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Updated: Sep 16, 2025

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Electrically Evoked Stapedius Reflex Measurements in Cochlear Implantation and Its Application in the Postoperative Fitting Process
Published on: June 21, 2024
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Early activation in cochlear implantation: the patient's perspective
Allison Biever1, Grayson A Bishop1,2, Weston J Adkins2
1Rocky Mountain Ear Center, Englewood, CO, USA.
Cochlear Implants International
|July 9, 2025
Summary
Early cochlear implant activation is preferred by patients, offering convenience and benefits like reduced travel and faster hearing. This approach is safe, effective, and recommended for broader consideration.
Area of Science:
- Audiology
- Otolaryngology
- Medical Devices
Background:
- Early cochlear implant activation is recognized as safe and effective.
- Traditional activation protocols involve a waiting period post-surgery.
Purpose of the Study:
- To evaluate patient perspectives on early cochlear implant activation.
- To assess the benefits and drawbacks of activating cochlear implants within seven days of surgery.
Main Methods:
- A 6-item questionnaire was used, including quantitative (Likert-scale) and qualitative (open-ended) questions.
- The study included 30 adult and 3 pediatric participants undergoing cochlear implantation.
Main Results:
- 100% of participants found next-day activation convenient, with 94% preferring it over the traditional two-week wait.
- Key benefits reported include reduced travel burden, earlier access to sound, and positive psychological impact.
- 97% of participants would recommend early activation to others.
Conclusions:
- Adult and pediatric patients benefit from and prefer early cochlear implant activation.
- Early activation offers significant advantages, including logistical and psychological benefits.
- The findings support wider adoption of early activation, individualized to patient needs.

