Model-based analysis of ECAPs in CochlearImplant users showed stronger auditory nerve responses and plasticity in younger recipients, highlighting the value of early implantation.
Question Can neural responses measured in cochlear implant users be standardized to monitor auditory nerve health and plasticity over time?
Findings In this cohort study analyzing more than 169 000 recordings from more than 10 000 cochlear implants in 7,416 patients, auditory nerve activity varied by cochlear location and age at implantation. Children implanted at younger ages showed stronger responses and clear evidence of plasticity, particularly in the first 5 years after activation; these changes were not observed in older users.
Meaning Model-based analysis of neural recordings provide a scalable method for tracking auditory nerve health across the lifespan and highlight the importance of early implantation for long-term outcomes.








