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COCHLEAR IMPLANTS IN CHILDREN 
Mohammed Ayas 
Audiologist 
University Hospital-Sharjah
Objectives 
a. Cochlear Implants(CI) 
b. Components –CI 
c. Candidacy 
d. Role of Audiologist 
» Pre CI criteria 
» During CI surgery- In theatre 
» Post CI 
a. Mapping -CI 
b. Auditory training
Cochlear Implants 
Surgically implanted electronic device that provides a sense 
of sound to a person who is profoundly deaf or severely hard 
of hearing
Candidates-CI 
• Severe to profound hearing loss 
• No benefit from hearing aids 
• Child-above 1 year old 
• Medically fit
Components - CI
Role of Audiologist
Pre-CI 
Identification Counselling New born hearing parents- CI 
screening 
Hearing aid fitting
Pre- CI 
• Audiology evaluation 
PTA/BOA TYMPANOMETRY ART OAE 
ABR LLR/CAEP ASSR 
• Radiology evaluation 
• Medical evaluation
Pre- CI
During CI surgery- Electrode verification
Neural Response Telemetry System 
PCI Receiver 
IF5 Card 
Transmitter 
Current Source Decoder Receiver 
Amplifier Encoder Transmitter
12 
Post -CI 
• 4 weeks 
• Switch on-CI 
• Audiology clinic 
• CI connect to mapping kit
CI- Mapping
CI- Mapping verification
CI-Mapping
Auditory Training 
• Sound awareness 
• Discrimination 
• Identification 
• Comprehension 
• Parents involvement 
• Follow up-progress 
• Mapping review
Conclusion 
Audiology 
Assessment 
Surgery 
(Intra-operative testing) 
Switch on & Mapping Auditory Habilitation
We are committed 
to bring back the 
smile in hearing 
impaired children 
18 
Thank you

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