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Additional Information on Cochlear Implant Team
Cochlear Implants Referrals
While a physician’s referral is required to complete
the medical assessment, initial contact with the
Cochlear Implant Program can be made by: Cochlear Implant
family members
Program
physicians
teachers/therapists
audiologists and other professionals
Early Intervention and
The benefit provided by a cochlear implant
CANNOT be guaranteed. All users, however,
Cochlear Implantation
obtain environmental awareness and many
experience improved lip-reading ability, and gains The ability to detect sound is critical to a child’s
in speech understanding through audition alone. ability to learn speech and language. The absence
of such sound can have profound effects on speech
and language development, as well as the
Cochlear Implant Research educational achievements of children.
Projects at LHSC
Given the potential impact on a child’s life, it is
critical that hearing impairment in children be
detected early. Similarly, early referrals (from 2
LHSC cochlear implant team members also
months of age on) to the Cochlear Implant Team
participate in research. Some of the most recent
are crucial to maximize the potential benefit
projects the LHSC team are involved in include:
obtained from the cochlear implant.
Pediatric Bilateral Cochlear Implantation –
London Health Sciences Centre -
involving implantation of both ears.
Hypothesized to improve speech perception University Hospital Photo: Courtesy of Med El Corporation
performance in noise, and sound localization Cochlear Implant Program
abilities. 339 Windermere Road
Phone (519) 663-3641
Fax (519) 663-3916
Adult Electro-acoustic Study – involving use Website: www.lhsc.on.ca/cochlear A Multidisciplinary
of a hearing aid and cochlear implant in the DDD
same ear. Hypothesized to improve music Designed by: Kim Zimmerman
Approach
comprehension. Revised: January of 2009
The LHSC Cochlear Implant Pediatric Cochlear Implant Cochlear Implant Team
Program Program Members at LHSC
Team members are all specifically trained to
The Cochlear Implant Program at LHSC was Children who are referred for implantation must assist potential candidates and their families.
established for adults in 1987, and for children in meet a minimum set of criteria to be eligible:
1989. The Ministry of Health and Long Term Care Audiologists: Kim Zimmerman and Kim
began funding cochlear implants in 1993. They 6 months to 17 years of age Twitchell. Potential candidates are introduced to
continue to do so today. There are a limited number bilateral profound, or severe to profound the program by our audiologists. Kim and Kim also
of devices available each year. Consequently, SNHL (dependent on age) provide pre- and post-implant assessments,
candidates approved for implantation may be placed counseling, educational consultation and
limited, to no benefit, from hearing aids
on a surgical wait list. programming of the speech processor.
no medical contraindications
Cochlear implantation is a recognized and accepted spoken language as primary mode of Surgeons: Dr. Lorne Parnes and Dr. Sumit
medical procedure for the treatment of severe to communication Agrawal. Ensure that there are no medical reasons
profound sensorineural (SNHL) hearing loss in both that would prevent surgery from being able to take
speech perception abilities that correspond to
children and adults. predicted aided potential place. After surgery, Drs. Parnes and Agrawal also
addresses any medical concerns related to the
educational placement with strong auditory
implant.
The Cochlear Implant component
strong motivation and family support Psychologist: Dr. Paul Derry. Dr. Derry assesses
children and their families preoperatively regarding
The cochlear implant is a device that provides
their expectations of the cochlear implant, and
individuals who obtain limited, to no benefit from
provides counseling.
traditional hearing aids, with a sensation of hearing. Adult Cochlear Implant
It does not restore normal hearing. The device Program Social worker: Marianne Lee. Marianne provides
consists of a surgically implanted electronic internal
assessment and counseling for adult patients
component and an external component that looks
regarding the psychosocial effects of deafness and
similar to a behind the ear hearing aid. Adults must also meet a minimum set of criteria to
cochlear implantation.
be considered for cochlear implantation:
Internal components Psychiatrist: Dr. Elizabeth Lock. Dr. Lock
18 years of age or older provides psychiatric assessment and counseling for
bilateral severe to profound SNHL potential cochlear implant patients.
limited, to no benefit, from hearing aids
The Pediatric Day Surgery Program allows children
no medical contraindications a chance to see, touch, and play with medical
spoken language as primary mode of equipment in an attempt to allay any fears the child
communication might have about the operation.
speech perception abilities that correspond to
predicted aided potential An auditory verbal therapist works closely with
children and their families to assess and foster
realistic expectations, as well as strong children’s listening and language skills.
motivation and family support
External components Community therapists generally provide this
service.
