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Cochlear Case Studies: Pediatric Series #3 - Supporting Bimodal and Bilateral Device Use

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1.  When discussing cochlear implants, the term bimodal refers to:
  1. A cochlear implant in both ears
  2. Different types of hearing aids in each ear
  3. A cochlear implant in one ear and nothing on the other ear
  4. A hearing aid in one ear and a cochlear implant in the other
2.  An off-the-ear sound processor can be advantageous for a young child because:
  1. It has an earhook that can help the processor stay on the ear
  2. Nothing is worn on the ear, so there may be less distraction for the child
  3. A child will hear better with an off-the-ear sound processor
  4. There are no advantages for an off-the-ear sound processor in a young child
3.  Tracking “coil offs” in the Nucleus Smart App may be helpful for parents of children with cochlear implants because:
  1. They can deactivate the cochlear implant when the coil comes off
  2. They can switch to a noise program when needed
  3. They can utilize the Aqua+ accessory if there are too many “coil offs”
  4. It can help them monitor whether there are issues with the coil staying on even when they are not present (e.g., at daycare)
4.  All of the following may be signs that a child is ready to receive a bilateral cochlear implant rather than remaining a bimodal listener except:
  1. They receive no benefit when the bimodal hearing aid is worn vs when they use the cochlear implant alone
  2. They have enough residual hearing in the un-implanted ear to get benefit from a hearing aid
  3. They struggle to hear well in background noise even with the bimodal hearing aid
  4. Their hearing loss has progressed in the un-implanted ear such that a hearing aid provides very little or no benefit
5.  Which of the following cochlear implant processor settings might be helpful for a young child who is a bimodal listener:
  1. Soft start on (to provide a gradual start to sound when the processor is put on the head)
  2. Auto processor off turned on (to ensure the processor turns off after a short time when the coil is removed)
  3. LED lights turned off (to ensure there are no lights visible on the processor)
  4. Forward Focus turned on (to provide only a directional microphone for all situations)
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