Choosing which ear to implant in adult candidates with functional residual hearing.
This study examined whether audiologists consider the potential benefits of contralateral hearing aid use following cochlear implantation when recommending which ear to implant in UK adult candidates with residual hearing. Thirty-four audiologists from providers of adult implantation services completed a decision-choice experiment. Clinicians were willing to consider recommending that the poorer ear be implanted, provided it had been aided continuously, suggesting that their decision making seeks to preserve access to residual hearing in the non-implanted ear where possible. Future approaches to determining candidacy should therefore consider that a sub-set of patients may obtain additional benefit from this residual hearing following implantation.
a NIHR Nottingham Hearing Biomedical Research Unit , Ropewalk House, Nottingham NG1 5DU , UK.|b Nottingham University Hospitals NHS Trust, Queen's Medical Centre , Nottingham NG7 2UH , UK.|c Midlands Hearing Implant Programme , University Hospital Birmingham , Birmingham B15 2TH , UK.
Claire A
CA
Fielden
a NIHR Nottingham Hearing Biomedical Research Unit , Ropewalk House, Nottingham NG1 5DU , UK.|d Otology and Hearing group, Division of Clinical Neuroscience, School of Medicine , University of Nottingham , Nottingham NG7 2UH , UK.
Rajnikant L
RL
Mehta
a NIHR Nottingham Hearing Biomedical Research Unit , Ropewalk House, Nottingham NG1 5DU , UK.|d Otology and Hearing group, Division of Clinical Neuroscience, School of Medicine , University of Nottingham , Nottingham NG7 2UH , UK.
Pádraig T
PT
Kitterick
D000328:Adult; D000066491:Clinical Decision-Making / Q000379:methods*; D019929:Cochlear Implantation / Q000379:methods*; D003054:Cochlear Implants; D003131:Combined Modality Therapy; D012048:Correction of Hearing Impairment / Q000379:methods*; D004423:Ear / Q000503:physiopathology / Q000601:surgery; D005260:Female; D006309:Hearing; D006310:Hearing Aids; D034381:Hearing Loss / Q000503:physiopathology / Q000534:rehabilitation*; D006320:Hearing Tests; D006801:Humans; D008297:Male
Bimodal aiding; Choice of ear; Cochlear implant candidacy; Cochlear implants; Contralateral hearing aid; Residual hearing