AudiologyOnline Phone: 800-753-2160


Oticon Medical Ponto 4 Innovator Award - October 2020

How Can I Complete a Pre-op Evaluation to Assess Benefit with Ponto?

Amanda Cooley, AuD, FAAA

November 2, 2020

Share:

Question

How can I complete a pre-op evaluation to assess the benefit and recognize the need for an at-home trial with Ponto?

Answer

When first identifying potential candidates, we have our pre-op evaluation. Let's talk about a couple of things that we can as audiologists include in our assessment for the patient trial, and then we'll talk about some objective and subjective measures.

Having access to a pre-op trial helps facilitate informed decisions and engage the patient in a lifetime decision. Just like we demo in trial hearing aids, we want to make sure someone who's undergoing surgery has access to that opportunity as well. For our single-sided patients, it is essential to have a trial on a softband or a headband in their daily situation for at least a week. These are the patients that are unsure of what kind of expected benefits they're going to get. We want to ensure that they have this lived experience of bone-anchored, and there are a couple of ways to do that if they don't want to wear a softband. We also have a hard headband that they could wear. The test band would most likely be used in the office and looks just like your bone conduction headband when we're talking about testing pre-operatively in our booth. We know that we're going to have some skin attenuation. They haven't had surgery yet, so it may be more beneficial for you to use a SuperPower processor during your eval, even if that's not what they're going to be fit with and show them the size of the Ponto 4, or test both.

For a bone-anchored system, there are just a few steps before you go to your fine-tuning:

  • The first step is performing a feedback calibration and running our bone conduction in situ measurements through the processor.  
  • Then we'll recalculate and use that fitted prescription to do some aided word recognition in quiet and noise.
  • Aided sound field measurements, maybe not as practical for the patient, but to see that effective and functional gain. Just keep in mind that your booth set up, what you're using as your test signal, how the sound processor is set, patient's seating can affect those aided sound field measurements.
  • Then we have questionnaires, whatever you're using for your hearing aid patients, just some way to assess benefit and satisfaction pre and post-fitting, so that the patient see that they are having a significant benefit when they're using the device and where they are so we know how to counsel. 

This Ask the Expert is an excerpt from The Ponto System: Assessing Candidacy & Completing Pre-operative Evaluation of Bone Anchored Hearing Systems. For more information, visit oticonmedical.com/us or visit Oticon Medical's Partner Page on AudiologyOnline.


Amanda Cooley, AuD, FAAA

Amanda Cooley, Au.D., F-AAA, is the Clinical Specialist for Bone Anchored Hearing Systems and Cochlear Implants in the Southeast Region for Oticon Medical.  She received her Doctorate of Audiology from the University of South Florida in Tampa, Florida and her Bachelor of Arts from The Ohio State University in Columbus, Ohio.  She has been practicing as a clinical Audiologist in the field since 2013, previously working primarily in the ENT sector with adults and pediatrics.


Related Courses

The Ponto System: Assessing Candidacy & Completing Pre-operative Evaluation of Bone Anchored Hearing Systems
Presented by Amanda Cooley, AuD, FAAA
Recorded Webinar
Oticon Medical

Presenter

Amanda Cooley, AuD, FAAA
Course: #35613Level: Introductory1 Hour
  'Practical clinical information'   Read Reviews
This course will provide a basis for understanding candidacy and completing a pre-operative evaluation of Bone Anchored Hearing Systems (BAHS), including the newest Ponto 4 and the Ponto 3 Super Power. Topics will also include mixed/conductive hearing loss and Single-Sided Deafness, device selection, determining the need for an at-home trial experience and counseling tools along with resources that will aid in informed patient decision making.

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $99/yr

Learn More

Ponto System - A Few Minutes to Change Your Life
Presented by Laura Dixon, AuD
Recorded Webinar
Oticon Medical

Presenter

Laura Dixon, AuD
Course: #34566Level: Intermediate1 Hour
  'Essential information for BAHD candidacy'   Read Reviews
The course will introduce participants to clinical data collected over the past 10 years and showcase benefits and the simplicity of the Ponto System. The data focuses on 3 key areas, including, implant survival, audiological results and preferences and skin complication rates.

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $99/yr

Learn More

Ponto 3 SuperPower, New Treatment Option to BAHS Patients
Presented by Tove Rosenbom, MA
Recorded Webinar
Oticon Medical

Presenter

Tove Rosenbom, MA
Course: #28940Level: Intermediate1 Hour
  'it relevance to my daily clinical work'   Read Reviews
The course describes the Ponto 3 SuperPower device, and how the increased dynamic range can benefit BAHS patients. The course will also include details on outcomes with its FreeFocus directionality system, fitting aspects as well as introduce the DSL-BC fitting rationale and Flogram view, which is similar to SPLogram in hearing aid fittings.

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $99/yr

Learn More

Ponto, the Bone Anchored Hearing System: Providing Significantly Reduced Listening Effort as Compared to Skin Drive Solutions
Presented by Jaime Leigh Westbrook, AuD
Recorded Webinar
Oticon Medical

Presenter

Jaime Leigh Westbrook, AuD
Course: #27661Level: Intermediate1 Hour
  'I love the details in this'   Read Reviews
In this course, we will outline the two main bone conduction stimulation systems: direct transmission of the sound signal in the percutaneous system, and the skin drive system. Clinical evidence of patients’ listening effort with the two systems will be presented, and the result put in perspective of treating children with skin drive solutions. Surgical techniques to this approach will also be discussed, specifically the Minimally Invasive Ponto Surgery (MIPS).
This course is open captioned.

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $99/yr

Learn More

Wireless Technology: How to Connect FM and Other Accessories Wirelessly to the Ponto Device
Presented by Gabrielle Simone, AuD, CCC-A
Recorded Webinar
Oticon Medical

Presenter

Gabrielle Simone, AuD, CCC-A
Course: #31757Level: Intermediate1 Hour
  'Very thorough and easy to understand'   Read Reviews
This course will discuss wireless technology used in today’s hearing devices and how easy it is to connect to the Oticon Medical Ponto via the streamer. An overview of the streamer functions will be discussed and information regarding FM connectivity and compatibility will be discussed.
For clarification, the Streamer is now referred to as the Oticon Medical Streamer and the Oticon Medical Streamer connects to Ponto Plus and Ponto 3 sound processors. The Oticon Medical Streamer uses Bluetooth Low Energy (BLE) to reduce power consumption when connecting to mobile phones and other wireless devices. The Oticon Medical Streamer also uses Near Field Connectivity for short range connectivity.

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $99/yr

Learn More