Name of the Procedure:

Diagnostic analysis of cochlear implant, patient younger than 7 years of age; with programming

Summary

This procedure involves a detailed check and programming of a cochlear implant in a child younger than seven years old. It ensures that the implant is functioning correctly and optimally configured to support the child's hearing needs.

Purpose

The procedure addresses hearing loss treated with a cochlear implant. Its goals include verifying the implant's functionality, adjusting settings for optimal hearing, and troubleshooting any issues to maximize auditory input for improved communication and development.

Indications

• Significant hearing loss in a child with a cochlear implant
• Regular follow-up to ensure proper functioning of the implant
• Noteworthy changes in the child's auditory responses or performance
• Periodic reprogramming for developmental changes

Preparation

• No special fasting or medication adjustments are usually required
• A recent audiology assessment might be recommended
• Parents should prepare the child for a brief period of cooperation during the procedure

Procedure Description

1. The child is brought to a sound-proof room.
2. Audiologists use a specialized computer to connect to the cochlear implant.
3. A series of auditory tests are conducted while the child listens to various sounds.
4. Based on responses, the audiologist reprograms the implant settings for optimal performance.
5. Parents and caregivers may be given instructions on how to monitor the implant at home.

Duration

Typically, the procedure takes about 60 to 90 minutes.

Setting

The procedure is usually performed in an outpatient clinic or specialized audiology laboratory.

Personnel

• Audiologist specializing in pediatric cochlear implants
• Audiology technician
• Occasionally, an otolaryngologist (ENT specialist) may be involved

Risks and Complications

• Minor discomfort during testing phase
• Rarely, temporary adjustment issues causing unusual sounds or discomfort
• Failure to optimize the programming may require repeat visits

Benefits

• Enhanced hearing and speech perception
• Immediate adjustment leading to improved auditory performance
• Early identification and correction of any issues with the implant

Recovery

• No significant recovery period is needed
• Normal activity can be resumed immediately
• Follow-up visit scheduled as required

Alternatives

• Hearing aids (if residual hearing remains)
• Manual communication methods (e.g., sign language)
• Continuous monitoring without reprogramming (less effective for optimal function)

Patient Experience

• Child may experience mild discomfort during auditory testing
• Parents should provide comfort and distraction tools
• Pain is not typically involved, but some children may feel anxious or tired