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Updated: Jun 16, 2026

Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages
06:04

Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages

Published on: March 24, 2023

Long-term reliability of pediatric cochlear implants.

Sigfrid D Soli1, Yun Zheng

  • 1Department of Human Communication Sciences and Devices, House Ear Institute, Los Angeles, California, USA.

Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [And] European Academy of Otology and Neurotology
|February 12, 2010
PubMed
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This study introduces a method to assess pediatric cochlear implant (CI) survival rates during critical speech development. Titanium-cased CIs show higher 18-year survival than ceramic ones, suggesting better reliability for children.

Area of Science:

  • Otolaryngology
  • Biomedical Engineering
  • Pediatric Audiology

Background:

  • Pediatric cochlear implants (CIs) are crucial for speech and language development.
  • Assessing long-term device reliability is essential for pediatric recipients.
  • Existing survival data may not align with critical developmental timelines.

Purpose of the Study:

  • To define a method for interpreting cumulative survival rates (CSR) of pediatric CIs relevant to speech development.
  • To apply this method to published pediatric CI failure data.
  • To compare the long-term reliability of different CI device types in children.

Main Methods:

  • Analysis of published cumulative survival rate data from 2009 pediatric cochlear implant recipients.
  • Extrapolation of regression functions to predict 18-year cumulative survival rates (CSR).

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Last Updated: Jun 16, 2026

Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages
06:04

Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages

Published on: March 24, 2023

Performing Repeated Intraoperative Impedance Telemetry Measurements during Cochlear Implantation
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Performing Repeated Intraoperative Impedance Telemetry Measurements during Cochlear Implantation

Published on: August 4, 2023

  • Comparison of CSRs based on device casing material (titanium vs. ceramic) and implantation type (monolateral vs. bilateral).
  • Main Results:

    • Predicted 18-year CSRs for titanium-cased CIs ranged from 0.900 to 0.988 (monolateral) and 0.810 to 0.976 (bilateral).
    • Predicted 18-year CSRs for ceramic-cased CIs ranged from 0.740 to 0.944 (monolateral) and 0.548 to 0.871 (bilateral).
    • Titanium-cased devices demonstrated higher predicted survival rates compared to ceramic-cased devices.

    Conclusions:

    • The 18-year CSR method provides a meaningful estimate of pediatric CI reliability aligned with developmental stages.
    • Titanium-cased cochlear implants exhibit superior long-term performance in pediatric recipients.
    • Higher failure rates in ceramic devices may be linked to increased susceptibility to head trauma and casing damage in children.