Considerable variation exists across the medical and audiologic communities regarding determination of cochlear implant (CI) candidacy. While criteria exist from the FDA for children and adults and from CMS for Medicare beneficiaries, different clinics and even audiologists within the same clinic use varying protocols to determine CI candidacy in different age groups and also considering factors other than hearing status. To provide guidance on this topic, the ACI Alliance Board of Directors commissioned four papers to provide guidelines for candidacy for children and adults with bilateral hearing loss and those with single-sided deafness. Task forces were appointed to develop the guidelines with membership drawn from across the care continuum to include audiologists, surgeons, speech-language pathologists, and others involved in CI patient care. This course will review each of those four candidacy guidelines.
Course created on April 1, 2022
- After this course, participants will be able to list key components included in a cochlear implant evaluation. (Part 1)
- After this course, participants will be able to compare and contrast cochlear implant candidacy guidelines approved by the U.S. Food and Drug Administration and recommendations from the American Cochlear Implant Alliance. (Part 2)
- After this course, participants will be able to describe the audiologic, medical, and patient characteristics for consideration in the assessment of cochlear implantation candidacy for adults with SSD and AHL. (Part 3)
- After this course, participants will be able to explain factors essential to determination of cochlear implant candidacy for children with single sided deafness. (Part 4)
|0-60 Minutes||American Cochlear Implant Alliance Task Force Guidelines for Determining Cochlear Implant Candidacy in Adults|
|60-120 Minutes||American Cochlear Implant Alliance Task Force Guidelines for Determining Cochlear Implant Candidacy in Children|
|120-180 Minutes||American Cochlear Implant Alliance Task Force Guidelines for Determining Cochlear Implant Candidacy in Adults with Single-Sided Deafness or Asymmetric Hearing Loss|
|180-240 Minutes||American Cochlear Implant Alliance Task Force Guidelines for Determining Cochlear Implant Candidacy in Children with Single-Sided Deafness|
Sandra Prentiss, PhD, CCC-A, is an Associate Professor at the University of Miami Ear Institute. She graduated from the University of Miami Miller School of Medicine and completed her post-doctoral studies at the Medical College of Wisconsin. Dr. Prentiss is an experienced clinician and researcher with a specific focus in cochlear implantation (CI). Her research centers around patient-oriented outcomes in cochlear implant recipients. She investigates peripheral and central factors affecting variations in speech understanding with efforts to individualize pre-operative testing methods and counseling for potential candidates. She has published and presented at multiple national and international conferences regarding these topics.
Daniel Zeitler, MD FACS is a fellowship-trained Otologist/Neurotologist at Virginia Mason Medical Center in Seattle, WA where he serves as Co-Director of the Listen for Life Cochlear Implant Center and Assistant Professor in the University of Washington Department of Otolaryngology. He earned his medical degree from New York University School of Medicine and completed his general surgery internship and residency in Otolaryngology-Head and Neck Surgery at New York University Medical Center/Bellevue Hospital. He then completed his fellowship in Otology/Neurotology at the University of Miami Ear Institute. Dr. Zeitler has held numerous research chairs at Virginia Mason for his work investigating cochlear implant outcomes, cochlear implantation for single-sided deafness, and using artificial intelligence to predict outcomes following vestibular schwannoma surgery. He has published over 50 articles, numerous book chapters, and remains active in the American Academy of Otolaryngology-Head and Neck Surgery and the American Neurotology Society.
Donna L. Sorkin
Donna Sorkin, MA is the executive director of the American Cochlear Implant Alliance, a non-profit organization working to expand access to cochlear implants through research, advocacy and awareness. Prior to joining ACI Alliance in late 2012, Donna was Vice President of Consumer Affairs for Cochlear Americas where she led public policy initiatives and activities aimed at the broad life needs of cochlear implant users including insurance practices, habilitation, and educational needs of children with cochlear implants. Ms. Sorkin was previously the executive director of Hearing Loss Association of America and the AG Bell Association for the Deaf and Hard of Hearing. She has served on federal, corporate and university boards including the U.S. Access Board, the National Institute on Deafness, NIH and Gallaudet University. She holds a Masters from Harvard's Kennedy School.
Dr. Andrea Warner-Czyz, Associate Professor in the Department of Speech, Language, and Hearing at The University of Texas at Dallas, investigates the effect of hearing loss on communication skills, social interaction, and quality of life in children and adolescents who use hearing aids and cochlear implants.
Margaret Dillon, AuD is an Associate Professor and Director of Cochlear Implant Clinical Research in the Department of Otolaryngology/Head & Neck Surgery at the University of North Carolina at Chapel Hill. Her clinical research investigates new indications for cochlear implantation and individualized mapping methods for cochlear implants and electric-acoustic stimulation devices.
Matthew Carlson, MD is a Professor of Otolaryngology and Neurosurgery at the Mayo Clinic, in Rochester, Minnesota. He is currently the cochlear implant program medical director, neurotology fellowship program director, and division chair of neurotology at Mayo Clinic. Dr. Carlson serves as the site director for Headmirror.com, an independent non-profit open access educational resource for otolaryngology trainees and practicing physicians and is the co-chair of the Hearing Health Collaborative, dedicated to overcoming the challenges in advancing good healthcare practices and public policy on hearing care. Dr. Carlson’s primary clinical and research interests surround cochlear implant and vestibular schwannoma care and outcomes.
Dr. Park is an Assistant Professor in the Department of Otolaryngology/Head and Neck Surgery at the University of North Carolina at Chapel Hill. She holds a Master of Science in Speech and Hearing from Washington University in St. Louis and a Doctorate in Audiology from The University of Florida. Her clinical research focuses on expanding cochlear implant indications for children who are deaf or hard of hearing and optimizing outcomes for non-traditional pediatric cochlear implant recipients.
Dr. Young is the Lillian S. Wells Professor of Pediatric Otolaryngology at the Northwestern University Feinberg School of Medicine. She is Head, Section of Otology and Neurotology and Medical Director, Audiology & Cochlear Implant Programs at the Ann and Robert H Lurie Children’s of Chicago. She is a member of the Council of the American Otological Society and a founding board member of the American Cochlear Implant Alliance. Dr. Young’s research uses machine learning enabled neural predictors to forecast language. The long-term goal of this research is to develop custom therapies to maximize language and cognition after cochlear implantation.
Financial: Daniel Zeitler is an Otologist/Neurotologist at Virginia Mason Medical Center in Seattle, WA. He received an honorarium for this presentation. Non-financial: Daniel Zeitler has no relevant non-financial relationships to disclose.
Financial: Donna Sorkin is employed by the American Cochlear Implant Alliance. Non-financial: Donna Sorkin wears a cochlear implant. She has served on federal, corporate and university boards including the U.S. Access Board, the National Institute on Deafness, NIH and Gallaudet University.
Financial: Andrea Warner Czyz is employed by the University of Texas at Dallas. She received an honorarium for this presentation. Non-financial: Andrea Warner Czyz serves on the Executive Board for the American Cochlear Implant Alliance and the Editorial Boards for the American Journal of Audiology and Cochlear Implants International.
Financial: Margaret Dillon is the Associate Professor and Director, Cochlear Implant Clinical Research at UNC Otolaryngology/Head and Neck Surgery. Dr. Dillon is supported by a research grant from MED-EL Corporation. She received an honorarium for this course. Non-financial: Margaret Dillon has no relevant non-financial relationships to disclose.
Financial: Matthew Carlson is an employee of Mayo Clinic, in Rochester, Minnesota. Dr. Carlson is supported by research grant provided to Mayo Clinic by Cochlear Corporation. He received an honorarium for this course. Non-financial: Dr. Carlson is on the program committee for the American Cochlear Implant Alliance, Director of Headmirror Inc, and Co-chair of the Hearing Health Collaborative
Financial: Lisa Park is an Assistant Professor in the Department of Otolaryngology/Head and Neck Surgery at the University of North Carolina at Chapel Hill. Dr. Park is supported by a research grant from MED-EL Corporation. She received an honorarium for this presentation. Non-financial: Lisa Park has no relevant non-financial relationships to disclose.
Financial: Nancy Young is on the Surgical Advisory Board for MED-EL and has received grant and research support from MED-EL. Non-financial: Nancy Young is on the Medical Advisory Board for Advanced Bionics and MED-EL.
Sponsor Disclosure: This course is presented by the American Cochlear Implant Alliance in partnership with AudiologyOnline.
Content Disclosure: This learning event does not focus exclusively on any specific product or service.
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