Related Experiment Video
Updated: Jan 25, 2026

Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages
Published on: March 24, 2023
Remote programming of cochlear implants in users of all ages
Kelly Schepers1, Hans-Jochen Steinhoff2, Harald Ebenhoch2
1a Foundation for the Promotion of Hearing and Speech , Würzburg , Germany.
Remote cochlear implant (CI) programming is safe and effective for all ages, including children. This approach enhances accessibility and benefits for CI users, making follow-up care more convenient.
Area of Science:
- Audiology
- Telemedicine
- Biomedical Engineering
Background:
- Remote programming for adult cochlear implant (CI) users is established as feasible, safe, and effective.
- Evidence regarding the efficacy of remote CI programming for pediatric users is limited.
Purpose of the Study:
- To evaluate the safety and feasibility of remote CI programming across all age groups.
- To compare remote and local CI fitting outcomes.
Main Methods:
- Forty-six experienced CI users (25 children, 21 adults) underwent both local and remote fitting sessions.
- Comparison focused on safety, Impedance Field Telemetry (IFT), Maximum Comfortable Levels (MCL), Threshold Levels (THR), audiometry, fitting duration, and speech understanding.
Main Results:
- No compromise in subject safety was observed during any fitting procedure.
- No significant differences were found in IFT, MCL, THR, audiometry, or speech understanding between remote and local fittings.
- Remote fittings were slightly longer in duration compared to local fittings when measuring fitting time exclusively.
Conclusions:
- Remote follow-up CI fitting is demonstrated to be as safe, feasible, and effective as in-person local fitting for all age groups.
- Increased adoption of remote fitting can improve clinic access for CI users, maximizing their benefits.
- Telehealth in audiology offers a viable solution for CI programming and follow-up care.
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