The next generation of Nucleus® fitting: A multiplatform approach towards universal cochlear implant management
The next generation of Nucleus® fitting: A multiplatform approach towards universal cochlear implant management
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DOI：
10.3109/14992027.2013.781277
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发表时间：
2013-07-01
影响因子：
2.7
通讯作者：
Maruthurkkara, Saji
中科院分区：
文献类型：
--
作者：
Botros, Andrew;Banna, Rami;Maruthurkkara, Saji
目的：本文详细描述和评价了下一代Nucleus（R）人工耳蜗安装套件。一种新的拟合方法，在其最简单的水平，需要一个单一的音量调节，并在其先进的水平，提供了22通道拟合。它在多个平台上实现，包括移动的平台（远程助理拟合）和可访问的PC应用程序（Nucleus拟合软件）。还描述了用于家庭护理和手术护理的附加工具。设计图：进行了两项试验，将拟合方法与现有的自定义声音T方法进行比较，由接受者和经验丰富的人工耳蜗植入听力学家拟合。研究样本：37例受试者参加了试验。结果如下：无论是由接受者还是由有经验的听力学家拟合，组平均分数之间均未观察到统计学显著差异。差异的95%置信区间下限代表临床上不显著的差异。没有统计学上的显着差异，发现在主观程序的喜好的主题。结论：与当前最佳实践相比，证明了等效的语音感知结果。因此，新技术有可能扩大听力保健的能力，而不影响疗效。
Objective: This article provides a detailed description and evaluation of the next Nucleus (R) cochlear implant fitting suite. A new fitting methodology is presented that, at its simplest level, requires a single volume adjustment, and at its advanced level, provides access to 22-channel fitting. It is implemented on multiple platforms, including a mobile platform (Remote Assistant Fitting) and an accessible PC application (Nucleus Fitting Software). Additional tools for home care and surgical care are also described. Design: Two trials were conducted, comparing the fitting methodology with the existing Custom Sound T methodology, as fitted by the recipient and by an experienced cochlear implant audiologist. Study sample: Thirty-seven subjects participated in the trials. Results: No statistically significant differences were observed between the group mean scores, whether fitted by the recipient or by an experienced audiologist. The lower bounds of the 95% confidence intervals of the differences represented clinically insignificant differences. No statistically significant differences were found in the subjective program preferences of the subjects. Conclusions: Equivalent speech perception outcomes were demonstrated when compared to current best practice. As such, the new technology has the potential to expand the capacity of audiological care without compromising efficacy.