What is the maximum sensorineural hearing loss on a good ear for Ponto candidacy?
Answer
The FDA indications for candidacy is hearing loss up to 55 dB for the Ponto Pro Power and Ponto Plus Power for ipsilateral mixed losses. In cases of singled sided deafness (SSD), FDA indications state the good ear has normal or near-normal hearing (up to 20 dB). If we take a threshold on the good ear, and the patient has an average threshold of 20 dB or better but does have a little bit of high-frequency hearing loss, they are still a candidate. If you are going to fit this patient with a percutaneous system for SSD and they are showing a little bit of high-frequency hearing loss, I would definitely use a power device. We also have to deal with our transcranial attenuation to make sure the sound gets there in the first place. That high-frequency hearing loss cannot be so severe that it pulls down the average hearing threshold in the good ear below 20 dB.
Does borderline moderate sensorineural hearing loss qualify?
The answer to that is no. Patients with more severe losses will be better candidates for BI-CROS systems, because we cannot guarantee that the amplification with a bone anchored hearing systems will be adequate. We need to make sure that we are sending a strong enough signal to the good cochlea where it will be heard. If they have too much hearing loss in the good cochlea, it will not be heard.
Jaime is an Audiological Trainer and Supporter based at Oticon Medical within Oticon Headquarters in Smørum Denmark. She is originally from Canandaigua, NY and received her Au.D. from the State University of New York at Buffalo in 2011. Prior to working with Oticon Medical, she was an audiologist at Clifton Springs Hearing Center, southeast of Rochester, New York. She was raised in Tokyo, Japan, and was eager to return to the international community after completing her degree- she now develops and provides trainings for internal salespeople and supports customers worldwide.
Related Courses
1https://www.audiologyonline.com/audiology-ceus/course/bone-conduction-hearing-devices-pediatric-36632Bone Conduction Hearing Devices (BCHD): Clinical and Surgical Considerations in PediatricsThis course will provide information on clinical considerations for Bone Conduction Hearing Devices (BCHDs) in the pediatric population. Both non-surgical and surgical options will be discussed with a focus on transitioning patients from a softband to surgical BCHD.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyAudiologyOnlinewww.audiologyonline.comBone Conduction Hearing Devices (BCHD): Clinical and Surgical Considerations in PediatricsThis course will provide information on clinical considerations for Bone Conduction Hearing Devices (BCHDs) in the pediatric population. Both non-surgical and surgical options will be discussed with a focus on transitioning patients from a softband to surgical BCHD.36632OnlinePT60M
This course will provide information on clinical considerations for Bone Conduction Hearing Devices (BCHDs) in the pediatric population. Both non-surgical and surgical options will be discussed with a focus on transitioning patients from a softband to surgical BCHD.
2https://www.audiologyonline.com/audiology-ceus/course/ponto-system-assessing-candidacy-completing-35613The Ponto System: Assessing Candidacy & Completing Pre-operative Evaluation of Bone Anchored Hearing SystemsThis 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.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyAudiologyOnlinewww.audiologyonline.comThe Ponto System: Assessing Candidacy & Completing Pre-operative Evaluation of Bone Anchored Hearing SystemsThis 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.35613OnlinePT60M
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.
3https://www.audiologyonline.com/audiology-ceus/course/beyond-hearing-exploring-candidacy-through-39712Beyond Hearing: Exploring Candidacy Through CasesThis course covers the audiological and surgical criteria for Ponto implant candidacy, including detailed examination of surgical eligibility. Participants delve into intriguing Ponto surgery cases, alongside a comprehensive review of surgical techniques and procedures.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyAudiologyOnlinewww.audiologyonline.comBeyond Hearing: Exploring Candidacy Through CasesThis course covers the audiological and surgical criteria for Ponto implant candidacy, including detailed examination of surgical eligibility. Participants delve into intriguing Ponto surgery cases, alongside a comprehensive review of surgical techniques and procedures.39712OnlinePT60M
This course covers the audiological and surgical criteria for Ponto implant candidacy, including detailed examination of surgical eligibility. Participants delve into intriguing Ponto surgery cases, alongside a comprehensive review of surgical techniques and procedures.
4https://www.audiologyonline.com/audiology-ceus/course/innovations-in-microtia-atresia-treatment-34089Innovations in Microtia Atresia Treatment: A 3D “Hearing” Ear in One SurgeryThis course will explain the latest in technology and the advancements in the simultaneous surgical treatment of Microtia and Aural Atresia. Dr. Sheryl Lewin, Craniofacial and Pediatric Plastic Surgeon, is a world leading expert in Porous Implant Ear Reconstruction for Microtia.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyAudiologyOnlinewww.audiologyonline.comInnovations in Microtia Atresia Treatment: A 3D “Hearing” Ear in One SurgeryThis course will explain the latest in technology and the advancements in the simultaneous surgical treatment of Microtia and Aural Atresia. Dr. Sheryl Lewin, Craniofacial and Pediatric Plastic Surgeon, is a world leading expert in Porous Implant Ear Reconstruction for Microtia.34089OnlinePT60M
This course will explain the latest in technology and the advancements in the simultaneous surgical treatment of Microtia and Aural Atresia. Dr. Sheryl Lewin, Craniofacial and Pediatric Plastic Surgeon, is a world leading expert in Porous Implant Ear Reconstruction for Microtia.
5https://www.audiologyonline.com/audiology-ceus/course/path-to-ponto-incorporating-bone-38706Path to Ponto: Incorporating Bone Anchored Hearing Systems Into Private Practice Audiology ClinicsThis course will aim to provide audiologists in a private practice setting with the tools and resources necessary to provide access and continued support within the ever-evolving private practice.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyAudiologyOnlinewww.audiologyonline.comPath to Ponto: Incorporating Bone Anchored Hearing Systems Into Private Practice Audiology ClinicsThis course will aim to provide audiologists in a private practice setting with the tools and resources necessary to provide access and continued support within the ever-evolving private practice.38706OnlinePT60M
This course will aim to provide audiologists in a private practice setting with the tools and resources necessary to provide access and continued support within the ever-evolving private practice.
