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Articles linked to this work by shared authors, journal, and citation graph.

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The Pediatric Cochlear Implant Use Questionnaire: Assessing Habits and Barriers to Use.

Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·2026
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Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages
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Improved Postoperative Speech Recognition and Processor Use With Early Cochlear Implant Activation.

Ankita Patro1, Nathan R Lindquist2, Jourdan T Holder3

  • 1Department of Otolaryngology-Head and Neck Surgery, Vanderbilt University Medical Center, Nashville, Tennessee.

Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [And] European Academy of Otology and Neurotology
|March 4, 2024
PubMed
Summary

Early cochlear implant (CI) activation within 10 days of surgery improves device usage and speech recognition. This timing is a key factor for optimizing CI outcomes.

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Area of Science:

  • Audiology
  • Neurosurgery
  • Speech-Language Pathology

Background:

  • Cochlear implantation (CI) is a vital treatment for severe to profound hearing loss.
  • Optimizing CI outcomes involves understanding factors influencing device usage and auditory rehabilitation.
  • The timing of CI activation post-surgery may impact patient performance and device engagement.

Purpose of the Study:

  • To evaluate the association between the timing of cochlear implant (CI) activation and subsequent speech recognition performance.
  • To assess the impact of CI activation timing on average daily processor use.
  • To determine if earlier CI activation influences the time to achieve peak auditory performance.

Main Methods:

  • Retrospective cohort study of 604 adult CI recipients.
  • Patients were stratified into two groups based on CI activation timing: within 10 days (Group 1) and after 10 days (Group 2).
  • Speech recognition was assessed using Consonant-Nucleus-Consonant (CNC) and Arizona Biomedical (AzBio) tests; processor use was recorded at 1, 3, 6, and 12 months post-activation.

Main Results:

  • The early activation group (≤10 days) demonstrated significantly higher median daily processor use at the 1-month visit compared to the delayed group (>10 days).
  • Superior median speech recognition scores (CNC and AzBio) were observed in the early activation group at 3 and 12 months post-activation.
  • No significant differences were found between groups regarding time to peak performance for speech recognition.

Conclusions:

  • Activating cochlear implants within 10 days of surgery is linked to increased early device utilization.
  • Earlier CI activation is associated with enhanced speech recognition outcomes at both early and later follow-up stages.
  • The timing of CI activation and subsequent device usage are identified as modifiable factors crucial for optimizing patient results.