How do you conduct a typical first meeting with a candidate for a bone anchored hearing device?
Answer
A typical first meeting for a bone anchored hearing device (BAHD) candidate and/or parent would entail review and discussion of the patient’s audiogram/hearing loss. Depending on the type and degree of hearing loss, as well as structural limitations of the ear canal, different options would be discussed. I would also assess the benefits of a bone anchored hearing device over a conventional air conduction hearing aid or CROS for that particular patient (should the patient not have outer ear malformations), and review the different features available in the bone anchored hearing devices. Once we have reviewed the information above, I would program a demo softband BAHD with the use of our Skull Simulator, and the patient would undergo testing in various listening environments in our soundproof booth to determine benefit.
Randi Tepper is the Supervisor of the Pediatric and Cochlear Implant Audiology Programs at New York Eye and Ear Infirmary of Mount Sinai. Her clinical expertise resides in pediatric audiology, including confirmation of congenital and perinatal hearing loss, electrophysiologic testing, and diagnosis/treatment of hearing loss in medically complex pediatric populations. Dr. Tepper collaborates on research addressing and identifying early indications of hearing loss in the infant/pediatric population, assisted in establishing NYEE’s atresia/microtia clinic, and was awarded an earmold grant from the Children's Hearing Institute, allowing audiologists to fit earmolds and loaner hearing aids at no cost to patients while awaiting state Early Intervention Program approval or Cochlear Implantation. Dr. Tepper takes profound professional joy in observing pediatric patients enjoy the process of building earmold designs that match their individual personalities.
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