TESTED QUESTIONS WITH FULL SOLUTION
GRADED A+
◉ Coordination between parents, cochlear implant recipients, and
professionals. Answer: is critical
Education of those involved is critical
◉ CI team. Answer: Otolaryngologist = Makes the medical decisions,
performs the surgery
Audiologist = Determines audiologic candidacy, MAPS the CI after
recovery from surgery (6-8 weeks)
•Implant recipient
•Parents/Caregivers
•SLP
•Teachers of the D/HH
•Psychologists
•Social workers
,◉ variables that affect the performance of CI (1). Answer: •Age of
onset of hearing loss and previous auditory experience =
The more exposure to meaningful sounds, the more success the
child is likely to have
•Age of implantation
•Length of implant use
•Duration of deafness = Those with shorter auditory deprivation
usually have better auditory performance
◉ variables that affect the performance of CI (2). Answer: •Etiology
of the hearing loss = Status of the cochlea
- Neural integrity = Individuals with more functioning nerve fibers
may benefit more from implantation
•Cochlear implant technology
•Surgical issues
•Audiologic re/habilitation efforts and expertise
•Expectations = Parents, family members, recipients
•Motivation = Parents, child, teenager
,◉ goals for outcomes (CI). Answer: •Awareness of sound
•Identification of environmental sounds
•Perception of the rhythm of speech
•Understanding of speech in conjunction with speechreading
•Understanding speech aurally
•Understanding on the phone
◉ Cochlear implantation = cost. Answer: •Cost = $50,000-$100,000
•Coverage: Most major insurances, Medicare. Medicaid (in some
states), Vocational rehabilitation (in some states)
◉ Risks of CI according to FDA: facial nerve injury. Answer: •This
nerve goes through the middle ear to give movement to the muscles
of the face
•It lies close to where the surgeon needs to place the implant and
can be injured during the surgery
•An injury can cause a temporary or permanent weakening or full
paralysis on the same side of the face as the implant
, ◉ Risks of CI according to FDA: others. Answer: •Meningitis
•Cerebrospinal fluid leakage
•Perilymph fluid leak
•Infection at the surgical site
•Attacks of dizziness or vertigo
•Tinnitus
•Taste disturbances
•Reparative granuloma (localized inflammation)
◉ Controversial issues with CI. Answer: •Cochlear implant mapping
in the schools
•Cochlear implantation in children with multiple disabilities
•Bilateral implantation for children
•FM system used with cochlear implants
◉ Why mapping should NOT occur in schools:. Answer: •Some
educational audiologists may not have the required
experience/expertise for mapping
•May set a precedence for school districts to be required to pay for
expensive equipment necessary for mapping