Audiology 2019: Cochlear Implants

September 11–23, 2019 | Online Conference

Session Descriptions

These pre-recorded lectures are on-demand and most last only an hour, so you can listen to them whenever time permits! Additional sessions will be added, so check back frequently.

The Basics of Sound Processor Programming
Teresa A. Zwolan, PhD, CCC-A

This session will give professionals a “behind-the-curtain” view of what goes on during a cochlear implant programming appointment to inform their work with children and adults who use these devices. This perspective should be particularly useful when it comes to the management of the hearing aid on the contralateral ear as well as the management of rehabilitative and therapeutic needs. The speaker will place special emphasis on how professionals can best communicate with each other to maximize the outcomes for individuals who use cochlear implants.

After completing this session, you will be able to:

  • describe the typical procedures performed in post-operative cochlear implant programming appointments in a manner that is easily understood by patients and families
  • summarize objective procedures that can be used to supplement behavioral procedures used in speech processor programming
  • list ways to determine if the program in a sound processor has been optimized
  • list the types of hearing aids that are currently able to bilaterally stream with contemporary cochlear implant systems

Troubleshooting Cochlear Implant Sound Processors & Accessories 
Heidi Slager, AuD, CCC-A

Cochlear implant technology has evolved over time to include sophisticated features such as accessory-based and direct streaming, remote control devices and apps, bimodal compatibility, and more – and hearing health providers must become proficient with it all. This session will explore working with and efficiently troubleshooting these modern and increasingly common systems, such as remote microphones, DM/FM systems, and mobile devices to improve patient outcomes and increase clinic efficiency.

After completing this session, you will be able to:

  • list current sound processor options for each FDA-approved cochlear implant manufacturer
  • list basic troubleshooting tools and steps for sound processors and related accessories
  • describe the differences between DM/Roger, FM, and remote microphone assistive listening systems

Advances in Cochlear Implant Technology 
Regina Presley, AuD, CCC-A, FAAA

This session will discuss the latest advances and updates in cochlear implant technology, including electrode array design, approaches to preservation of residual hearing, the variety of processors and compatible approaches to successful bimodal use, wireless technology, and the array of accessory options available for optimal listening.

After completing this session, you will be able to:

  • counsel candidates for cochlear implantation regarding current technology
  • counsel patients regarding the latest techniques for hearing preservation and how this works with a combination of acoustic and electric stimulation
  • recommend the bimodal fitting option for hearing aid patients utilizing a monaural cochlear implant
  • discuss accessory options that are compatibility with processors and appropriately selected hearing aids

Bilateral and Bimodal Hearing With Cochlear Implants 
William H. Shapiro, AuD, CCC-A

Many individuals with unilateral cochlear implants are good candidates for a second device. This session will discuss some of the roadblocks to sequential or simultaneous cochlear implantation and how to overcome them.

After completing this session, you will be able to:

  • describe a bimodal fitting protocol
  • describe the evaluation process 
  • describe an appropriate candidate for a sequential cochlear implant

From Clinic to Classroom: Helping School Personnel Support Students With Cochlear Implants 
Mary O’Leary Kane, MA, CCC-SLP

Many school-based personnel are unsure how to best support students with cochlear implants, and this session will explore how clinicians across settings (clinics and schools) and professions (audiologists, SLPs, and educators) can work together to help students reach their goals.

After completing this session, you will be able to:

  • describe realistic expectations re: listening development post-surgery
  • identify the five steps of auditory development
  • use tools to chart students’ progress

Auditory Neuropathy and Cochlear Implants 
Kelly Nichols Starr, MA, CCC-SLP, LSLS Cert. AVT and Caroline Arnedt, AuD

This session will discuss listening and spoken language skills assessments for accurate diagnosis of auditory neuropathy in children as well as various treatment options and considerations, including cochlear implantation.

After completing this session, you will be able to:

  • describe how auditory neuropathy is diagnosed
  • describe the difference between intelligibility and audibility for listening and spoken language development
  • identify two red flags that show a child is not receiving enough auditory information

Key Considerations for Referring Children and Adults for Cochlear Implants
Sandra Prentiss, PhD, CCC-A

No national or international consensus exists on the delivery of care specific to pre-operative and post-operative audiologic cochlear implant evaluation and management. As such, decision-making regarding testing methods is largely made by the professional judgement of the clinician, which can bring with it discrepancies in testing that lead to inconsistent access to cochlear implants. This session will discuss these discrepancies and provide a set of guidelines clinicians can use to refer patients for a cochlear implant evaluation. The session will address the importance of a multidisciplinary approach when evaluating candidates for cochlear implants.

After completing this session, you will be able to:

  • describe the expansion in criteria for cochlear implants and when to refer
  • perform speech-in-noise testing measures as part of the diagnostic workup
  • interview the patient and/or parents to determine if a referral for cochlear implant is appropriate

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