Cochlear Implant Atlas
CI Atlas · Was It Worth It? Measuring Quality of Life and the Cost of an Implant · Module 10

10The Strongest Case: Cost-Effectiveness in Children

Test standfirst sentence one. Test sentence two for the intro paragraph here.

TA

Fact one 12847. Fact two 0.46.[2000]

TB

Fact one 5197. Fact two 9029.[2009]

Same gain, a lifetime apart: child vs adult

0.000.250.500.751.00Child (~70 yr)18QALYsAdult (~20 yr)5QALYsremaining years →remaining years →
Child cost / QALY1.6kAdult cost / QALY5.8k

Both recipients enjoy the same jump in health utility, but the child sustains it over roughly 70 years against the adult’s 20. The same utility gain multiplied by far more remaining life-years makes the child’s green area — the QALYs gained — several times larger. Because the device costs much the same either way, dividing that fixed cost by the bigger area gives paediatric implantation the lowest cost per QALY. Drag the gain to see both areas scale together. Illustrative.

CC

Fact one 75. Fact two 142000.[2009]

Case 20.10 · The Strongest Case
V.

Q?

Self-assessment — Module 102 questions
Question 1

S1?

Question 2

S2?

Tracked locally in your browser — see /progress for the dashboard.

Cochlear Implant Atlas

A teaching atlas, chapter by chapter

An interactive teaching atlas of cochlear implantation, built as a multi-chapter book. The foundations are live — auditory physiology, brain plasticity, the epidemiology of hearing loss, and the genetics of deafness — alongside the deep dive into objective electrophysiological measures (impedance telemetry, ECAP/NRT, the electrical stapedius reflex, eABR, cortical responses and intraoperative ECochG). The clinical chapters, from candidacy to emerging technology, are being added in turn. Content synthesized from standard texts and the peer-reviewed CI literature.

→ Full references & acknowledgements

Built for

Medical students, ENT/Audiology/Neurotology trainees, clinical audiologists, CI programming audiologists, and surgeons who want to teach themselves the science and practice of cochlear implantation.

Concept & design

Dr. Prahlada N. B.

MBBS (JJMMC), MS (PGIMER, Chandigarh),
MBA in Hospital & Healthcare Management (BITS, Pilani),
Postgraduate Certificate in Technology Leadership and Innovation (MIT, USA),
Executive Programme in Strategic Management (IIM, Lucknow),
Senior Management Programme in Healthcare Management (IIM, Kozhikode),
Advanced Certificate in AI for Digital Health and Imaging Program (IISc, Bengaluru).

Senior Professor, and Former Head,
Department of ENT–Head & Neck Surgery, Skull Base Surgery, Cochlear Implant Surgery.
Basaveshwara Medical College & Hospital, Chitradurga, Karnataka, India.

Karnataka ENT Hospital and Research Centre (R), Champions Educational and Medical Society (R), and Amogh Foundation, Chitradurga, Karnataka, India.

Please share your valuable feedback to:
prahladnb@kenthospitals.com

Disclaimer

For educational purposes only. Not for clinical use. The Cochlear Implant Atlas is an instructional resource intended to support learning about hearing, deafness and cochlear implantation. Clinicians remain completely responsible for the interpretation of findings, the formulation of a differential diagnosis, and any clinical decision. Nothing in this application replaces individualized assessment, hands-on training, expert consultation, or established practice guidelines.

© 2026 Dr. Prahlada N. B.·Karnataka ENT Hospital and Research Centre (R)·Champions Educational and Medical Society (R)·Amogh Foundation