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Abstract
Background: Remote programming for adult cochlear implant (CI) users is feasible, safe, and effective. Limited evidence, however, exists on if remote CI programming can also be productively done with paediatric CI users.
Aims/objectives: To assess the safety and feasibility of remote CI programming in CI users for all ages.
Materials and methods: Forty-six (25 children, 21 adults) experienced CI users were fit locally and remotely. The results of these two fitting sessions were compared in terms of safety, Impedance Field Telemetry (IFT), Maximum Comfortable Levels (MCL), Threshold Levels (THR), audiometry, fitting duration, and speech understanding.
Results: The subjects’ safety was not compromised during any of the fitting procedures. No significant difference was found for IFT, MCL, THR, audiometry, or speech understanding for either remote or local fitting. Remote fittings took slightly longer than local fittings when only the fitting time itself was measured.
Conclusions and significance: Remote follow-up fitting is as safe, feasible, and effective as local fitting for CI users of all ages. A more extensive adoption of remote fitting may allow many CI users greater access to clinics and therefore increased benefit from CI use.
Chinese abstract
背景：为成人人工耳蜗使用者提供远程调整是可行、安全、有效的。然而, 对于远程调整是否也能有效地应用于儿童CI使用者, 证据还不足。
目的：评估对于所有年龄段的CI使用者, 远程CI调整的安全性和可行性。
材料和方法：将46名（25名儿童, 21名成人）有经验的CI使用者拟合为近距的和远程的。在安全性、阻抗场遥测（IFT）、最大舒适度（MCL）、阈值水平（THR）、听力测量、拟合持续时间和语言理解方面对这两类使用者的结果进行了比较。
结果：受试者安全在任何拟合过程中都没有受到影响。无论是远程还是近距拟合, 在IFT、MCL、THR、测听或言语理解方面均无显著差异。当只测量拟合时间时, 远程拟合比近距拟合花费的时间稍长。
结论与意义：远程跟踪拟合与近距拟合对各年龄段CI使用者是安全、可行、有效的。远程拟合的更广泛采用可以让很多CI使用者有更多机会去诊所看病, 因此增加了使用CI的好处。
Disclosure statement
No potential conflict of interest was reported by the authors.
Correction Statement
This article has been republished with minor changes. These changes do not impact the academic content of the article.