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Optimizing Cochlear Implant Activation: A Prospective Patient-Preference Study.

Arman Saeedi1, Mihai A Bentan, Albina Islam

  • 1Virginia Commonwealth University Health System, Department of Otolaryngology-Head and Neck Surgery.

Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [And] European Academy of Otology and Neurotology
|December 29, 2025
PubMed
Summary
This summary is machine-generated.

Many cochlear implant (CI) patients initially desire early activation, but preferences shift towards the standard 3-week interval after surgery. Patient counseling is crucial as recovery influences timing expectations.

Keywords:
Audiological rehabilitationCochlear implant activationEarly device activationPatient preferencePostoperative outcomes

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Area of Science:

  • Audiology
  • Otolaryngology
  • Biomedical Engineering

Background:

  • Cochlear implant (CI) activation timing is shifting towards earlier protocols globally.
  • Limited research exists on patient preferences regarding CI activation timing.
  • Understanding patient preferences is vital for optimizing CI rehabilitation protocols.

Purpose of the Study:

  • To determine patient preferences for cochlear implant (CI) activation timing before and after surgery.
  • To investigate factors influencing changes in activation timing preferences.
  • To inform clinical practice regarding CI activation protocols.

Main Methods:

  • Prospective survey-based study conducted at a tertiary care academic CI center.
  • Adult patients (≥18 years) receiving their first CI completed questionnaires.
  • Data collected included demographics, CI quality of life, and patient-reported outcomes at multiple time points: preoperatively, and 1 week, immediately, and 1 week post-activation.

Main Results:

  • Preoperatively, patients favored same-day activation (25.5%) or the standard 3-week interval (23.5%).
  • Postoperatively, preferences shifted significantly, with more patients preferring the standard 3-week activation (32.6%) over same-day (8.7%).
  • Dizziness postoperatively correlated with a preference for delayed activation (P=0.033).

Conclusions:

  • A significant number of cochlear implant patients adjust their preferred activation timing postoperatively.
  • This shift is likely due to an underestimation of surgical recovery time.
  • Patient counseling and input are essential before implementing universal early CI activation protocols.