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Trends in Amplification
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Two Ears and Two (or More?) Devices: A Pediatric Case Study of Bilateral Profound Hearing Loss

Rosalie M. Uchanski, PhD

Program in Audiology and Communication Sciences, Washington University School of Medicine, uchanskir{at}ent.wustl.edu, Department of Otolaryngolog, Washington University School of Mediciney

Lisa S. Davidson, PhD

Department of Otolaryngology, Washington University School of Medicine, Program in Audiology and Communication Sciences Washington University School of Medicine

Sharon Quadrizius, BA

Department of Otolaryngology, Washington University School of Medicine

Ruth Reeder, MA

Department of Otolaryngology, Washington University School of Medicine

Jamie Cadieux, AuD

St. Louis Children's Hospital St. Louis, Missouri

Jerrica Kettel, AuD

St. Louis Children's Hospital St. Louis, Missouri

Richard A. Chole, MD, PhD

St. Louis Children's Hospital St. Louis, Missouri

Advances in technology and expanding candidacy guidelines have motivated many clinics to consider children with precipitously sloping high-frequency hearing loss as candidates for cochlear implants (CIs). A case study is presented of a pediatric CI patient whose hearing thresholds were preserved within 10 dB of preimplant levels (125-750 Hz) after receiving a fully inserted 31.5-mm electrode array at one ear. The primary goal of this study was to explore the possible benefit of using both a hearing aid (HA) and a CI at one ear while using a HA at the opposite ear. The authors find that although the use of bilateral hearing aids with a CI may only provide a slight benefit, careful attention must be paid to the coordinated fitting of devices, especially at the ear with two devices.

Key Words: bimodal • electroacoustic • pediatric • cochlear implant

Trends in Amplification, Vol. 13, No. 2, 107-123 (2009)
DOI: 10.1177/1084713809336423
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