
A cochlear implant is a hearing prosthesis for people with severe-to-profound hearing loss who do not benefit from hearing aids. An otologist (ENT surgeon) places the internal portion into the cochlea, and the external sound processor captures sound and sends it to the implant. In the Greater Toronto Area, cochlear implant surgeries are most commonly performed through hospital programs at SickKids and Sunnybrook Health Sciences Centre.
Surgery is only the beginning. After implantation, the device must be programmed and adjusted through a process called mapping. Mapping is what turns the implant into meaningful hearing. During a mapping appointment, we measure how your auditory system responds through the implant, then adjust loudness, pitch, clarity, and comfort so speech and daily sounds feel natural. We recommend that every cochlear implant user have a routine mapping once a year, or sooner if sound quality changes, listening becomes harder, or your processor has been upgraded.
At AudioSense, cochlear implant mapping is led by Dr. Salima Jiwani, PhD. Dr. Jiwani completed her doctoral training in the Cochlear Implant Laboratory at The Hospital for Sick Children, where she worked with implant researchers and surgeons supporting children and adolescents with cochlear implants. She also served as an operating room audiologist within the SickKids cochlear implant program. After her PhD, she joined Cochlear Canada Inc. as a Clinical Territory Manager for Eastern Canada, supporting clinicians and patients with complex cochlear implant and BAHA cases.
If you need troubleshooting, replacement parts, or programming support, our goal is to help quickly and prevent any lapse in hearing access. If your device requires manufacturer repair, we can arrange a loaner processor while yours is being serviced. AudioSense provides mapping, performance checks, and ongoing care at our Toronto and Markham clinics.
Most cochlear implant users need mapping once a year. You may need mapping sooner if sound quality changes, listening becomes harder, or you upgrade your processor. Newly implanted patients typically need several mapping appointments in the first year as the auditory system adjusts.
During mapping, your audiologist measures how your auditory system responds through the implant. We adjust loudness, pitch, clarity, and comfort levels so speech and daily sounds feel natural. The appointment also includes a performance check and time to discuss any listening difficulties you have noticed.
No. In Ontario, you can see an audiologist directly without a referral from your doctor, according to CASLPO. AudioSense accepts direct bookings for cochlear implant mapping at our Toronto and Markham clinics. If you were implanted through a hospital program like SickKids or Sunnybrook, you can still choose to receive mapping services privately.
A routine annual mapping appointment takes about 60 to 90 minutes. First-time patients or those with complex programming needs may need longer. We allow enough time to test your settings, make adjustments, and answer your questions.
Yes. Dr. Salima Jiwani provides mapping and programming for both cochlear implants and bone anchored hearing devices (BAHAs). The same appointment process applies. Contact our Toronto or Markham clinic to book.
If you have a cochlear implant or bone anchored hearing device (BAHA), AudioSense can help with annual mapping, programming adjustments, troubleshooting, and processor upgrades. Our cochlear implant audiologist, Dr. Salima Jiwani, PhD, has spent her career working directly with implant users at SickKids and Cochlear Canada.
We see cochlear implant patients at our Toronto and Markham clinics. Book your mapping appointment today.