CI Eval

Otoscopy
See Otoscopy.

Tympanometry
See Tympanometry.

Otoacoustic Emissions
See Otoacoustic Emissions.

Air Condution
Make sure to test 125 Hz in addition to the standard frequencies.

Hearing Aid Verification
If the patient brings his or her own hearing aids, verify they are amplifying appropriately with speechmap real ear measures. If the patient does not have hearing aids or the hearing aids are under-amplfying, program clinic loaner hearing aids and run speechmap real ear measuers to ensure that gain is meeting targets. Run speechmap real ear measures at soft, medium, and loud inputs with MPO.

Aided Testing
implants).
 * Aided audiogram via soundfield
 * Use narrow-band noise
 * Aided speech testing via soundfield
 * Aided Speech Recognition Threshold or (if unable to obtain SRT) Speech Awareness Threshold
 * Aided Word Recognition via soundfield
 * We use the CNC test in quiet
 * Test binaurally and monaurally (i.e. still in soundfield, but with non-test ear's aid turned off, and non-test ear additionally occluded if necessary)
 * Aided sentence recognition via soundfield
 * We use the AzBio test in quiet
 * Test binaurally
 * Hybrid candidacy is based on CNC word recognition scroes, not sentence recognition scores (as is the case with traditional cochlear

Counseling

 * Explain normal hearing
 * Explain hearing through a hearing aid
 * Explain hearing with a cochlear implant
 * Explain realistic expectations
 * (Optional) Explain hearing with electro-acoustic stimulation (EAS) system
 * Explain risks of losing risidual hearing and what options they have if that should occur in the future.
 * Provide information about the companies, such as...
 * Med-El is cleared for up to 3.0T MRI scans without needing to remove the internal magnet
 * Advanced Bionics is compatible with many Phonak hearing aids for bimodal wireless capabilities
 * Cochlear Corporation is the only company that is currently FDA approved for EAS (Hybrid) technology in the US