Update on Pediatric Hearing Loss & Cochlear Implantation
|
|
- Primrose Little
- 6 years ago
- Views:
Transcription
1 Update on Pediatric Hearing Loss & Cochlear Implantation Anna K. Meyer, MD, FAAP Assistant Professor Division of Pediatric Otolarynoglogy University of California, San Francisco February 16, 2013 No disclosures 2 1
2 Objectives Common Etiologies Candidacy Evaluation Expanding Criteria 3 Causes of Hearing Loss Hereditary 40 to 50% Acquired 15-40% Unknown 15-44% Riga, et al., 2005; Gulandi,
3 Connexin 26 and 30 Historical Severe to profound autosomal recessive bilateral Current Range of hearing loss Unilateral, asymmetric Progressive Sudden SNHL Autosomal dominant: syndromic and non-syndromic palmoplantar keratoderma, Vohwinkel syndrome and keratitis-ichthyosis/hystrix-like ichthyosis-deafness 5 Connexin 26 Genotype-Phenotype 6 3
4 CMV: the ongoing mystery! Estimated 1% of all neonates infected. Most no apparent signs of infection at birth. ~5% with asymptomatic congenital CMV infection present hearing loss before 3 months of age. mostly sensorineural, profound can be progressive, fluctuating, asymmetric/unilateral and delayed in onset Diagnosis < 3 weeks: CMV viral culture on urine After 3 weeks: dried blood spot Deleenheer, 2011 Enlarged Vestibular Aqueduct Most common imaging finding High risk for progression Variable hearing at birth from normal to profound 8 4
5 UNHS 1-3/1000 births with hearing loss More common than all other diseases screened in neonates combined. Screen by 1 month >95% Identify HL by 3 months 55% Intervention by 6 months 33-53% Birth to kindergarten:???? By school age incidence 6/1000 White,
6 Hearing Loss Evaluation Prenatal exposures TORCH Ototoxins Diabetes Perinatal risks Hypoxemia NICU admission, ventilation, low Apgars Hyperbilirubinemia Sepsis Ototoxins Low birthweight/preemie Syndromes Post-natal FH PE Meningitis Trauma Progressive loss Undiagnosed syndromes 11 Hearing Loss Evaluation Postnatal Infectious Bacterial meningitis S. pneumo & N. meningitidis >> H. flu Viral: mumps, measles Check vaccination record Delayed motor milestones Syncope, arrhythmias FH, SH, Medications 12 6
7 Audiologic Confirmation Screen: automated ABR: max two! Diagnosis: natural sleep ABR sedated ABR OAEs Behavioral testing 13 Etiology Work-up All HL Ophthalmologic evaluation Severe to Profound SNHL: EKG Bilateral Loss HAs Genetics Imaging Other Unilateral Loss HAs Imaging Genetics, other 14 7
8 Effects of Unilateral Hearing Loss Keller & Bundy (1980) (n = 26; age = 12 yrs) Peterson (1981) (n = 48; age = 7.5 yrs) Math Language Math Language Normal Hearing Unilateral Hearing Loss Bess & Thorpe (1984) (n = 50; age = 10 yrs) Blair, Peterson & Viehweg (1985) (n = 16; age = 7.5 yrs) Social Math Language Culbertson & Gilbert (1986) (n = 50; age = 10 yrs) Average Results Math = 30th percentile Language = 25th percentile Social = 32nd percentile Math Language Social 0th 10th 20th 30th 40th 50th 60th Percentile Rank
9 Should we limit CT scans? CT in U.S. Up to 7 million children annually in 2009 Head is common region for pediatric CT Younger patients receive higher radiation dose/unit Children are more sensitive to radiation 10 fold neoplastic potential More years at risk for cancer occurrence 2001 and 2003 studies show small but significant increase in lifetime risk of fatal cancer 1/1000 children with a single CT scan 0.35% increase > baseline Brenner,et al., 2001; Slovis, 2003; Linet, et al., Projected Number of Future Cancers That Could Be Related to CT Scans Performed in the United States in 2007, According to CT Scan Type Berrington de Gonzalez, A. et al. Arch Intern Med 2009;169:
10 CT-limiting Algorithm? *consider MRI Preciado, et al., Candidacy FDA pediatric guidelines 12 months or older Unaided PTA > 90 db HL HA trial: 3-6 months Lack of auditory skills development Tolerance of HAs 20 10
11 Pediatric CI Criteria? Severe SNHL Asymmetric Hearing Loss Unilateral HL Progressive HL Auditory Neuropathy with good pure tones Apparently absent cochlear nerves on MRI 6 month old with confirmed profound SNHL Severely developmentally delayed children Adolescent with long-term severe hearing loss 21 Expanding Criteria <12 months Improved phonological skills Superior speech understanding Language skills growth rate similar to normal-hearing peers Risks Total blood volume: 80mL per kg Facial nerve position Underdeveloped mastoid tip Device migration/profile 22 11
12 Will Older Children Catch Up? Niparko, et al., Severity of SNHL 24 12
13 Patients with Residual Hearing More likely to be good performers Children with pure tone thresholds 70 db and good HA benefit (Mondain, et l., 2002) Improved speech perception post-ci Pre-implant 21%, post-implant 84% Preservation of residual hearing Minimal trauma cochleostomy and insertion As high as 60% retain residual hearing (Skarzynski, et al., 2002) Bilateral CI: Standard + Hybrid (Gantz, et al., 2010) Equivalent performance 10- and 24-electrode arrays Caveat: children at higher risk for progressive loss 25 Auditory Neuropathy Present OAEs/cochlear microphonic with SNHL or abnormal ABR No progress with auditory or language skills -- refer for CI evaluation CI may offer neural synchronization Outcomes are variable Comparable to SNHL in those without other medical/cognitive issues Counseling is key 26 13
14 Developmental Delay Cognitive and developmental delay may slow rate of rehabiliation post-ci May require multiple modes of communication Still improve QOL, communication, self-sufficiency and socialization Counseling is key 27 Bilateral Implants The potential benefits of bilateral implants Insures that the best ear is implanted May allow some of the benefits of binaural hearing May avoid the effects of auditory deprivation on the unimplanted ear Signifiantly more audition and vocalization 1 year post-implantation (Tait, et al., 2010) Improved early complex expressive and receptive language (Wie, 2010) 28 14
15 Adolescents with Long-term Hearing Loss Highly variable outcome Congenital Deafness: Some able to convert to oral communication Improvements in open set recognition 1/3 good performers Factors: length of deafness, length of device use, mode of communication, degree of hearing loss, cause of hearing loss, use of speech therapy Kos, et. Al., 2009; Heman-Ackah, et al., Adolescents Progressive Hearing Loss Some of our best performers Resistant to proceeding with implantation larger HA Stigma Used to compensation 30 15
16 Progressive HL Children with progressive hearing loss should be followed closely for reassessment of CI candidacy 31 Unilateral loss Asymmetric hearing loss Unilateral aidable hearing loss/contralateral deaf ear Risk of progression? Unilateral SNHL Similar benefits to unilateral aiding (Hassepass, et al., 2013) 32 16
17 Success 33 Summary Selective additional testing based on history/clinical findings Ophthalmologic and ECG in all severe-to profound negative on GJB2 and CT imaging Genetic counseling for all patients undergoing genetic testing Children may have complex issues that need to be fully evaluated in the CI work-up Early referral of children for CI is best Counseling families on expectations and commitment is the key to success 34 17
18 35 Thank you! 18
19 References available upon request 37 19
3/20/2017. D. Richard Kang, MD, FACS, FAAP Pediatric Otolaryngology Director, ENT Institute Boys Town National Research Hospital
D. Richard Kang, MD, FACS, FAAP Pediatric Otolaryngology Director, ENT Institute Boys Town National Research Hospital Pediatric providers have a reasonable chance to see a child with hearing loss in your
More informationChristine Yoshinaga-Itano, Ph.D. Professor University of Colorado, Boulder Department of Speech, Language & Hearing Sciences Allison Sedey, Ph.D.
Christine Yoshinaga-Itano, Ph.D. Professor University of Colorado, Boulder Department of Speech, Language & Hearing Sciences Allison Sedey, Ph.D. Rosalinda Baca, Ph.D. Molly Dalpes, AuD Kristin Uhler,
More informationCochlear Implants: The Role of the Early Intervention Specialist. Carissa Moeggenberg, MA, CCC-A February 25, 2008
Cochlear Implants: The Role of the Early Intervention Specialist Carissa Moeggenberg, MA, CCC-A February 25, 2008 Case Scenario 3 month old baby with a confirmed severe to profound HL 2 Counseling the
More informationCan You Hear Me Now? Learning Objectives 10/9/2013. Hearing Impairment and Deafness in the USA
Can You Hear Me Now? An update on the latest technology and solutions for hearing impairment Linda S. MacConnell, PA-C ENT Specialists of AZ ASAPA Fall CME Conference ctober, 03 Learning bjectives. Differentiate
More informationChildhood Hearing Clinic causes of congenital hearing loss Audit of results of investigations
Childhood Hearing Clinic causes of congenital hearing loss Audit of results of investigations Dr Karen Liddle - 20th May 2017 9th Australasian Newborn Screening Conference Childhood Hearing Clinic Multidisciplinary
More informationCalifornia s Cochlear Implant Program for Children: Trends from the EHDI Program
California s Cochlear Implant Program for Children: Trends from the EHDI Program Lisa Satterfield, M.S., CCC/A California Children s Medical Services EHDI Conference, 2009 California Children s Services
More informationUnexpected Findings:
Unexpected Findings: ANSD & A CASE FOR BILATERAL COCHLEAR IMPLANTATION LORI L. BOBSIN, PHD, CCC-SLP, LSLS CERT. AVT AMBER KISER, PHD, CCC-A, F-AAA UNIVERSITY OF VIRGINIA COCHLEAR IMPLANT PROGRAM OCTOBER
More informationOutline ANATOMY OF EAR. All about Cochlear implants/why does this child not have a Cochlear Implant?
All about Cochlear implants/why does this child not have a Cochlear Implant? Dr.S.Rangan Consultant Audiovestibular Physician (Paediatrics) St Catherine s Health Centre WUTH/BAPA Outline How does the ear
More informationAssessing the Deaf & the Dizzy. Phil Bird Senior Lecturer University of Otago, Christchurch Consultant Otolaryngologist CPH & Private
Assessing the Deaf & the Dizzy Phil Bird Senior Lecturer University of Otago, Christchurch Consultant Otolaryngologist CPH & Private Overview Severe & profoundly deaf children & adults Neonatal screening
More informationto the child and the family, based on the child's and family's abilities and needs. The IFSP needs to address the communication needs of the child and
GUIDELINES FOR EARLY INTERVENTION The goals of newborn hearing screening are to provide a hearing screen to all newborns before one month of age, to ensure that all newborns who do not pass the birth admission
More informationEffect of Bimodal Stimulation on Hearing and Speech Development in Children with Bilateral Severe/ Profound Hearing Loss
Effect of Bimodal Stimulation on Hearing and Speech Development in Children with Bilateral Severe/ Profound Hearing Loss Yun Li Qi Huang Zhiwu Huang Hao Wu Departments of Otolaryngology Head and Neck Surgery
More informationAuditory Neuropathy Spectrum Disorder. Yvonne S. Sininger PhD Professor of Head & Neck Surgery University of California Los Angeles
Auditory Neuropathy Spectrum Disorder Yvonne S. Sininger PhD Professor of Head & Neck Surgery University of California Los Angeles 1 Financial Disclosure Information I have no relevant financial relationship
More informationPaediatric cochlear implantation
Paediatric cochlear implantation A M U MÜLLER BA (Log), MSc (Sp&H) Senior Lecturer Department of Speech, Language and Hearing Therapy University of Stellenbosch D J H WAGENFELD MB ChB, MMed (L et O), FCS
More informationUsher Syndrome: When to Suspect it and How to Find It
Usher Syndrome: When to Suspect it and How to Find It Margaret Kenna, MD, MPH Katherine Lafferty, MS, CGC Heidi Rehm, PhD Anne Fulton, MD Harvard Medical School Harvard Medical School Center for Hereditary
More informationCochlear Implantation for Single-Sided Deafness in Children and Adolescents
Cochlear Implantation for Single-Sided Deafness in Children and Adolescents Douglas Sladen, PhD Dept of Communication Sciences and Disorders Western Washington University Daniel M. Zeitler MD, Virginia
More informationALESSANDRA RUSSO MD GRUPPO OTOLOGICO
Gruppo Otologico Simultaneous Labyrinthectomy with Cochlear Implantation Cenacolo di Audiovestibologia, Chieti, 24-25/06/2016 ALESSANDRA RUSSO MD GRUPPO OTOLOGICO MENIERE DISEASE Therapeutic Steps 1 step
More informationCochlear Implants. What is a Cochlear Implant (CI)? Audiological Rehabilitation SPA 4321
Cochlear Implants Audiological Rehabilitation SPA 4321 What is a Cochlear Implant (CI)? A device that turns signals into signals, which directly stimulate the auditory. 1 Basic Workings of the Cochlear
More informationCochlear implants. Aaron G Benson MD Board Certified Otolaryngologist Board Certified Neurotologist
Cochlear implants Aaron G Benson MD Board Certified Otolaryngologist Board Certified Neurotologist 1 OBJECTIVES WHAT IS A NEUROTOLOGIST WHAT MAKES AN INDIVIDUAL A COCHLEAR IMPLANT CANDIDATE WHAT IS THE
More informationAudiology 101 SOFT HIGH PITCH LOUD. How do we hear? Ear to the Brain. Main parts of the Ear
Audiology 1 How do we hear? Main parts of the Ear Hear We Go! 6 Lori A. Van Riper, MS CCC-A University of Michigan Health System Sound Support Outer -pinna, ear canal eardrum Middle -air filled, ossicles
More informationSurgical and Non-Surgical Causes of Progressive Hearing Loss in Children: What can be done about it?
Surgical and Non-Surgical Causes of Progressive Hearing Loss in Children: What can be done about it? Daniela Carvalho, MD, MMM, FAAP Professor, Surgery Department UCSD Pediatric Otolaryngology Rady Children
More informationAudGenDB: a Public, Internet-Based, Audiologic - Otologic - Genetic Database for Pediatric Hearing Research
AudGenDB: a Public, Internet-Based, Audiologic - Otologic - Genetic Database for Pediatric Hearing Research John Germiller 1,2, Michael Italia 4, Jeffrey Pennington 4, Byron Ruth 4, Peter White 4,5, Joy
More informationau/images/conductive-loss-new.jpg
Biology of the ear http://www.nal.gov. au/images/conductive-loss-new.jpg Agenda Pre-test Lecture Group Gesture Types of hearing losses Audiograms Views Post-test Pretest!! See how much you know Answer
More informationCochlear Implanta/on in Pediatric Single Sided Deafness. Paul W. Bauer, MD Surgical Director Cook Children s Cochlear Implant Program
Cochlear Implanta/on in Pediatric Single Sided Deafness Paul W. Bauer, MD Surgical Director Cook Children s Cochlear Implant Program Coauthors Janee Gisclair, MA, CCC- A Bari Pham, AuD Claire Schleicher,
More informationP1 latency in cochlear implant candidates. Peter S Roland MD UT Southwestern Medical Center Dallas, Texas
P1 latency in cochlear implant candidates Peter S Roland MD UT Southwestern Medical Center Dallas, Texas Auditory deprivation in animals Loss of SG cells Loss of cell in anteroventral & ventral CN s in
More informationBilateral Cochlear Implant Guidelines Gavin Morrison St Thomas Hearing Implant Centre London, UK
Bilateral Cochlear Implant Guidelines Gavin Morrison St Thomas Hearing Implant Centre London, UK Overview Audiometric Candidacy UK (NICE) & World Practices Auditory Implant Neurophysiology Results and
More informationIntroduction. Performance Outcomes for Borderline Cochlear Implant Candidates. Introduction. Introduction. Introduction.
Performance Outcomes for Borderline Cochlear Implant Candidates Michelle L. Hughes, Ph.D., CCC-A Donna L. Neff, Ph.D. Jeffrey L. Simmons, M.A., CCC-A Initial candidacy criteria, 1985: Post-lingually deafened
More informationEXECUTIVE SUMMARY Academic in Confidence data removed
EXECUTIVE SUMMARY Academic in Confidence data removed Cochlear Europe Limited supports this appraisal into the provision of cochlear implants (CIs) in England and Wales. Inequity of access to CIs is a
More informationWhat the Health Care Professional Should Know FROM ALD TO ZIKA: NEWBORN SCREENING AND SURVEILLANCE IN NJ
Hearing Loss What the Health Care Professional Should Know MI C HAEL GRAFF, MD DI REC TOR, DI VI SI ON OF NEONATOLOGY K. HOVNANI AN C HI LDREN S HOSPI TAL JERSEY SHORE U NI VERSI TY MEDI C AL C ENTER HAC
More informationThe complexity of ANSD starts at the time of assessment
The complexity of ANSD starts at the time of assessment ANHS Conference May 2017 Florencia Montes, Monica Wilkinson, Carolyn Cottier Outline ANSD review of definition OAEs vs CM Our data: hearing results,
More informationMedical Affairs Policy
Medical Affairs Policy Service: Cochlear Implants, Bone Anchored Hearing Aids (BAHA), Auditory Brainstem Implants, and Other Hearing Assistive Devices PUM 250-0014 Medical Policy Committee Approval 06/15/18
More informationDisclosures. Objectives 2/29/2016. Bradley Golner M.D. FAAP. AzEHDI chapter champion AAP EHDI leadership team
Bradley Golner M.D. FAAP AzEHDI chapter champion AAP EHDI leadership team Disclosures HRSA/EHDI Grant compensation as Arizona EHDI program chapter champion and Newborn Screening Partner member Objectives
More informationEmissions are low-intensity sounds that may be detected in the external ear canal by a microphone
OAEs Emissions are low-intensity sounds that may be detected in the external ear canal by a microphone OAE is a pre-neural phenomenon They can be measured even when the 8 th cranial nerve is severely damaged
More informationImplants. Slide 1. Slide 2. Slide 3. Presentation Tips. Becoming Familiar with Cochlear. Implants
Slide 1 Program Becoming Familiar with Cochlear Implants Hello and thanks for joining us to learn more about cochlear implants. Today s presentation provides a basic overview about cochlear implants candidacy,
More information10/26/2016. CMV and Connexin 26 Frontiers of Research and Therapy for Congenital Hearing Loss. CMV and Cx26 Hearing Loss. CMV and Cx26 Hearing Loss
CMV and Connexin 26 Frontiers of Research and Therapy for Congenital Hearing Loss Dylan K. Chan, MD, PhD, FAAP Assistant Professor Pediatric Otolaryngology-Head and Neck Surgery Director, Children s Communication
More informationUsher Syndrome: Why a definite diagnosis matters
Usher Syndrome: Why a definite diagnosis matters Margaret Kenna, MD, MPH Katherine Lafferty, MS, CGC Heidi Rehm, PhD Anne Fulton, MD Boston Children s Hospital Harvard Medical School Harvard Medical School
More informationCochlear Implant Corporate Medical Policy
Cochlear Implant Corporate Medical Policy File Name: Cochlear Implant & Aural Rehabilitation File Code: UM.REHAB.06 Origination: 03/2015 Last Review: 01/2019 Next Review: 01/2020 Effective Date: 04/01/2019
More informationPURPOSE OF THIS PRESENTATION GUIDELINES DEVELOPMENT CONFERENCE GUIDELINES DEVELOPMENT CONFERENCE: FACULTY GUIDELINES DEVELOPMENT CONFERENCE: OUTCOMES
PURPOSE OF THIS PRESENTATION GUIDELINES DEVELOPMENT CONFERENCE: COMO ITALY 2008 Deborah Hayes, Ph.D. Co-Chair Bill Daniels Center for Children s Hearing The Children s Hospital - Colorado Explain the concept
More informationWorking Together: The Information Exchange Between Families, Pediatric Audiologists and Early Interventionists to Maximize Outcomes
Working Together: The Information Exchange Between Families, Pediatric Audiologists and Early Interventionists to Maximize Outcomes Teresa Caraway, Ph.D. CCC-SLP, LSLS Cert. AVT Jessica Ballard, Au.D.
More informationBut, what about ASSR in AN?? Is it a reliable tool to estimate the auditory thresholds in those category of patients??
1 Auditory Steady State Response (ASSR) thresholds have been shown to be highly correlated to bh behavioral thresholds h in adults and older children with normal hearing or those with sensorineural hearing
More informationDIAGNOSIS Causes/Etiology of Hearing Loss
DIAGNOSIS Causes/Etiology of Hearing Loss DIAGNOSIS Causes/Etiology of Hearing Loss VI. How Do We Hear? Sound waves enter our ears and are amplified by the ear drum and middle ear bones (ossicles), allowing
More informationBimodal listening or bilateral CI: When and why?
Ghent University Hospital Bimodal listening or bilateral CI: When and why? Swinnen F, Dhondt C, Dhooge I Department of Otorhinolaryngology, Ghent University Hospital, Belgium European Symposium Pediatric
More informationMEDICAL POLICY SUBJECT: COCHLEAR IMPLANTS AND AUDITORY BRAINSTEM IMPLANTS
MEDICAL POLICY. PAGE: 1 OF: 6 If the member's subscriber contract excludes coverage for a specific service it is not covered under that contract. In such cases, medical policy criteria are not applied.
More informationLong-Term Performance for Children with Cochlear Implants
Long-Term Performance for Children with Cochlear Implants The University of Iowa Elizabeth Walker, M.A., Camille Dunn, Ph.D., Bruce Gantz, M.D., Virginia Driscoll, M.A., Christine Etler, M.A., Maura Kenworthy,
More informationEarly Hearing Detection & Intervention Programs, Pediatricians, Audiologists & School Nurses use AuDX Screeners
Early Hearing Detection & Intervention Programs, Pediatricians, Audiologists & School Nurses use AuDX Screeners The Portable OAE Hearing Screener of Choice... Ear canal Middle ear Eardrum The AuDX device
More informationSeries Preface. Preface. Acknowledgments. Abbreviations
Contents Series Preface Preface Acknowledgments Abbreviations vii ix xiii xxv Introduction xxxi Definition...xxxi Normal Hearing...xxxi Deafness...xxxi Overall Concept of the Bionic Ear...xxxii Training
More informationExpanded Cochlear Implant Candidacy Guidelines and Technology Advances
Expanded Cochlear Implant Candidacy Guidelines and Technology Advances University of Michigan Cochlear Implant Program Caroline Arnedt, AuD, CCC-A Financial- Employed by University of Michigan and receives
More informationEarly Detection of Deafness & Neonatal Hearing Screening Dr. Abdul Monem Alshaikh
Early Detection of Deafness & Neonatal Hearing Screening Dr. Abdul Monem Alshaikh Consultant of Otorhinolaryngology Otology & Cochlear implant Jeddah - KSA Screening It is the process of applying to a
More informationKANSAS GUIDELINES FOR INFANT AUDIOLOGIC ASSESSMENT
KANSAS GUIDELINES FOR INFANT AUDIOLOGIC ASSESSMENT SoundBeginnings Early Hearing Detection and Intervention Program Kansas Department of Health & Environment 1000 SW Jackson Ste. 220 Topeka, Kansas 66612-1274
More information9/13/2017. When to consider CI or BAHA evaluation? Krissa Downey, AuD, CCC A
When to consider CI or BAHA evaluation? Krissa Downey, AuD, CCC A FDA Regulations Unilateral or bilateral cochlear implantation of an FDA approved cochlear implant device may be considered medically necessary
More informationJames W. Hall III, Ph.D.
Application of Auditory Steady State Response (ASSR) in Diagnosis of Infant Hearing Loss in the Era of Universal Newborn Hearing Screening James W. Hall III, Ph.D. Clinical Professor and Chair Department
More informationAnalysis of the Audio Home Environment of Children with Normal vs. Impaired Hearing
University of Tennessee, Knoxville Trace: Tennessee Research and Creative Exchange University of Tennessee Honors Thesis Projects University of Tennessee Honors Program 5-2010 Analysis of the Audio Home
More informationSYLLABUS FOR PH.D ENTRANCE TEST IN SPEECH AND HEARING
SYLLABUS FOR PH.D ENTRANCE TEST IN SPEECH AND HEARING 1) ADVANCES IN SPEECH SCIENCE. a) Life span changes in speech mechanism including developmental milestones b) Physiology of Speech production: Respiratory
More informationComparing Speech Perception Abilities of Children with Cochlear Implants and Digital Hearing Aids
Comparing Speech Perception Abilities of Children with Cochlear Implants and Digital Hearing Aids Lisa S. Davidson, PhD CID at Washington University St.Louis, Missouri Acknowledgements Support for this
More informationWhy Pediatric Hearing Clinic
Why Pediatric Hearing Clinic RICHARD KANG, M.D., ASHLEY KAUFMAN, AU.D. AND MALLORY AUCH, RN Our Staff: Mallory Auch, RN Nurse Coordinator Kristen Janky, PhD, AuD, CCC-A Vestibular Audiologist Richard Kang,
More informationCochlear Implant. Policy Number: Last Review: 9/2018 Origination: 10/1988 Next Review: 9/2019
Cochlear Implant Policy Number: 7.01.05 Last Review: 9/2018 Origination: 10/1988 Next Review: 9/2019 Policy Blue Cross and Blue Shield of Kansas City (Blue KC) will provide coverage for cochlear implants
More informationIMPORTANT REMINDER DESCRIPTION
Medical Policy Manual Surgery, Policy No. 08 Cochlear Implant Next Review: September 2018 Last Review: May 2018 Effective: June 1, 2018 IMPORTANT REMINDER Medical Policies are developed to provide guidance
More informationPattern of Sensorineural Hearing Loss In Patients Attending ENT OPD
ORIGINAL ARTICLE Pattern of Sensorineural Hearing Loss In Patients Attending ENT OPD Padam Jamwal, Kamal Kishore, Manish Sharma, Mohit Goel Abstract A total of 43003 patients visited ENT OPD and out of
More informationIndications and contra-indications of auditory brainstem implants. Systematic review and illustrative cases
Manuscript: Authors: Journal: Indications and contra-indications of auditory brainstem implants. Systematic review and illustrative cases Merkus P (p.merkus@vumc.nl), Di Lella F, Di Trapani G, Pasanisi
More informationCombining Residual Hearing with Electric Stimulation: Results from Pediatric & Adult CI Recipients
Combining Residual Hearing with Electric Stimulation: Results from Pediatric & Adult CI Recipients Lisa Park, AuD Meredith Anderson Rooth, AuD Research Assistant Professors Department of Otolaryngology/Head
More informationExecutive Summary. JCIH Year 2007 Position Statement: Principles and Guidelines for Early Hearing Detection and Intervention Programs
Executive Summary JCIH Year 2007 : Principles and Guidelines for Early Hearing Detection and Intervention Programs Joint Committee on Infant Hearing Reference this material as: American Speech-Language-Hearing
More informationPeter S Roland M.D. UTSouthwestern Medical Center Dallas, Texas Developments
Peter S Roland M.D. UTSouthwestern Medical Center Dallas, Texas Developments New electrodes New speech processing strategies Bilateral implants Hybrid implants ABI in Kids MRI vs CT Meningitis Totally
More informationMarlene Bagatto & Anne Marie Tharpe. A Sound Foundation Through Early Amplification Conference Chicago, USA December 10, 2013
Marlene Bagatto & Anne Marie Tharpe A Sound Foundation Through Early Amplification Conference Chicago, USA December 10, 2013 Background Good consensus on the benefits of amplification for children with
More informationﺎﻨﺘﻤﻠﻋ ﺎﻣ ﻻا ﺎﻨﻟ ﻢﻠﻋ ﻻ ﻚﻧﺎﺤﺒﺳ اﻮﻟﺎﻗ ﻢﻴﻜﺤﻟا ﻢﻴﻠﻌﻟا ﺖﻧأ ﻚﻧا ﻢﻴﻈﻌﻟا ﷲا قﺪﺻ HEARING LOSS
قالوا سبحانك لا علم لنا الا ما علمتنا انك أنت العليم الحكيم صدق االله العظيم HEARING LOSS 1 Hearing loss: Deviation from normal hearing in one or both ears. Hearing handicap: This term refers to total
More informationCase Report Cochlear Implantation in Patients with Keratitis-Ichthyosis-Deafness Syndrome: A Report of Two Cases
Hindawi Case Reports in Otolaryngology Volume 2017, Article ID 3913187, 5 pages https://doi.org/10.1155/2017/3913187 Case Report Cochlear Implantation in Patients with Keratitis-Ichthyosis-Deafness Syndrome:
More informationfirst described by Starr 1996 as a subgroup of patients with
Klinik und Poliklinik für Hals-, Nasen- und Ohrenkrankheiten, Plastische und Ästhetische Operationen Direktor: Prof. Dr. R. Hagen W. E. Shehata-Dieler, J. Müller, C. Völter, R. Hagen first described by
More informationAvg. age of diagnosis 3 mo. majority range.5-5 mo range 1-7 mo range 6-12 mo
Team Approach to Determining Cochlear Implant Candidacy in Early Infancy Jean Thomas, M.S., CCC-A Kristin Lutes, M.S., CCC-SLP Mary Willis, M.S., CCC-SLP Carle Foundation Hospital, Urbana, Illinois Early
More informationCochlear Implants 2016: Advances in Technology, Candidacy and Outcomes
Cochlear Implants 2016: Advances in Technology, Candidacy and Outcomes Howard W. Francis MD, Director The Johns Hopkins Listening Center Donna L. Sorkin MA, Execu8ve Director American Cochlear Implant
More informationAudiology (Clinical Applications)
(Clinical Applications) Sasan Dabiri, M.D. Assistant Professor Department of Otorhinolaryngology Head & Neck Surgery Amir A lam hospital Tehran University of Medical Sciences Last Updated in February 2015
More informationManagement of Hearing Loss in Children
Management of Hearing Loss in Children Margaret Kenna, MD, MPH Dept. of Otolaryngology and Communication Enhancement Children s Hospital Boston Dept. of Otology and Laryngology Harvard Medical School Harvard
More informationHistorical Perspective. JCIH 1973 Position Statement. JCIH Goals. JCIH 1982 Position Statement
Historical Perspective Effects of Policy Changes on Universal Newborn Hearing Screening Follow up Lata A. Krishnan, PhD, CCC A Shannon Van Hyfte, AuD, CCC A Purdue University The Joint Committee on Infant
More informationClinical Policy: Cochlear Implant Replacements Reference Number: CP.MP.14
Clinical Policy: Reference Number: CP.MP.14 Effective Date: 02/09 Last Review Date: 09/17 Revision Log Coding Implications See Important Reminder at the end of this policy for important regulatory and
More informationDiagnosis and Management of ANSD: Outcomes of Cochlear Implants versus Hearing Aids
Diagnosis and Management of ANSD: Outcomes of Cochlear Implants versus Hearing Aids Gary Rance PhD The University of Melbourne International Paediatric Conference, Shanghai, April 214 Auditory Neuropathy
More informationHearing Loss, Deaf Culture and ASL Interpreters By Laura Jacobsen (4/2014)
Hearing Loss, Deaf Culture and ASL Interpreters By Laura Jacobsen (4/2014) Being deaf is a worse handicap than being blind because deafness separates people from people. -Helen Keller Goals of the Newborn
More informationThe hearing-impaired child. D J H Wagenfeld. (CME, Nov/Dec 2003, Vol 21, No 11.)
The hearing-impaired child D J H Wagenfeld (CME, Nov/Dec 2003, Vol 21, No 11.) It has become universally accepted that early identification and intervention in children with hearing loss is the key to
More informationDifficult Cases: Controversies in Cochlear Implantation
Difficult Cases: Controversies in Cochlear Implantation David S Haynes, MD FACS Fred F Telischi, MD MEE FACS Lawrence R. Lustig, MD Robert F Labadie, PhD MD Nikolas H Blevins, MD Matthew L. Carlson, MD
More informationAcoustic and Electric Same Ear Hearing in Patients with a Standard Electrode Array
Acoustic and Electric Same Ear Hearing in Patients with a Standard Electrode Array Sue Karsten, AuD, Camille Dunn, PhD, Marlan Hansen, MD & Bruce Gantz, MD University of Iowa American Cochlear Implant
More informationClinical Policy: Cochlear Implant Replacements
Clinical Policy: Reference Number: CP.MP.14 Last Review Date: 07/18 Revision Log Coding Implications See Important Reminder at the end of this policy for important regulatory and legal information. Description
More informationHearing Screening, Diagnostics and Intervention
JCIH Newborn Hearing Screening Guidelines 1-3-6 Model By 1 month Screenhearing Hearing Screening, Diagnostics and Intervention By 3 months: Evaluate hearing and complete diagnosticaudiology and otolaryngology
More informationImproving Loss to Follow-up Rates Diagnostic Center Guidelines for 2011
Improving Loss to Follow-up Rates Diagnostic Center Guidelines for 2011 2011 National Early Hearing Detection and Intervention Conference Atlanta, Georgia Janet Farrell, Sarah Stone, Rashmi Dayalu MA DPH
More informationEHDI in Michigan. Introduction. EHDI Goals and Communication Options. Review of EHDI Goals. Effects of Universal Newborn Hearing Screening (UNHS)
EHDI Goals and Communication Options Anita Vereb,, MS, CCC-A University of Michigan Division of Audiology Introduction Hearing loss is the most frequently occurring birth defect 2 out of every 1000 babies
More informationFUNCTIONAL HEARING SCREENING WHO WE ARE: YOU TELL ME OBJECTIVES: SLIGHT HIGH FREQUENCY HEARING LOSS OUTLINE: A PASS IS NOT A PASS FOR LIFE!
FUNCTIONAL HEARING SCREENING A PASS IS NOT A PASS FOR LIFE! KRISTEN TINA SCHRAML CHILDRES, M.S. S, M.A., SPECIAL CCC-A ED. ILLINOIS SCHOOL FOR FOR THE THE DEAF DEAF OUTREA C HC H CONSULT A NA NT/ RT AI
More informationLocalization Abilities after Cochlear Implantation in Cases of Single-Sided Deafness
Localization Abilities after Cochlear Implantation in Cases of Single-Sided Deafness Harold C. Pillsbury, MD Professor and Chair Department of Otolaryngology/Head and Neck Surgery University of North Carolina
More informationGenetics of Hearing Loss
Genetics of Hearing Loss Daryl A. Scott MD/PhD Molecular & Human Genetics 1/20/2015 Why do we care? 1 100% 75% Hearing Loss 500:1000 50% 314:1000 25% 1:1000 17:1000 Newborn 18 yrs 65 yrs 75 yrs 60% Members
More informationA SUPPLEMENT TO AUDIOLOGY TODAY NOVEMBER/DECEMBER 2007
A SUPPLEMENT TO AUDIOLOGY TODAY NOVEMBER/DECEMBER 2007 REPRODUCED WITH PERMISSION FROM PEDIATRICS, VOL. 120, PAGES 898-921, COPYRIGHT 2007 BY THE AAP. COPIES MADE AVAILABLE THROUGH FINANCIAL SUPPORT FROM
More informationIntroduction to Cochlear Implants, Candidacy Issues, and Impact on Job Functioning. Definitions. Definitions (continued) John P. Saxon, Ph. D.
Introduction to Cochlear Implants, Candidacy Issues, and Impact on Job Functioning John P. Saxon, Ph. D., CRC Definitions Hearing impairment: means any degree and type of auditory disorder. Deafness: means
More informationMEDICAL POLICY SUBJECT: COCHLEAR IMPLANTS AND AUDITORY BRAINSTEM IMPLANTS. POLICY NUMBER: CATEGORY: Technology Assessment
MEDICAL POLICY PAGE: 1 OF: 5 If the member's subscriber contract excludes coverage for a specific service it is not covered under that contract. In such cases, medical policy criteria are not applied.
More informationCOCHLEAR IMPLANTS Aetiology of Deafness. Bruce Black MD
COCHLEAR IMPLANTS Aetiology of Deafness Heterochromia iridis. Cases may be healthy or associated with a variety of conditions, e.g. Waardenburg syndrome. Waardenburg syndrome. Note the snowy lock of hair
More informationEarly Hearing Detection and Intervention (EHDI): The Role of the Medical Home
Early Hearing Detection and Intervention (EHDI): The Role of the Medical Home A PRESENTATION FROM THE AMERICAN ACADEMY OF PEDIATRICS Hearing Facts Early identification and intervention of a child who is
More informationCHILDREN WITH CMV: DON T FORGET THE IMPORTANCE OF EARLY INTERVENTION. Paula Pittman, PhD Director, Utah Parent Infant Program for the Deaf
CHILDREN WITH CMV: DON T FORGET THE IMPORTANCE OF EARLY INTERVENTION Paula Pittman, PhD Director, Utah Parent Infant Program for the Deaf STRAW POLL ON CMV 100 people surveyed regarding CMV How many knew
More informationphoto courtesy of Oticon Glossary
photo courtesy of Oticon Glossary 404.591.1884 www.childrensent.com American Sign Language (ASL): a manual language with its own word order and grammar, used primarily by people who are Deaf. Atresia (aural):
More informationCoding Fact Sheet for Primary Care Pediatricians
1/1/2016 Hearing Testing Coding Fact Sheet Coding Fact Sheet for Primary Care Pediatricians While coding for hearing screening is relatively straightforward, ensuring that appropriate payment is received
More information(Thomas Lenarz) Ok, thank you, thank you very much for inviting me to be here and speak to you, on cochlear implant technology.
(Thomas Lenarz) Ok, thank you, thank you very much for inviting me to be here and speak to you, on cochlear implant technology. I want to briefly mention what hearing loss is. And what a cochlear implant
More informationCorporate Medical Policy
Corporate Medical Policy Cochlear Implant File Name: Origination: Last CAP Review: Next CAP Review: Last Review: cochlear_implant 2/1996 2/2017 2/2018 2/2017 Description of Procedure or Service A cochlear
More information16:30-18:30 WS #52: Paediatric Forum (120mins - not repeated)
Dr Kate Gibson Clinical Geneticist Genetic Health Service NZ, Children s Specialist Centre, Christchurch Hospital, Christchurch Dr Antony Bedggood Ophthalmologist Children s Specialist Centre, Christchurch
More informationSlide 1 REVISITING CANDIDACY: EXPANDING CRITERIA FOR COCHLEAR IMPLANTS. Slide 2. Slide 3. Cochlear Implant History. Cochlear Implant History
Slide 1 REVISITING CANDIDACY: EPANDING CRITERIA FR CCHLEAR IMPLANTS Jordan King, Au.D. CCC-A Cochlear Implant Audiologist Arkansas Children s Hospital kingje@archildrens.org Slide 2 Cochlear Implant History
More informationHearing Preservation Cochlear Implantation: Benefits of Bilateral Acoustic Hearing
Hearing Preservation Cochlear Implantation: Benefits of Bilateral Acoustic Hearing Kelly Jahn, B.S. Vanderbilt University TAASLP Convention October 29, 2015 Background 80% of CI candidates now have bilateral
More informationHearing Loss: From Audiogram to RFC Learn How to Effectively Represent Deaf and Hard of Hearing Claimants
V Hearing Loss: From Audiogram to RFC Learn How to Effectively Represent Deaf and Hard of Hearing Claimants Michael Liner, Esq. Mark Mehle, MD Andrew November, Esq. Hearing Loss: From Audiogram to RFC
More informationCoding with Confidence:
Coding with Confidence: CPT, HCPCS, Modifiers & ICD-10 Alyssa Needleman, PhD Nova Southeastern University August 4, 2017 Coding Considerations: Procedure (CPT, HCPCs) and Diagnosis (ICD-10) Code for test/procedure(s)
More informationCurrent evidence for Implantation under 12 months: Australian experience
14th Symposium on Cochlear Implants in Children, Nashville, Dec 11-13th, 2014 Current evidence for Implantation under 12 months: Australian experience Robert Briggs1,2,3 Jaime Leigh1,3 Monique Waite4 Yetta
More informationAuditory Neuropathy Spectrum Disorder. Acknowledgements. Learning Objectives
Auditory Neuropathy Spectrum Disorder Christina L. Runge PhD, CCC-A Chief, Division of Communication Sciences Director, Koss Cochlear Implant Program Department of Otolaryngology and Communication Sciences
More information