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Related Experiment Video

Updated: Nov 18, 2025

Electrically Evoked Stapedius Reflex Measurements in Cochlear Implantation and Its Application in the Postoperative Fitting Process
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Telefitting of Nucleus Cochlear Implants: A Feasibility Study.

Kenichi Takano1, Aya Kaizaki1, Ayami Kimura1

  • 1Department of Otolaryngology, Sapporo Medical University School of Medicine, Hokkaido, Japan.

American Journal of Audiology
|February 8, 2021
PubMed
Summary

Telefitting, a remote method for cochlear implant (CI) users, is a successful alternative to in-person appointments. This study found high patient satisfaction and clinical usefulness, even for young children.

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Area of Science:

  • Audiology
  • Medical Technology
  • Rehabilitation

Background:

  • Cochlear implant (CI) users often face geographical barriers to accessing regular audiological care.
  • Telefitting offers a potential solution to improve access to CI services for remote populations.

Purpose of the Study:

  • To describe equipment and procedures for successful telefitting.
  • To evaluate patient satisfaction and clinical usefulness of telefitting.
  • To identify and address challenges associated with telefitting.

Main Methods:

  • Twenty Nucleus CI users (7 children, 13 adults) living remotely participated.
  • Participants underwent both conventional face-to-face fitting and telefitting.
  • Patient satisfaction, cost, and time savings were assessed.

Main Results:

  • Telefitting sessions averaged 16 minutes.
  • 80% of participants were satisfied with telefitting, and 85% would use it again.
  • Positive responses regarding subjective satisfaction and convenience were noted.

Conclusions:

  • Telefitting is a well-received and viable alternative to local MAPping for CI users.
  • The procedure demonstrates effectiveness in delivering CI services to remote locations, including for pediatric patients.
  • Adaptability challenges exist but do not negate the overall potential of telefitting.