| Sumario: | Introduction: Rehabilitation treatment after cochlear implantation is carried out in several large centers with courses of 10 days. The time between courses ranges from several months to a year. Short courses cannot provide full rehabilitation for patients. This is not always true. In some cases, absent. Objective: To optimize the treatment method after cochlear implant surgery by introducing into clinical practice a new method of remote medical and pedagogical support for patients between inpatient treatment at cochlear implant centers, taking into account the territorial features of the Russian Federation. Objective: To evaluate the effectiveness of remote rehabilitation support for patients in remote regions, taking into account the use of telemedicine technologies, distance education of parents and patients. Material and methods: The study involved 10 children with a diagnosis of grade 4 SNT (ages 3 to 6 years). The control group consisted of 10 children with a diagnosis of grade 4 SNT (aged 3 to 6 years) who did not use remote support. Cochlear implants were installed in all inpatients (Concerto, MED-EL, Austria). At the first remote stage, after the operation and before the first connection, remote monitoring was performed by an ENT surgeon, video lectures to prepare for the first connection of the speech processor, psychological and pedagogical counseling of parents. Later, in the hospital, the first connection of the speech processor was carried out (OPUS 2, MED-EL, Austria). At the second, remote stage, continuous medical and pedagogical rehabilitation was carried out for 6 months, including weekly corrections of the appointment of the rehabilitation program as a sound educator, developing classes in the information system with an assessment of auditory developmental dynamics -- 3 times a week, questioning parents, viewing educational lectures, distance learning sessions with Speech therapist and sign teacher. Results: A survey was conducted. 3 groups of questions were used: Evaluated the quality of the Internet connection, satisfaction with remote support, improving the quality of life. Overall satisfaction in the first patients was 74.5%. In the process of further optimization of the information system, patient satisfaction increased to 92%. All patients showed an improvement in quality of life. Conclusions: In the modern world, information technology is significantly developed. But in the field of cochlear implantation are not fully used. In the first months after connecting the speech processor, the child is most in need of intensive pedagogical rehabilitation. The method of remote support for patients allows in the most important period -- after connecting to provide long-term continuous remote pedagogical and medical support and monitor the implementation of the rehabilitation program.
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