Cochlear implant programming for children

Abstract

Cochlear implant device programming is a skill that develops with training and experience. For children, the audiologist relies on many aspects of professional training, including diagnostic skill and intuition, knowledge of the anatomy and physiology of hearing, psychophysical measurements, electrophysiological measures, speech acoustics, normal child development, and all facets and features of hearing technologies. With substantial diversity among recipients, the audiologist learns how various aspects of the child and their social and educational environments affect outcomes. The unique characteristics of each individual should be considered and appreciated to obtain the best outcome. A team approach to patient management, including partnering with parents, before and after cochlear implantation is critical. The process of creating speech processor programs requires knowledge of cochlear implant software and hardware that must be continually updated. This chapter reviews the use of behavioral and objective measures, consideration of the various speech processor program parameters, and how to optimize device settings for young cochlear implant recipients.