REGIONAL RESOURCES

Select a location below to view region-specific guidelines and resources.

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

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.

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.

We Hear You

We Hear You is a groundbreaking documentary about hearing loss, the invisible disability that impacts 466 million people worldwide. We Hear You tells the story of 4 women battling the challenges and stigmas of hearing loss, and was created and produced by people with hearing loss.

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.

Hearing Loss Representation Matters: Thank You Abigail Heringer

Having hearing loss can sometimes feel like you are stuck between two worlds — the hearing world and the Deaf community — not fully fitting into either.  Abigail Heringer, a cochlear-implant-wearing cast member on the 2021 season of The Bachelor summed it up well: “I think people view the hearing community and the Deaf community (with the capital D) as black and white and I’m kind of that gray space in the middle that hasn’t had a lot of light shone on it.”

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.

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.

The Incredible Hulk Gets A CI

In February 2021 actor and bodybuilder Lou Ferrigno, popularly known as The Incredible Hulk, received a cochlear implant. In discussion with ACI Alliance Executive Director, he explains his decision to go forward with a cochlear implant at age 69.

WATCH PATIENT STORIES

Georgia finds hope and hears daughter with hybrid hearing

80 year old Malcom rediscovers favourite activities after implantation

After 50 years of hearing loss Nancy finally appreciates the great outdoors again

PODCASTS

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

HEARING HEALTH TODAY

Season 1: Hearing Health Today is an educational and thought-provoking series for hearing health professionals that explores the key challenges, trends and opportunities in the delivery of hearing care today, and in the future.

In this episode, we’ll hear from Professor Helen Cullington, who’ll talk about how hearing health professionals can stay connected to their patients. We will explore what changes in practice have occurred with the COVID-19 pandemic. We’ll also hear about what tools exist in the hearing ‘space’ for professionals and discuss tools and resources to help patients reduce their fear of isolation.

Today, we’ll continue our theme on telemedicine and hear from another expert, Dr. Allison Biever, researcher and audiologist from Rocky Mountain Ear Centre in Denver, Colorado, who’ll give her perspective on how clinics can use telemedicine in practice and also provide insight into what’s in store for the future of hearing health care, both challenges and opportunities.

In this episode, we’ll speak with Associate Professor Holly Teagle from the University of Auckland in New Zealand and explore how we can address the growing hearing loss epidemic. We’ll also gain a broader perspective on why treatment guidelines and a standard of care for hearing loss are so crucial when we hear from two additional experts in the field, Dr Leo De Raeve, and Associate Professor Robert Briggs.

In this episode, we’re going to dive deep into progressive hearing loss and explore what happens, or doesn’t happen, when hearing aids are no longer enough. We’ll be speaking with Professor Ulrich Hoppe, Professor of Audiology at University Hospital and Head of the Cochlear Implant Center, CICERO, in Erlangen, Germany.

In today’s episode, we continue exploring the theme “When Hearing Aids Are No Longer Enough” from the patient’s perspective. We’ll hear from Malcolm, a gentleman from the United Kingdom, who struggled for many years with hearing aids before finally receiving a referral for a CI.

In this episode, ‘A Connected Hearing Care Ecosystem’, hear Dr Eliana Cristofari, a surgeon and expert in rehabilitation from Varese, Italy, discuss how she and her team have built an innovative and multidisciplinary approach to ‘care-anywhere’.

In this episode, ‘A New Lease of Life’, Tony describes the impact hearing loss had on his life as an actor living in the UK. Also in this episode, we hear a professional perspective from Dr Isabelle Mosnier, ENT and expert in aging and cognition, from Paris, France.

In the final episode of our inaugural season of Hearing Health Today, we’ll take a walk down memory lane with the pioneer of the multi-channel cochlear implant, Professor Graeme Clark, who’ll discuss how it all began, the advancements in technology over the years, and the impacts it has had on clinical care.

CONVERSATIONS WITH DR BAUCHNER

USPSTF Recommendation: Screening for Hearing Loss in Older Adults

Interview with Chien-Wen W. Tseng, MD, USPSTF member and coauthor of USPSTF Recommendation: Screening for Hearing Loss in Older Adults

Listen to the podcast here.

Conversations with Dr Bauchner Podcast

INTERVIEW WITH CRAIG A. BUCHMAN

Listen to an interview with Craig A. Buchman, author of ‘Unilateral Cochlear Implants for Severe, Profound, or Moderate Sloping to Profound Bilateral Sensorineural Hearing Loss: A Systematic Review and Consensus Statements’.

LEVEL OF AWARENESS OF CIS

Click here to download a PowerPoint presentation that includes the findings from this category, clinical summaries and takeaways

This PowerPoint is designed for you to edit and present. All content included in the document has been referenced appropriately.

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.

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.

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

Cochlear implant – state of the art

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

Hearing loss overview.

National Institute Health and Excellence. 2019.

COCHLEAR IMPLANT FUTURES FORUM: AWARENESS OF COCHLEAR IMPLANTATION - AUDIOLOGY ONLINE INTERVIEW

Globally, it is estimated that only one in twenty who could benefit from cochlear implants (CI) have one. Most other health treatments have internationally accepted standards of care that inform patients and health care practitioners when specialist referrals and treatment options should be considered.

A panel discussion with leading experts in the field of Audiology explores the lack of awareness of cochlear implants for adults, and the various barriers and facilitators to overcome this. Chaired by Brian Kaplan, M.D., F.A.C.S. Chairman, Department of Otolaryngology at Greater Baltimore Medical Center, U.S.

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

Click here to download a PowerPoint presentation that includes the findings from this category, clinical summaries and takeaways.

This PowerPoint is designed for you to edit and present. All content included in the document has been referenced appropriately.

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

Click here to download a PowerPoint presentation that includes the findings from this category, clinical summaries and takeaways.

This PowerPoint is designed for you to edit and present. All content included in the document has been referenced appropriately.

COCHLEAR IMPLANT – STATE OF THE ART.

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

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.

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

MORE AWARENESS NEEDED ON COCHLEAR IMPLANT BENEFIT FOR SENIORS.

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

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.

FACTORS ASSOCIATED WITH POST-IMPLANTATION OUTCOMES

Click here to download a PowerPoint presentation that includes the findings from this category, clinical summaries and takeaways.

This PowerPoint is designed for you to edit and present. All content included in the document has been referenced appropriately.

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

Click here to download a PowerPoint presentation that includes the findings from this category, clinical summaries and takeaways.

This PowerPoint is designed for you to edit and present. All content included in the document has been referenced appropriately.

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

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.

GOOD HEARING HEALTH FACT SHEET

Presbyterian Board of Governors CI Centre @ GBMC

Good Hearing is important for communication and safety but it also plays a vital role in our quality of daily living, overall health, ability to remain in the workforce, and can help fight the decline of our brain health.

Click the image for more.

COST IMPLICATIONS OF CIS

Click here to download a PowerPoint presentation that includes the findings from this category, clinical summaries and takeaways.

This PowerPoint is designed for you to edit and present. All content included in the document has been referenced appropriately.

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

In these unpredictable times, the Global CI 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.

Season 1 – 2020

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

Season 2 – 2021

Recorded between January and August 2021, the second season of The CI Futures Forum presents a seven-part global leadership webinar series that explores the future of cochlear implantation following the global pandemic.

ADVOCACY EVENTS

CIICA LIVE

Why CIICA? (Cochlear Implant International Community of Action)

Introduction by Leo De Raeve
CIICA LIVE 2021

Paige Stringer
CIICA LIVE 2021

Sue Archbold
CIICA LIVE 2021

Beatrice Cusmai
CIICA LIVE 2021

Eddie Mukaaya
CIICA LIVE 2021

Cathy Birman
CIICA LIVE 2021

AICE
CIICA LIVE July 2021

Holly Teagle
CIICA LIVE July 2021

Sue Archbold
CIICA LIVE July 2021

Nic Russell
CIICA LIVE July 2021

Anita Grover
CIICA LIVE July 2021

Brian Lamb
CIICA LIVE July 2021

Katalin Gal
CIICA LIVE July 2021

Sue Walters
CIICA LIVE July 2021

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.

JOHNS HOPKINS COCHLEAR CENTER - RESEARCH WEEK 2021 KEYNOTE WEBINAR

Webinar includes:

An overview of the Strategic Vision for the Cochlear Center for Hearing and Public Health – Prof Frank Lin

Guest Speaker presentation by Dr Bret Rutherford from Columbia University Prof of Clinical Psychiatry – “Addressing Hearing Loss to Improve Mood Disorders and Neurocognitive Health in Later Life”.

Various studies presented focused on hearing loss and late life depression and Dementia risk.

Q&A

AUDIOLOGY AUSTRALIA 2021 CONFERENCE: PATHWAYS TO COCHLEAR IMPLANTS

Speakers for the session:

Jaime Leigh, PHD, Audiologist and Senior Clinician, Royal Victorian Eye & Ear Hospital, Research Fellow on Cochlear Implants, University of Melbourne

Angela Liew, Manager of the Ear Science Implant Clinic

Cathy Sucher, Senior Clinical Audiologist at Ear Science Institute Australia, Lead for Hearing Science Research at the ESIA

Nimi Naran, Head of Medical Services & Clinical Projects ANZ and Audika

Agnes AU, Lecturer and Researcher in the Department of Audiology and Speech Pathology at the University of Melbourne

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

Prof Ulrich Hoppe presents on ‘What is bimodal?’

Assist Prof Lindsey van Yper presents on ‘How does the bimodal brain work?’

Directed discussion on ‘Candidacy in the clinical setup’ moderated by Prof Ulrich Hoppe

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