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Updated: Jul 7, 2026
Electrically Evoked Stapedius Reflex Measurements in Cochlear Implantation and Its Application in the Postoperative Fitting Process
Published on: June 21, 2024
Feasibility of Early Activation of a Cochlear Implant: Study of Electrophysiology, Audiometry, and Patient
Florian Bonnafous1, Abdulaziz Alghamdi1,2, Solenn Virazels3
1ENT Department, Limoges University Hospital Center, Limoges, France.
Objective:
The objective of this study is to determine the feasibility of early activation of a cochlear implant in terms of both effectiveness and safety.
Materials And Methods:
We conducted a retrospective study on a series of patients who had cochlear implant surgery between April 2018 and June 2023. In the early activation group (EA) 25 patients were included, with activation performed on days 0 to 1 post-implantation, and 14 patients were included in the control group (C), who underwent traditional activation between days 15 and 35 post-implantation. Impedance values, speech intelligibility thresholds at 60 dB, and processor usage time in each group were recorded at activation and on days 30, 60, and 90 post-implantations. The EA group also underwent a prospective satisfaction assessment.
Results:
We did not observe any statistically significant differences between the two groups regarding medium-term impedance evolution, speech intelligibility, or processor usage time. A significant improvement in satisfaction results was noted in the EA group. No complications related to early activation were observed.
Conclusion:
Based on our study results, early activation of a cochlear implant is a reliable technique that improves patient satisfaction without affecting electrophysiological and audiological outcomes or increasing the risk of complications.