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European Archives of Oto-Rhino-Laryngology

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Open Access 07-07-2023 | Cochlear Implant | Otology

Early fitting in cochlear implant surgery: preliminary results

Authors: Arianna Soncini, Sebastiano Franzini, Francesca Di Marco, Pasquale Riccardi, Andrea Bacciu, Enrico Pasanisi, Filippo Di Lella

Published in: European Archives of Oto-Rhino-Laryngology | Issue 1/2024

Abstract

Purpose

Cochlear implants are usually activated 3–5 weeks after surgery; to date, no universal protocol exists regarding switch on and fitting of these devices. The aim of the study was to assess safety and functional results of activation and fitting of cochlear implant within 24 h following surgery.

Methods

In this retrospective case–control study, 15 adult patients who underwent cochlear implant surgery, for a total of 20 cochlear implant procedures were analyzed. In particular, clinical safety and feasibility were investigated by examinating patients at activation and at each follow-up. Values of electrodes’ impedance and most comfortable loudness (MCL) were analyzed from the time of surgery to 12 months after activation. Free-field pure tone average (PTA) was also recorded.

Results

No major or minor complications were reported and all patients could perform the early fitting. Activation modality influenced impedance values only in the short term but the differences were not statistically significant (p > 0.05). Mean MCL values in the early fitting group were lower than MCL of the late fitting in all follow-up sessions, and the difference was statistically significant (p < 0.05). The mean PTA was lower in the early fitting group but the difference was not statistically significant (p < 0.05).

Conclusions

Early fitting of cochlear implants is safe, allows for an early rehabilitation and can have possible beneficial effects on stimulation levels and dynamic range.

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Title: Early fitting in cochlear implant surgery: preliminary results
Authors: Arianna Soncini
Sebastiano Franzini
Francesca Di Marco
Pasquale Riccardi
Andrea Bacciu
Enrico Pasanisi
Filippo Di Lella
Publication date: 07-07-2023
Publisher: Springer Berlin Heidelberg
Keyword: Cochlear Implant
Published in: European Archives of Oto-Rhino-Laryngology / Issue 1/2024
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI: https://doi.org/10.1007/s00405-023-08076-9

2024 ASCO Annual Meeting

Springer Medicine

Early fitting in cochlear implant surgery: preliminary results

Abstract

Purpose

Methods

Results

Conclusions

2024 ASCO Annual Meeting

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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