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10/27/2018  |   9:10 AM - 10:10 AM   |  Kramer Lecture Theater 2

Telemedical Fitting of Patients with Cochlear Implants in Central Asia

To obtain the best hearing benefits after cochlear implantation, the speech processor must be optimally fitted. The majority of patients that have been implanted, are unable to receive correct implant fitting. They have to undertake a long trip to the cochlear implant clinic, and this incurs high cost, time, and travel weariness. To overcome this problem, ‘telefitting’ has been proposed. The center in Kyrgyzstan is sufficiently equipped however programming of cochlear implant system, cannot be conducted by the team there due to a lack of trained specialists and limited experience. The aim of this poster is to present the usage of telefitting between Poland and Kyrgyzstan. The internet allows specialists from Poland to set up a teleconference for audio and video contact with the patient and support specialist, and allows remote desktop software to access a remote computer and perform fitting. Every node is equipped with teleconference terminals from Polycom Inc. with LCD screens, zoomable and movable Polycom cameras, connected to a system with symmetrical internet connections. There is also a PC computer equipped with clinical interface boxes with appropriate fitting software. The ‘Logmein.com’ application is used for remote control. The method and a proposed model of postoperative care for implanted patients using telemedicine seems to be a reliable alternative to the standard model. It improves the quality of service provided to patients and saves substantial time and money. The telefitting model increased accessibility to hearing care services in Kyrgyzstan.

• learn about the possibilities of telemedicine
• learn about the network for telefitting
• learn abot the telefiting of CI patients

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Piotr Skarzynski (Primary Presenter), Insttute of Physiology and Pathology of Hearing, p.skarzynski@ifps.org.pl;
Associate Prof. Piotr H. Skarzynski, MD, PhD, MSc realises scientific, clinical and surgical work in World Hearing Center, Medical University of Warsaw and Institute of Sensory Organs. Member of 16 societies, including the position of Representative Board Member of ISfTeH, Vice-President of Hearring Group and Member of Hearing Committee of AAO–HNS. Author and co-author of over 1380 presentations (invited speaker – 50, round tables, instructor – 41) and 565 publications (IF – 95,62, IC – 22 771,85). Reviewer of 14 national and international scientific journals. He executes numerous international projects, connected with hearing screening and telemedicine in the European, Asian and African countries.

ASHA DISCLOSURE: Financial - Nonfinancial -

AAA DISCLOSURE: Financial - No relevant financial relationship exists.

Maciej Ludwikowski (Co-Author), Insttute of Physiology and Pathology of Hearing, m.ludwikowski@ifps.org.pl;
Head of Teleaudiology Department at the World Hearing Center of the Institute of Physiology and Pathology of Hearing Warsaw, Poland. Responsible for coordination and development of the National Network of Telemedicine in Poland. Promotes clinical and organizational achievements of the Institute in Poland and abroad during numerous scientific meetings, congresses and conferences focusing especially on laryngology, audiology and e-health solutions. For 12 years was responsible for coordination, organization, logistics and trainings on realization of the Hearing Screening Programs dedicated to school age children in Poland and abroad (Europe, Central Asia and Africa).

ASHA DISCLOSURE: Financial - Nonfinancial -

AAA DISCLOSURE: Financial - No relevant financial relationship exists.

Adam Walkowiak (Author,Co-Author), Insttute of Physiology and Pathology of Hearing, a.walkowiak@ifps.org.pl;
Adam Walkowiak, PhD, Eng. Audiologists involved in the work with cochlear implants patients at the Institute of Physiology and Pathology of Hearing. Dr Walkowiak took part in the preaprations and was included in the team introducing the telefitting procedure in the Institute and cooperation units.

ASHA DISCLOSURE: Financial - Nonfinancial -

AAA DISCLOSURE: Financial - No relevant financial relationship exists.