COCHLEAR IMPLANTS INTERNATIONAL最新文献

{"title":"Factors influencing time to speech processor upgrades.","authors":"Christie Hung, Emily R Spitzer, Susan B Waltzman","doi":"10.1080/14670100.2026.2635191","DOIUrl":"10.1080/14670100.2026.2635191","url":null,"abstract":"<p><strong>Objective: </strong>Cochlear implant (CI) speech processors have undergone technological advancements. Therefore, patients upgrade speech processors when new features are available or when their previous device becomes broken and is no longer serviceable. This study aimed to identify factors that impact the time to a speech processor upgrade and to evaluate patient experiences with upgrading and following upgrade.</p><p><strong>Methods: </strong>In this retrospective cohort study, 46 CI surgeries at a single tertiary care center in 2017 and that subsequently received a speech processor upgrade were included. Data on patient demographics, hearing loss history, CI manufacturer, insurance type and status, and configuration were collected. Time to first upgrade, reasons for upgrade, patient-reported satisfaction, and speech perception scores were analyzed.</p><p><strong>Results: </strong>The mean time to a speech processor upgrade was 5.13 years after implantation. The most common reason for an upgrade was the device being over five years old, followed by the device being out of warranty. 45.7% of patients expressed satisfaction with speech processor upgrade, while 8.7% were not satisfied. There were no statistically significant associations between the time to upgrade and demographic factors such as age, sex, insurance type, or CI manufacturer. Following the upgrade, there were no significant changes in speech perception scores.</p><p><strong>Conclusion: </strong>Speech processor upgrades at this center align with when insurance companies typically deem upgrades medically necessary. Demographic factors, insurance, and device manufacturer did not significantly influence time to upgrade. While objective speech perception measures did not significantly improve, many patients reported subjective satisfaction with the upgrade.</p>","PeriodicalId":53553,"journal":{"name":"COCHLEAR IMPLANTS INTERNATIONAL","volume":" ","pages":"157-166"},"PeriodicalIF":1.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147349789","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effect of an online music program on children with cochlear implants' vocabulary, and maternal stress, and the role of the acoustic environment.","authors":"Michela Santangelo, Chiara Barachetti, Letizia Guerzoni, Domenico Cuda, Marinella Majorano","doi":"10.1080/14670100.2026.2620276","DOIUrl":"10.1080/14670100.2026.2620276","url":null,"abstract":"<p><strong>Objectives: </strong>We had two sets of objectives. First, to assess the effects of an online music program on the expressive vocabulary of children with cochlear implants (CIs) and on maternal stress. Second, to explore associations between children's vocabulary, maternal stress, and the quality of children's acoustic environment, measured as daily exposure to speech in quiet.</p><p><strong>Methods: </strong>Sixteen children with CIs (<i>M</i> = 17.63 months, <i>SD</i> = 6.39) and their mothers participated weekly in a 12-week online music program (CI-T), and 16 children with CIs (<i>M</i> = 18.46 months, <i>SD</i> = 6.02) and their mothers served as controls (CI-C). The program started three months after CI activation. Both groups were assessed at three (T1), six (T2), and twelve (T3) months after CI activation. We collected measures of children's vocabulary (using the MacArthur-Bates Cognitive Development Inventories; MB-CDI), maternal stress (using the Parenting Stress Index; PSI), and children's daily exposure to speech in quiet (from the datalogging of children's devices). Friedman non-parametric tests examined within-group differences in children's vocabulary and in mothers' stress across time points. Spearman correlations (both groups combined) explored associations between changes in vocabulary, maternal stress, and the datalogging at T1, T2, and T3.</p><p><strong>Results: </strong>The CI-T group showed significant vocabulary gains between T1 and T2, and between T2 and T3 [χ²(2) = 20.5, <i>p</i> < .001]. The CI-C group significantly improved only between T2 and T3 [χ²(2) = 19.60, <i>p</i> < .001]. Maternal stress decreased significantly in the CI-T group between T1 and T2 [χ²(2) = 8.22, <i>p</i> = .02], but not in the CI-C group (all <i>p</i>s > .05). In both groups, we found significant associations between increases in children's expressive vocabulary and maternal stress (e.g. between children's vocabulary increases between T1 and T2, and mothers' scores on the 'Parent-Child Dysfunctional Interaction' subscale at T1; <i>r</i> = -.40, <i>p</i> = .03); between increases in children's expressive vocabulary and daily exposure to speech in quiet (e.g. between children's vocabulary increases between T1 and T2 and the datalogging 'Speech' scene at T2; <i>r</i> = .47, <i>p</i> = .03); and between maternal stress and daily exposure to speech in quiet (e.g. between mothers' scores on the 'Parent Distress' subscale at T2 and the datalogging 'Speech' scene at T2; <i>r</i> = -.56, <i>p</i> = .01)<b>.</b></p><p><strong>Conclusions: </strong>Online music-based interventions could benefit children with CIs and their mothers, alongside longer exposure to speech in quiet.</p>","PeriodicalId":53553,"journal":{"name":"COCHLEAR IMPLANTS INTERNATIONAL","volume":" ","pages":"91-103"},"PeriodicalIF":1.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146097543","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Multidisciplinary aspects of pediatric cochlear implantation: anesthesiological considerations.","authors":"Andras Szabo, Ilona Szegesdi, Balint Posta, Adam Perenyi, Roland Nagy, Laszlo Rovo, Zsofia Bere","doi":"10.1080/14670100.2026.2622145","DOIUrl":"10.1080/14670100.2026.2622145","url":null,"abstract":"<p><strong>Purpose: </strong>Early cochlear implantation during the critical period of neuroplasticity leads to better auditory and language outcomes but presents unique anesthetic challenges in infants. This study retrospectively examined anesthesia-related events throughout the full diagnostic and surgical process over a 10-year period, focusing on pediatic population undervent cochlear implantation - especially under the age of 18 month.</p><p><strong>Methods: </strong>Data from 175 children under age 3 were analized who received cochlear implants between 2014 and 2024. Anesthesia-related events during audiological tests (BERA/ASSR), imaging (CT/MRI), and surgery were recorded. Collected variables were demographics, comorbidities, ASA and Mallampati scores, anesthetic techniques, procedure durations, complications, and ICU admissions. A subgroup analysis was conducted for patients implanted before 18 months.</p><p><strong>Results: </strong>Of the 175 patients, 35 (20.2%) received implants before 18 months and 8 (4.6%) before 12 months. Anesthesia-related complications occurred in 14 cases (8.1%) in the study population, with laryngospasm during extubation being the most frequent (n = 8); all resolved without reintubation. Difficult intubation was noted in 3 patients, mainly those with craniofacial anomalies. Four children required postoperative ICU care. No complications were observed during diagnostic procedures. No significant association was found between complication rates and age, ASA status, or Mallampati score.</p><p><strong>Conclusion: </strong>Cochlear implantation, even in infants under one year, is safe with appropriate anesthesia and experienced teams. Complications were rare and manageable. Recognizing anesthesia risks helps optimize care and reassure parents, supporting timely intervention within the neuroplastic window.</p>","PeriodicalId":53553,"journal":{"name":"COCHLEAR IMPLANTS INTERNATIONAL","volume":" ","pages":"116-125"},"PeriodicalIF":1.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146158900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hearing outcomes of cochlear implantation in IP-II (Mondini dysplasia) - A systematic review.","authors":"C Findlay, E Arthur, K Hough, M Grasmeder, T A Newman","doi":"10.1080/14670100.2026.2635187","DOIUrl":"10.1080/14670100.2026.2635187","url":null,"abstract":"<p><strong>Objectives: </strong>Incomplete Partition type II (IP-II), or Mondini dysplasia, accounts for half of congenital cochlear malformations and results in profound sensorineural hearing loss. Cochlear implantation restores hearing in patients with IP-II however low numbers mean reporting of auditory performance outcomes is limited. Here we review English language articles between 2010 and 2025 reporting hearing outcomes following cochlear implantation in individuals IP-II.</p><p><strong>Results: </strong>Categories of Auditory Performance (CAP), Speech Intelligibility Rating (SIR) and parental reports of cochlear implantation in 731 individuals, across 20 studies, with a follow-up of 1-3 years, met the inclusion criteria. Findings suggest that auditory perception and speech develop more slowly in people with IP-II compared to controls but there was no difference between groups by 1-2 years post-implantation.</p><p><strong>Discussion: </strong>Most patients with IP-II have better hearing with a cochlear implant than before. However, there is limited evidence that this is comparable to those with normal middle ear anatomy. Findings were typically derived from questionnaires with small cohorts and short follow-up.</p><p><strong>Conclusion: </strong>Patient counselling for people IP-II should identify that prediction of hearing outcomes is uncertain. Informed prognostication of timing of surgery and hearing outcomes after cochlear implantation in IP-II needs further study with long-term follow-up including surgical and hearing outcome measures.</p>","PeriodicalId":53553,"journal":{"name":"COCHLEAR IMPLANTS INTERNATIONAL","volume":" ","pages":"149-156"},"PeriodicalIF":1.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147349787","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predictive value of automated cognivue cognitive assessment for cochlear implant outcomes - a preliminary study in a private otolaryngology practice.","authors":"Barak M Spector, Riley Gilbertson, Jedidiah Grisel, Kimberly Ravelo, Aaron C Moberly","doi":"10.1080/14670100.2025.2598103","DOIUrl":"10.1080/14670100.2025.2598103","url":null,"abstract":"<p><strong>Objectives: </strong>Broad variability exists in the outcomes of adult cochlear implant (CI) recipients. This study assessed performance of adult CI recipients on Cognivue Thrive, a quick, automated cognitive screening device applied in a private Otolaryngology practice, and assessed its ability to predict CI outcomes.</p><p><strong>Methods: </strong>Thirty-one adults who received CIs between September 2020 and December 2022 were enrolled and tested using Cognivue Thrive before implantation. Consonant Nucleus Consonant (CNC) words and AzBio sentence recognition scores were collected early (1-3 months) and late (6-12 months) after cochlear implantation. .</p><p><strong>Results: </strong>The group demonstrated poor-to-moderate mean scores relative to normative scores in the Cognivue domains of Memory, Visuospatial, and Executive Function and good performance in Reaction Time and Processing Speed. Controlling for age, the pre-operative Cognivue Memory domain score correlated positively with early post-CI CNC word score (rho = .6, P = .009) and AzBio sentence score (rho = .71, P = .002) with large effect sizes. The pre-operative Visuospatial domain score also correlated with early post-CI AzBio sentence score (rho = .62, P = .01) with large effect size. Correlations between Cognivue scores and late post-CI speech recognition were mostly weaker and non-significant.</p><p><strong>Discussion: </strong>A pre-operative 5-minute, automated, visual cognitive screening test yields scores that are predictive of short-term adaptation after cochlear implantation but not longer-term speech recognition. A prospective study with larger sample is needed to validate findings. .</p><p><strong>Conclusion: </strong>This preliminary study demonstrates proof of concept of applying Cognivue Thrive in a private CI program and its potential to help clinicians and patients to predict CI outcomes.</p>","PeriodicalId":53553,"journal":{"name":"COCHLEAR IMPLANTS INTERNATIONAL","volume":" ","pages":"22-31"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145795316","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Professional barriers to adult cochlear implantation: a systematic review of literature.","authors":"Michelle Le, Richard B Anderson, Jaime Leigh, Colleen Psarros, Bojana Šarkić","doi":"10.1080/14670100.2025.2604428","DOIUrl":"10.1080/14670100.2025.2604428","url":null,"abstract":"<p><strong>Objectives: </strong>Despite the established benefits of cochlear implantation for adults with significant hearing loss, utilisation remains low. Professional and organisational barriers may impede referral for cochlear implants (CIs). This systematic review aimed to identify and synthesise professional barriers to adult CI referral within audiological rehabilitation.</p><p><strong>Methods: </strong>A systematic search of English-language literature was performed from January 1^st 1990 to May 16^th 2025 using Medline, CINAHL, PubMed, EMBASE and PsycINFO databases. Eighteen studies met inclusion criteria, and findings were synthesised descriptively. This systematic review was registered with PROSPERO (CRD42024540394).</p><p><strong>Results: </strong>Four themes were identified as professional barriers to adult cochlear implantation: lack of knowledge and training; concerns and beliefs about CIs and patients; organisational factors; and low prioritisation of hearing loss in healthcare.</p><p><strong>Discussion: </strong>Limited clinician understanding of CI candidacy criteria and referral pathways was the most frequently reported barrier. Organisational barriers included financial disincentives related to hearing aid sales and inconsistent communication between providers. Non-audiology specialists often perceived hearing loss as a lower-priority condition, contributing to under-referral despite established criteria.</p><p><strong>Conclusion: </strong>Improving adult CI access requires targeted clinician education, integration of CI education with hearing aids, and reduction of financial disincentives. Future research should explore patient perspectives to identify barriers and inform intervention strategies.</p>","PeriodicalId":53553,"journal":{"name":"COCHLEAR IMPLANTS INTERNATIONAL","volume":" ","pages":"11-21"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145776462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hearing loss and cochlear implantation in Chudley McCullough syndrome: A case series.","authors":"Ralf A Boerboom, Sabine Engels, Fenna A Ebbens, Paul Merkus, Adriana L Smit, Cas Smits","doi":"10.1080/14670100.2025.2607227","DOIUrl":"10.1080/14670100.2025.2607227","url":null,"abstract":"<p><strong>Objective: </strong>To present a case series of patients with Chudley - McCullough syndrome (CMS) and provide audiometric outcomes pre - and post - cochlear implantation.</p><p><strong>Methods: </strong>A retrospective case series was written based on six patients with CMS and hearing loss. Patients were treated in a tertiary-care medical center for their hearing loss with hearing aid fitting and cochlear implantation. Audiometric outcomes pre- and post-cochlear implantation were analyzed.</p><p><strong>Results: </strong>Three out of six patients were diagnosed with auditory neuropathy spectrum disorder (ANSD), one patient was suspected of ANSD, and in two patients, the presence of ANSD could neither be confirmed nor excluded. All patients were fitted with hearing aids, and all had limited benefit. In most cases, hearing deteriorated rapidly and eventually, all patients received a cochlear implant (CI), unilateral or bilateral. In general, aided thresholds with CIs were satisfactory. However, speech recognition varied widely between patients and was, on average, worse compared to patients with sensorineural hearing loss without CMS.</p><p><strong>Conclusions: </strong>CMS was often diagnosed relatively late during childhood, and sometimes hearing loss was the first apparent symptom. Hearing loss was found to be progressive, often not detected shortly after birth and often complicated by ANSD. Cochlear implantation emerged as the optimal treatment, demonstrating superiority over hearing aid rehabilitation to improve hearing performance. Auditory and speech-language development outcomes remained poorer than in children with CI and without CMS. Based on these results, we advocate considering cochlear implantation early for children who have CMS and hearing loss.</p>","PeriodicalId":53553,"journal":{"name":"COCHLEAR IMPLANTS INTERNATIONAL","volume":" ","pages":"73-80"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145919071","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Facebook as a resource for cochlear implant information: a thematic content analysis.","authors":"Emaan Dawood, Arman Saeedi, Daniel H Coelho","doi":"10.1080/14670100.2026.2614844","DOIUrl":"10.1080/14670100.2026.2614844","url":null,"abstract":"<p><strong>Objective: </strong>To identify major themes of interest posted by users of the foremost Facebook cochlear implant (CI) support group, understand how these users engage in online support communities, and identify educational gaps in CI care.</p><p><strong>Methods: </strong>We conducted a retrospective thematic content analysis approach rooted in framework analysis. 536 Facebook posts were gathered over a two-week period in July 2024 from the Cochlear Implant Experiences Facebook group. Posts were analyzed for author, tone, content, and engagement metrics. Posts were inductively coded into more specific themes and subthemes by two coders with any disagreements resolved by consensus discussion.</p><p><strong>Results: </strong>Majority of posts were authored by patients (81.6%), followed by unknown authors (11.8%), family members (6.2%), companies/vendors (0.2%), and providers (0.2%). The average number of reactions and comments was 22 and 20, respectively. Most posts had a neutral tone (49.6%), followed by a negative tone (28.3%), and positive tone (22.1%). Majority of posts were questions (69%), followed by experience-sharing (21%), and information-sharing posts (10%). Eight major themes were identified from the analysis.</p><p><strong>Conclusion: </strong>Patients utilize this social media community for various reasons but overwhelmingly utilize it to ask questions related to management of the CI device and related equipment. These findings demonstrate trust among patients to gain information from each other and seek support, providing valuable information for providers and companies to fill educational gaps in CI care.</p>","PeriodicalId":53553,"journal":{"name":"COCHLEAR IMPLANTS INTERNATIONAL","volume":" ","pages":"63-72"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145967934","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of cochlear implants on depression, anxiety, and insomnia in adults with bilateral sensorineural hearing loss: a three-year retrospective cohort study of 8964 cochlear implant users.","authors":"Kuan-Wu Kuo, Ting-Hui Liu, Chia-Yu Liu, Chun-Jung Liu","doi":"10.1080/14670100.2025.2602323","DOIUrl":"10.1080/14670100.2025.2602323","url":null,"abstract":"<p><strong>Importance: </strong>Cochlear implants provide a treatment option for adults with severe to profound sensorineural hearing loss (SNHL). However, their long-term impact on mental health were understudied.</p><p><strong>Objective: </strong>This study explored the long-term effect of cochlear implants on the incidence of psychiatric disorders in adults with bilateral severe to profound SNHL, and examined the subgroup differences in these outcomes.</p><p><strong>Design, setting, and participants: </strong>Data for this cohort study were analyzed on January 12, 2024, from the TriNetX electronic records database. Adults with bilateral severe to profound SNHL who received a cochlear implant were compared with matched peers who did not.</p><p><strong>Main outcomes and measures: </strong>The primary outcome was the combined incidence of anxiety, depression, and insomnia, within one to three-years after baseline. Each psychiatric disorder was examined separately as a secondary outcome.</p><p><strong>Results: </strong>This study included 8,964 adults in each group. The cochlear implant group demonstrated a significant lower risk of psychiatric disorders compared to the non-implanted group. Reductions were also observed for depression, insomnia, and anxiety, with effects consistent across the follow-up period and subgroups.</p><p><strong>Conclusions: </strong>Cochlear implantation was associated with a lower long-term incidence of psychiatric disorders among adults with bilateral severe to profound SNHL.</p>","PeriodicalId":53553,"journal":{"name":"COCHLEAR IMPLANTS INTERNATIONAL","volume":" ","pages":"2-10"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145764482","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comprehensive evaluation of cochlear implantation in otosclerosis: radiological, technical, and audiological outcomes over five years.","authors":"Ljupcho Fenov, Chris Tsilivigos, Thomas Lenarz, Eugen Kludt, Nils Prenzler","doi":"10.1080/14670100.2025.2603013","DOIUrl":"10.1080/14670100.2025.2603013","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;To comprehensively assess insertion characteristics, auditory performance, and cochlear implant fitting outcomes in a large cohort of implanted patients with otosclerosis, in comparison with a control group of implanted non-otosclerotic individuals. The most of the otosclerotic patients had retrofenestral otosclerosis and were indicated to cochlear implantation because of deafness.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Study design: &lt;/strong&gt;Retrospective observational cohort study.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Setting: &lt;/strong&gt;Tertiary referral center.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Patients and intervention: &lt;/strong&gt;A group of 49 patients (54 implanted ears) with otosclerosis who received a Cochlear Nucleus 512 or Freedom 24RE between 2009 and 2015 were included, along with a control group of 577 patients (599 implanted ears) with hearing loss due to causes other than otosclerosis, osteogenesis imperfecta, meningitis, head trauma, temporal bone fracture, labyrinthitis, or prior middle ear surgery. All patients were implanted with the same type of electrode.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Main outcome measures: &lt;/strong&gt;Audiometric data were collected from routine fitting and re-fitting appointments using the Freiburg Monosyllabic Test and the Hochmaier-Schulz-Moser test in 10 dB noise (HSM 10 dB). Electrode impedance values, Neural Response Telemetry (NRT), C-levels, the incidence of facial nerve stimulation, and electrode deactivation during the fitting process were also assessed in both groups. For the otosclerotic patients, postoperative radiologic data included measurements of the electrode insertion angle.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Patients in the otosclerosis group achieved a median score of 50% in the Freiburg Monosyllabic Test by the end of the first fitting week, followed by further improvement within the first year and a plateau at approximately 65%. Five years post-implantation, they achieved a mean score of 40% on the HSM 10 dB test. No statistically significant differences were observed in the audiometric test results between the otosclerosis and control groups. Impedance values in the otosclerosis group were significantly higher than in the control group. In both groups, impedances decreased after the first fitting up to the 3 months appointment, and then remained stable over the following 5 years. No statistically significant differences were observed in NRT or C-levels between the two groups. However, facial nerve stimulation occurred significantly more often in the otosclerosis group, with an incidence of 29%. The median insertion angle in the otosclerosis group was 368°, and a statistically significant positive correlation was found between insertion angle and Freiburg test scores, as determined by Pearson correlation analysis.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;Despite challenging anatomical conditions and increased postoperative impedances, there are no differences in audiological performance between patients undergoing cochlear implantation with compared to","PeriodicalId":53553,"journal":{"name":"COCHLEAR IMPLANTS INTERNATIONAL","volume":" ","pages":"44-55"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145776520","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}