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When working with cochlear implant (CI) recipients who are not responding as well as expected or their case incorporates new challenges for the audiologist, the common response is a quick panic, closely followed by a question: what do we do now?

Complex Cochlear Implant Cases offers a tool to support and develop clinicians in this situation. Chapters are broken up into clear challenges, this book allows the reader to focus on the presenting problem at hand. The real-life situations presented here by expert CI clinicians spanning North America and Australia allow new and veteran CI programmers alike to learn from complex scenarios experienced by their peers. All CI programmers will be aware of, or have witnessed, concerns such as the ones presented by Joshua Sevier.

Each scenario is compiled in a structured way making the case presentation, considerations, and actions clear. I particularly like the ‘case history questions and discussions’ subsections. This provides an opportunity for reflection to consider what I would do before continuing to read their approach, allowing clinicians to immerse themselves more in their development and learning. This book comprises a mixture of adult and paediatric cases and, in addition, it provides copious figures and tables making the content more transparent and easier to follow for all.

CI programming for those more complex cases can often be a trial-and-error process but this book builds up the clinicians’ options and expertise of what to try and when. However, it also highlights the limitations of mapping changes and when we need to consider other aspects. But for those really interesting cases, many additional references are provided in order to keep you busy trying to resolve it.

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Rhian Bardsley

Audiology (Hearing and Balance) Centre, Manchester Royal Infirmary, Manchester, UK.

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