Implanting outside the guideliness: A case study

Millicent K. Seymour, Larry Lundy

Research output: Contribution to journalArticlepeer-review


An 81-year-old female was referred for cochlear implantation due to difficulty communicating in her daily activities despite the use of appropriate amplification. The poorer ear was unable to tolerate amplification for the past 15 years. The open-set sentence-recognition test score in quiet in her "good" ear was 85 percent correct, indicating that the patient was not a traditional cochlear implant candidate. However, the sentence-recognition score in noise at +10 dB signal-to-noise ratio was 0 percent, demonstrating a significant breakdown in the patient's speech understanding in more difficult listening situations. This speech-in-noise score appeared to correlate with the patient's reported communication difficulties as well as with the communicative breakdowns that were observed clinically. The patient underwent cochlear implantation in the better ear. Cochlear implantation in this nontraditional patient provided objective and subjective benefit over hearing aid use.

Original languageEnglish (US)
Pages (from-to)197-203
Number of pages7
JournalJournal of the American Academy of Audiology
Issue number3
StatePublished - Mar 2008


  • Cochlear implantation
  • Postlingually deafened adults
  • Signal-to-noise ratio
  • speech perception testing

ASJC Scopus subject areas

  • Speech and Hearing


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