Remote intraoperative monitoring during cochlear implant surgery is feasible and efficient

William H. Shapiro, Tina Huang, Theresa Shaw, J. Thomas Roland, Anil K. Lalwani

Research output: Contribution to journalArticlepeer-review

41 Scopus citations


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.

Original languageEnglish (US)
Pages (from-to)495-498
Number of pages4
JournalOtology and Neurotology
Issue number4
StatePublished - Jun 2008
Externally publishedYes


  • Cochlear implantation
  • Intraoperative testing
  • Personal computer
  • Remote testing


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