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Remote Intraoperative Monitoring During Cochlear Implant Surgery Is Feasible and Efficient

Shapiro, William H.*; Huang, Tina*†; Shaw, Theresa*; Roland, J. Thomas Jr.*; Lalwani, Anil K.*

doi: 10.1097/MAO.0b013e3181692838
Cochlear Implants

Objectives: Intraoperative testing of cochlear implant devices, establishment of electrical threshold for acoustic reflex, and recording neural responses to electrical stimulation have traditionally required the presence of a cochlear implant audiologist in the operating room. The goal of this study was to determine the feasibility of remote testing to improve time efficiency and reduce cost.

Study Design: Prospective.

Methods: A standard PC with Tridia VNC software and either Cochlear Corporation or Advanced Bionics Corporation mapping software was configured to perform remote testing. The time required to perform on-site or remote testing was measured.

Results: With the availability of the laptop and internet access, there were no geographic restrictions regarding the site of remote testing. Remote testing was time efficient, requiring 9 minutes of audiologist's time compared with 93 minutes when the audiologist had to travel to the operating room.

Conclusion: Remote testing of the cochlear implant device and patient's response to electrical stimulation is technically feasible. It is timesaving, practical, and cost efficient.

*Department of Otolaryngology, New York University Cochlear Implant Center, Center for Hearing Health, New York University School of Medicine, New York, New York; and †Department of Otolaryngology, University of Minnesota School of Medicine, Rochester, Minnesota, U.S.A.

Address correspondence and reprint requests to William H. Shapiro, Au.D., Department of Otolaryngology, NYU Cochlear Implant Center, 660 First Avenue, 7th Floor, New York, NY 10016; E-mail:

© 2008 Otology & Neurotology, Inc.