Telefitting Between Kajetany and Odessa, Ukraine for Cochlear Implants


  • Piotr Henryk Skarżyński World Hearing Centre of Institute of Physiology and Pathology of Hearing 2 Centre of Hearing and Speech Medicnus 3 Institute of Sensory Organs 4 Heart Failure and Cardiac Rehabilitation Department of the Medical University of Warsaw
  • Weronika Świerniak World Hearing Centre of Institute of Physiology and Pathology of Hearing
  • Maciej Ludwikowski World Hearing Centre of Institute of Physiology and Pathology of Hearing
  • Łukasz Bruski Centre of Hearing and Speech Medicnus Institute of Sensory Organs
Keywords: teleaudiology, telefitting, cochlear implant, telemedicine, videoconference


Hearing implant fitting is a key component of postoperative patients’ healthcare, by providing the optimum auditory nerve electrical stimulation parameters. It often entails time consuming and long travel to a medical centre, with associated costs. In 2009, the Word Hearing Centre introduced the National Network of Teleaudiology to reduce the burden to patients, and it now consists of 21 co-operating centres in Poland and four abroad in the Ukraine (Odessa and Lutsk), Kyrgyzstan (Bishkek), and Belarus (Brest). The centre in Odessa is sufficiently equipped but programming of cochlear implants cannot be conducted by their team there due to a lack of trained specialists and limited experience. This study reports the use of the telefitting service between Kajetany in Poland and Odessa in the Ukraine. Methods: Specialists in Poland connect by videoconference with patients and support specialists via the Internet, and use remote desktop software to access a remote computer and perform fitting. On completion of telefitting, patients completed a questionnaire in which they compared the telefitting experience with face to face conventional fitting. Results: Supported by a local specialist, 316 patients in Odessa underwent remote telefitting by specialists in Kajetany.  Over 95% of respondents were; satisfied with telefitting, found it a suitable alternative to standard fitting, felt that they had good contact by videoconference with the audiologist in Poland, and that it saved them time and money.  Conclusion: The development of the telefitting model has increased accessibility to hearing care services in Odessa and opens new possibilities for patients.

Author Biography

Weronika Świerniak, World Hearing Centre of Institute of Physiology and Pathology of Hearing

Teleaudiology Department


Cochlear Implants. NIDCD. 2017. Available at: accessed 20 December 2017.

Obszanska A, Lorens A, Wisniewski T, et al. Perception of ambient sound in the subjective assessment of cochlear implant users before activation and after activation of the cochlear system. Now Audiofonol 2014;3(5):37-45. DOI:

Piotrowska A, Lorens A, Obrycka A, Skarżyński H. Cochlear implants - yesterday and today. Now Audiofonol 2014;3(5):23–27. DOI:

House WF, Urban J. Long term results of electrode implantation and electronic stimulation of the cochlea in man. Ann Otol Rhinol Laryngol 1973;82(4):504-517. DOI:

Chouard CH, MacLeod P. Implantation of multiple intracochlear electrodes for rehabilitation of total deafness: preliminary report. Laryngoscope 1976;86(11):1743-1751. DOI:

Wasowski A, Skarzynski PH, Lorens A, et al. Remote fitting of cochlear implant system. Cochlear Implants Int 2010;11(Suppl 1):489-492. DOI:

Wasowski A, Skarzynski H, Lorens A, et al. The telefitting method used in the National Network of Teleaudiology: assessment of quality and cost effectiveness. J Hear Sci 2012;2(2):81-85.

Pankowska A, Solnica J, Skarzynski H. Telerehabilitation - a new form of help to patients who are using the cochlear implant under the postoperative care. Now Audiofonol 2012;1(3):35-38. GICID:71.0000.1500.1693

Wesarg T, Wasowski A, Skarzynski H, et al. Remote fitting in Nucleus cochlear implant recipients. Acta Otolaryngol 2010;130(12):1379-1388. DOI:

Botros A, Banna R, Maruthurkkara S. The next generation of Nucleus(®) fitting: a multiplatform approach towards universal cochlear implant management. Int J Audiol 2013;52(7):485-494. DOI:

Campos PD, Ferrari DV. Teleaudiology: evaluation of teleconsultation efficacy for hearing aid fitting. J Soc Bras Fonoaudio. 2012;24(4):301-308.

Yao J, Wan Y, Givens GD. Using web services to realize remote hearing assessment. J Clin Monit Comput 2010;24(1):41-50. DOI:

Kruszynska M, Pieczykolan A, Wisniewski T, Lorens A, Skarzynski H. Methods and techniques for use in telemetry and teleinformation and communications systems - literature studies. Now Audiofonol 2016;5(1): 39-47. DOI: 10.17431/897108

Tomaszewska-Hert I, Skarzynsk PH, Ludwikowski M. Audiology measurement using telemedical solution in Central Asia. J Int Soc Telemed EHealth. 2017;5(GKR):56.

Edirippulige S, Smith AC, Beattie H, Davies E, Wootton R. Pre-registration nurses: an investigation of knowledge, experience and comprehension of e-health. Aust J Adv Nurs 2007;25(2):78-83.

Walkowiak A, Lorens A, Kostek B, Skarzynski H. Simulation of cochlear implant patient's hearing. Now Audiofonol 2014;3(5):31-36. GICID:71.0000.1500.1693

Wisniewski T, Pieczykolan A, Kruszynska M, Lorens A, Skarzynski H. Analysis of methods, techniques and devices used in cochlear implant fitting - literature review. Now Audiofonol 2016;5(4):65-73. DOI: 10.17431/900547.

Telepractice for SLPs and Audiologists. ASHA. 2018. Available at: accessed 12 July 2018.

Lorens A. The model of audiological rehabilitation developed on the basic of the International Classification of Functioning Disability and Health (ICF). Now Audiofonol, 2014;3(5):77–90. GICID:71.0000.1500.1693

Ramos A, Rodríguez C, Martinez-Beneyto P, et al. Use of telemedicine in the remote programming of cochlear implants. Acta Oto-Laryngol 2009;129:533–540. DOI:

McElveen JT, Blackburn EL, Green JD, et al. Remote programming of cochlear implants: A telecommunications model. Otol Neurotol 2010;31:1035–1040. DOI: 10.1097/MAO.0b013e3181d35d87.

Hughes ML, Goehring JL, Baudhuin GR, et al. Use of telehealth for research and clinical measures in cochlear implant recipients: a validation study. J Speech Lang Hear Res 2012; 55(4):1112–1127.

Polovoy C. Audiology telepractice overcomes inaccessibility. ASHA Leader 2008;13:20-22.

Franck K, Pengelly M, Zerfoss S. Telemedicine offers remote cochlear implant programming. Volta Voices 2006;13(1)16-19.

Wesendahl T. Hearing aid fitting: application of telemedicine in audiology. Int Tinnitus J 2003;9(1):56-58. PMID:14763332

Pieczykolan A, Kruszynska M, Wisniewski T, Lorens A, Skarzynski H. Fitting of cochlear implant system - theoretical basis. Now Audiofonol 2016;5(4):24-35. DOI: 10.17431/901375.

How to Cite
Skarżyński, P., Świerniak, W., Ludwikowski, M., & Bruski, Łukasz. (2019). Telefitting Between Kajetany and Odessa, Ukraine for Cochlear Implants. Journal of the International Society for Telemedicine and EHealth, 7, e17 (1-6).
Original Research