To evaluate intracochlear electrocochleography (ECochG) amplitude parameters during cochlear implantation (CI) using a novel multi-frequency ECochG algorithm.

Surgeons performing cochlear implantation who use intraoperative ECochG monitoring should consider multi-frequency algorithms, as they appear to reduce false-positive drop alarms without compromising detection of true hearing drops.

Reducing false alarms during intraoperative ECochG monitoring could improve surgeon confidence in real-time hearing preservation feedback, potentially leading to better electrode insertion decisions and improved hearing preservation outcomes.

1. 01Multi-frequency ECochG produced fewer drop alarms than standard single-frequency methods during CI insertion.
2. 02