It remains unclear whether the auditory mismatch response (MMR) can assist cochlear implants (CI) programming in children with CIs. OBJECTIVE: To explore the effects of MMR-based programming on hearing and speech abilities in cochlear implanted (CI) children. MATERIAL AND
MMR-based CI programming shows promise for paediatric patients, but this is a follow-up study with likely limited sample size; clinicians should monitor the evidence before replacing standard fitting protocols.
Objective, brain-response-guided programming of cochlear implants could reduce reliance on subjective behavioural testing in young children who cannot reliably report their hearing, potentially improving outcomes in a vulnerable population.
- 01MMR-based programming uses brain-wave responses to guide cochlear implant settings in children.
- 02The follow-up design tracks whether initial MMR-guided fitting benefits persist over time.
- 03Speech perception and hearing outcomes are the primary measures assessed.
- 04Objective programming methods are especially valuable in young children who can't reliably complete behavioural tests.
- 05Results could influence paediatric CI fitting protocols if effect sizes are clinically meaningful.
Auditory mismatch response (MMR)-based programming improves hearing outcomes in cochlear-implanted children.
studypartially supportedMMR-based programming improves speech performance in cochlear-implanted children.
studypartially supported- PMID
- 42345522
- DOI
- 10.1080/00016489.2026.2688877.
- Journal
- Acta Oto-Laryngologica
- Publication type
- research_article
- Evidence level
- 2b
- Population
- Children with cochlear implants
- Intervention
- MMR (auditory mismatch response)-based cochlear implant programming
- Comparator
- Standard/conventional CI programming
Primary outcomes
Hearing performance; Speech perception performance