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Related Experiment Video

Updated: Jan 15, 2026

Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages
06:04

Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages

Published on: March 24, 2023

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Evaluation of a De-Escalated Post-Operative Cochlear Implant Programming Protocol.

Leena Asfour1, Michelle Coppola1, Samantha Espinal1

  • 1University of Miami, Miami, Florida, USA.

The Laryngoscope
|October 11, 2025
PubMed
Summary
This summary is machine-generated.

A simplified cochlear implant (CI) programming schedule with four post-operative visits is feasible and doesn't impact adult speech outcomes. Older patients may need more frequent follow-ups, but this streamlined approach improves adherence.

Keywords:
CI programming protocolCI protocolclinical care modelcochlear implant programming schedulede‐escalated CI programming schedule

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Area of Science:

  • Audiology
  • Otolaryngology
  • Neurosurgery

Background:

  • Cochlear implantation (CI) programming requires frequent visits, causing patient burden and access delays.
  • Evaluating a de-escalated CI programming schedule is crucial for improving patient experience and resource allocation.

Purpose of the Study:

  • To assess the feasibility of a reduced post-operative cochlear implant programming schedule (four visits in the first year).
  • To determine if a de-escalated schedule impacts adult speech perception outcomes.
  • To identify factors influencing adherence to the streamlined programming protocol.

Main Methods:

  • Retrospective review of 201 cochlear implant recipients (aged 0-100 years) from July 2022 to December 2023.
  • Data collected included demographics, adherence to the 4-visit protocol, reasons for additional visits, and Consonant-Nucleus-Consonant (CNC) word scores for adults.
  • Multivariate analysis was used to identify predictors of adherence.

Main Results:

  • 53% of patients adhered to the 4-visit protocol; 35% needed 1-2 extra visits, and 12% needed 3-6 more.
  • Adherence to the streamlined protocol improved by 43% during the study.
  • Older age at surgery was associated with reduced adherence (p < 0.05). No significant difference in 12-month CNC scores was found between groups with ≤4 or >4 visits.

Conclusions:

  • A de-escalated cochlear implant programming schedule of four visits in the first year is feasible.
  • This streamlined approach does not negatively affect adult speech perception.
  • Older patients may necessitate closer monitoring, and workflow adjustments are needed for successful implementation.