systems varies considerably and no country, whether high- or low- income has been spared the challenges. Ultimately, all pandemics become local as it falls to local professionals to find solutions that work for the population they serve. Here, we learn from colleagues around the world who have grappled with these challenges and found ways to overcome them that will be of interest to the global cochlear implant community.

Libby Whitlock (UK) interviewed by Helen Cullington (UK) on ‘Remote services: patient perspective’

Daniel J Lee (US) presents on ‘Risk mitigation during cochlear implant surgery in the era of the COVID-19 pandemic: the role of
heads-up surgery with exoscopes and barrier drapes’

Pu Dai (CN) presents on ‘CI Services During the COVID-19 Pandemic in China’

Neelam Vaid (IN) and her perspective on ‘Beyond the doom and gloom’

George Tavartkiladze (RU) presents on ‘Global Responses of CI Services to COVID-19: Russian Experience’

Valeria Goffi (BR) presents on ‘What can be put into practice from what we learned during the quarantine?’

Michael Tong (HK) presents on ‘The COVID-19 response in Hong Kong and CI services’

Gaetano Paludetti (IT) presents on ‘The Italian experience on deafness management and CI services during COVID-19 pandemic’

CI RESEARCH AT A DISTANCE: A POST-COVID CHALLENGE

Outcomes from paediatric cochlear implantation depend on the quality of early intervention and habilitation services to minimise the deleterious effects of auditory deprivation. We plan to start the webinar with the account of a parent’s experience accessing hearing healthcare for their child during Covid-19 and will then examine how the pandemic disrupted hearing screening programmes and imposed delays to the referral pathways for early intervention. We will consider the barriers clinicians encountered and what strategies worked to recover services.

Bradley Welling (US) presents on ‘Providing Health Care to Patients with Hearing Loss During COVID-19’

Kevin Munro (UK) presents on ‘Does coronavirus affect the audio-vestibular system’

Rachel Haines (UK) presents on ‘The design and conduct of randomised controlled trials post-Covid: considerations from a
clinical trialist’

Teresa Ching (AU) presents on ‘The LOCHI study: speech discrimination and ecological momentary analysis’

Rene Gifford (US) presents on ‘Cochlear implant research in the United States: COVID-19 precautions and amendments’

Dan Jiang (UK) presents on ‘Maximising benefit of bilateral cochlear implant in the post Covid-19 era’

Youri Maryn (BE) presents on ‘Do nose-and-mouth covering masks change speech sound properties?’

Jay Rubinstein (US) presents on ‘Impacts of COVID on the Virginia Merrill Bloedel Hearing Research Center’

IFHOH CI ADVOCACY WEBINAR

The IFHOH CI advocacy Webinar held on the 15th of October 2020. Speakers for the session:

  • Dr. Harald Seidler, MD and IFHOH representative and co-chairs of the Consumer and Professional Advocacy Committee
  • Mrs. Barbara Kelley, Executive Director of Hearing Loss Association of America, co-chair of the Consumer and Professional Advocacy Committee
  • Ms. Darja Pajk, Representative of the European Federation of Hard of Hearing People on the Consumer and Professional Advocacy Committee
  • Mr. Bowen Tang, President of the International Federation of Hard of Hearing Young People and a Cochlear Implant User
  • Dr. Ruth Warick, President of the International Federation of Hard of Hearing People

The session was moderated by Mr. Avi Blau, Vice-President of IFHOH

IFHOH WEBINAR ON COCHLEAR IMPLANT EXPERIENCES AND BEST PRACTISE TIPS

HEARING LOSS ASSOCIATION OF AMERICA WEBINAR

Authors present International Consensus Paper on Adult Cochlear Implantation to consumers and explain how minimum CI Standards of Care will improve hearing outcomes world-wide.

Dr. Craig Buchman, Dr. René Gifford, explain to consumers how treatment for adults living with severe to profound sensorineural hearing loss (SNHL) will improve if recommendations are adopted in countries, localities and clinics that fall short. The webinar was hosted by Ms. Barbara Kelly, HLAA Executive Director.

STANDARD OF CARE WEBINAR

Part of the Trans Tasman Audiology Australia Conference 2020

Holly Teagle, NZ, and Marcus Atlas, Perth Australia, discuss the consensus paper statements in detail with real-life examples of their applicability in modern practice. Hosted by Audiology Australia.

PINDROP FOUNDATION WEBINARS

Associate Professor of Audiology at the University of Auckland, Holly Teagle and Cochlear Implant Surgeon, Michel Neeff discuss the pathway to a global standard of care for adults requiring cochlear implants and the beneficial health outcomes that they hope will derive from a standardised care approach.

We hear from NZ G.P and Clinical Director for Primary Care Surgical Services at Auckland Hospital, Kathy McDonald, Julie Ligeti, Global Manager Public Advocacy for Cochlear Ltd, cochlear implant recipient and registered nurse, Josie Calcott, as they discuss some of the challenges relating to cochlear implantation for adults and how healthcare professionals can help identify and refer suitable patients.

Some people want to know what’s involved in a cochlear implant surgery. In this video, ENT surgeon Bill Baber walks us through CI recipient, Richard Milne’s, transformative surgery. WARNING: GRAPHIC SURGICAL CONTENT

Sue Archbold, Consultant on research, public policy and practice on hearing care and cochlear implantation, discusses health advocacy and empowering community voices, and the role consumers and health professionals can play.

Learn about Cochlear Implant surgery with ENT surgeon, Bill Baber

Dr Lewis Williams discusses advocacy and the CI experience

BRITISH ACADEMY OF AUDIOLOGY AND THE BRITISH COCHLEAR IMPLANT GROUP

CI CHAMPIONS WORKSHOP

Listen to the British Academy of Audiology and the British Cochlear Implant Group CI Champions Workshop webinar held 17th October 2020.

STANDARD OF CARE WEBINAR

The relationship between hearing loss and depression, cognition and dementia in adults

Listen to Professor Cathy Birman discuss the relationship between hearing loss and depression, cognition and dementia with her own interpretation of the International Consensus paper guidelines.

STANDARD OF CARE FROM A PROFESSIONAL PERSPECTIVE

Dakota Bysouth-Young, Specialist Audiologist at Hearing Implants Australia, presents on Standard of Care an Audiologists Perspective.

Professor Tim Makeham presents on Standard of Care; A surgeons perspective. Dr Makeham is a Canberra-based otolaryngologist and ENT surgeon renowned for his surgical techniques and skill.

Professor Rob Briggs presents on Standard of Care: A surgeons perspective.

Professor Kelvin Kong presents on Standard of Care: A surgeons perspective.

STANDARD OF CARE IN EUROPE, THE MIDDLE EAST AND AFRICA

Shakeel Saeed presents an Introduction to the International Consensus Paper

Christophe Vincent presents on Best Practice for establishing Standard of Care via registries

Directed Discussion moderated by Shakeel Saeed and Christophe Vincent with speakers representing different regions in EMEA

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