Related Experiment Video
Updated: Jun 28, 2025
Electrically Evoked Stapedius Reflex Measurements in Cochlear Implantation and Its Application in the Postoperative Fitting Process
Published on: June 21, 2024
Impact of unilateral vs. bilateral evaluation on cochlear implant candidacy
Ulrich Hoppe1, Thomas Hocke2, Anne Hast1
1Cochlear Implant Center CICERO, Department of Otorhinolaryngology - Head and Neck Surgery, Uniklinikum Erlangen, Erlangen, Germany.
Background:
The indication criteria for cochlear implantation differ considerably across regions.
Objectives:
To estimate the effects of different candidacy criteria on the number of cochlear implant (CI) candidates.
Methods:
We analysed a very large clinical audiological database comprising pure-tone thresholds and speech-audiometric data in order to identify CI candidates on the basis of different audiometric candidacy criteria. In particular, we simulated the effects of three different CI candidacy criteria.
Results:
The bilateral evaluation of CI candidacy has the strongest influence on the number of potential CI candidates. Additionally, the cut-off criteria for middle-ear implants have a large effect on numbers of candidates when air conduction has deteriorated.Conclusions and Significance: Expanding the indication criteria opens up the possibility of improving the accurate identification of individual cases suitable for cochlear-implant provision.
