Use of telemedicine in cochlear implantation

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Abstract

Aim: To assess the potential of modern telemedicine in cochlear implantation. Patients and methods: 30 patients took part in the research on the program of patients support in remote regions (St. Petersburg-Krasnoyarsk). There were 30 teleconferences to determine the indications for CI, 18 streams of surgical operations, as well as remote fitting of the speech processors of the cochlear implants. The group consisting of 50 patients aged 0,7 to 48 years was formed for the research of intraoperative testing of a cochlear implant in our institute. Regardless of age and etiology of deafness, all patients were divided into 2 subgroups of 25 people, to compare the effectiveness of remote and local intraoperative testing. Results: The effectiveness of the stream of surgical operation and the intraoperative measurements (implant telemetry, registration of stapedial reflexes and telemetry of the auditory nerve responses) was highly appreciated, which as well as the results of remote fitting of speech processors, did not differ significantly from the "face to face" fitting. The assessment of the results of intraoperative testing demonstrated that if an audiologist have from 20 to 30 remote intraoperative sessions hi can save from 2.9 to 4.3 hours per week. Conclusion: Thus, using of modern telemedicine helps to increase the effectiveness of the high-tech medical care and raises the level of skills of specialists in the regions, leads to saving the regional budget, and in the federal centers, helps to organize the remote testing of intraoperative measurements.

About the authors

D. S Kliachko

Saint Petersburg Research Institute of Ear, Throat, Nose and Speech of the Ministry of Health of the Russian Federation

Email: rip.tor@yandex.ru
канд. мед. наук, ст. науч. сотр. отд. диагностики и реабилитации нарушений слуха 190013, Russian Federation, Saint Petersburg, ul. Bronnitskaia, d. 9

V. E Kuzovkov

Saint Petersburg Research Institute of Ear, Throat, Nose and Speech of the Ministry of Health of the Russian Federation; Prof. V.F.Voino-Yasenetski Krasnoyarsk State Medical University of the Ministry of Health of the Russian Federation

Email: v_kuzovkov@mail.ru
д-р мед. наук, зав. отд. диагностики и реабилитации нарушений слуха; доцент каф. ЛОР-болезней с курсом 660022, Russian Federation, Krasnoyarsk, ul. Partizana Zhelezniaka, d. 1

V. I Pudov

Saint Petersburg Research Institute of Ear, Throat, Nose and Speech of the Ministry of Health of the Russian Federation

канд. биол. наук, вед. науч. сотр. отд. диагностики и реабилитации нарушений слуха 190013, Russian Federation, Saint Petersburg, ul. Bronnitskaia, d. 9

YL. Leonidovna Shcherbakova

Saint Petersburg Research Institute of Ear, Throat, Nose and Speech of the Ministry of Health of the Russian Federation

Email: shcherbakova_ya@mail.ru
мл. науч. сотр. отд. диагностики и реабилитации нарушений слуха 190013, Russian Federation, Saint Petersburg, ul. Bronnitskaia, d. 9

I. V Koroleva

Saint Petersburg Research Institute of Ear, Throat, Nose and Speech of the Ministry of Health of the Russian Federation

д-р психол. наук, проф., гл. науч. сотр. отд. диагностики и реабилитации нарушений слуха 190013, Russian Federation, Saint Petersburg, ul. Bronnitskaia, d. 9

References

  1. Кузовков В.Е. и др. Хирургические особенности проведения кохлеарной имплантации у детей. Балтийский бриз. Материалы I Конгресса оториноларингологов Северо-Западного федерального округа. 2017; с. 55-6
  2. Пудов В.И. Кохлеарная имплантация в вопросах и ответах. СПб.: СПб НИИ ЛОР, 2009
  3. Kuzovkov V, Sugarova S, Yanov Y. The Mi1000 CONCERTO PIN cochlear implant: An evaluation of its safety and stability in adults and children. Acta Otolaryngol 2016; 136 (3): 236-40
  4. Кузовков В.Е. и др. Организация долговременной поддержки пациентов с кохлеарными имплантами в удаленных регионах. Вестн. оторинолар. 2011; 3: 8-10
  5. Кузовков В.Е., Левин С.В., Пудов В.И. Телекоммуникационные технологии и кохлеарная имплантация. Мат. XVIII съезда оториноларингологов России. СПб., 2011; 2: 99-105
  6. Кузовков В.Е. и др. Удаленная долговременная поддержка пациентов с кохлеарными имплантами: концепция, методология и опыт применения. Рос. оторинолар. 2010; 6: 31 -9
  7. Левин С В., Сугарова С.Б., Кузовков В.Е. Взаимодействие ЛОР-центров при оказании высокотехнологичной медицинской помощи. Рос. оторинолар. 2011; 1: 105-9
  8. Приказ Министерства здравоохранения от 27.08.2007 г. № 344/76 «Концепция развития телемедицинских технологий в РФ»
  9. Левин С.В. и др. Развитие телекоммуникационных технологий в кохлеарной имплантации: особенности и перспективы. Рос. оторинолар. 2012; 4: 154-9
  10. Eikelboom R.H. et al. Validation of remote mapping of cochlear implants. J Telemed Telec 2014; 20 (4): 171-7.
  11. Hughes M.L. et al. Use of telehealth for research and clinical measures in cochlear implant recipients: a validation study. J Speech Lang Hear Res 2012; 55 (4): 1112-7.
  12. McElveen J.T. et al. Remote programming of cochlear implants: a telecommunications model. Otol Neurotol 2010; 31 (7): 1035-40.
  13. Wasowski A et al. Remote fitting of cochlear implant system. Cochl Impl Int 2010; 11 (Suppl. 1): 489-92.
  14. McElveen J.T. et al. Remote programming of cochlear implants: a telecommunications model. Otol Neurotol 2010; 31 (7): 1035-40.
  15. Samuel P.A. et al. Remote programming of cochlear implants. CoDAS 2014; 26 (6): 481-6.
  16. Kuzovkov V et al. Remote programming of MED-EL cochlear implants: users' and professionals' evaluation of the remote programming experience. Acta Otolaryngol 2014; 134 (7): 709-16.
  17. Sugarova S et al. A long-term remote support of patients with cochlear implants: from candidacy to fitting. J Hear Sci 2011; 1 (1): 145.
  18. Ramos A et al. Use of telemedicine in the remote programming of cochlear implants. Acta Otolaryngol 2009; 129 (5): 533-40.
  19. Wesarg T et al. Remote fitting in Nucleus cochlear implant recipients. Acta Otolaryngol 2010; 130 (12): 1379-88.
  20. Shapiro W.H. et al. Remote intraoperative monitoring during cochlear implant surgery is feasible and efficient. Otol Neurotol 2008; 29 (4): 495-8.

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