[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-436802-105":59,"doc-detail-436802-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","early-effects-of-very-early-cochlear-implant-activation-on-tinnitus","Early effects of very early cochlear implant activation on tinnitus","","Cochlear implantation has become standard for severe-to-profound hearing impairment, with growing evidence supporting its role in tinnitus reduction. Most prior studies evaluate tinnitus after the conventional 3–4 week waiting period post-surgery, although many clinics now activate devices much earlier. This study compares preoperative and postoperative tinnitus handicap in patients activated within 24 hours, using the Tinnitus Handicap Inventory across multiple follow-up points.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/early-effects-of-very-early-cochlear-implant-activation-on-tinnitus/436802/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/early-effects-of-very-early-cochlear-implant-activation-on-tinnitus/436802.png","ImageObject",300,407,{"name":92,"@type":93},"นรินทร์","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-08","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":52},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What was the study’s primary aim?","Question",{"text":112,"@type":113},"To compare preoperative and postoperative tinnitus handicaps in patients activated very early after cochlear implant surgery.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How were tinnitus outcomes measured in the study?",{"text":117,"@type":113},"Tinnitus Handicap Inventory (THI) scores were recorded preoperatively and then at 24 hours, 1 week, 2 weeks, and 1 month after activation.",{"name":119,"@type":110,"acceptedAnswer":120},"What were the key results regarding THI over time?",{"text":121,"@type":113},"THI increased at 24 hours after implantation compared with preoperative values, then decreased progressively by 1 week and remained significantly lower at 2 weeks and 1 month.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},436802,1791007556,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":52,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":19,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":52,"preview_page_count":4},2336475104957,"https://ap-avatar.wpscdn.com/avatar/22000c4c6bd8a5076e1?x-image-process=image/resize,m_fixed,w_180,h_180&k=1787554080175789136","J Chin MedAssoc  \nOriginal article  \nEarly effects of very early cochlear implant activation on tinnitus  \nIvy Yenwen Chaua,b, Sophia Yung-Hsia Lic, An-Suey Shiaoa,b, Albina S. Islamd, Daniel H. Coelhod,*  \naDepartment of Otolaryngology, Cheng Hsin General Hospital, Taipei, Taiwan, ROC; bFaculty of Medicine, School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan, ROC; cMorrison Academy Taipei, New Taipei City, Taiwan, ROC; dDepartment of Otolaryngology—Head and Neck Surgery, Virginia Commonwealth University School of Medicine, Richmond, Virginia, USA  \nAbstract  \nBackground: Cochlear implantation (CI) has long been the standard of care for patients with severe-to-profound hearing impairment. Yet the benefits of CI extend far beyond speech understanding, with mounting recent literature supporting its role in tinnitus abatement. However, those studies have uniformly analyzed the effects of tinnitus after the traditional 3–4 weeks waiting period between CI surgery and device activation. As many clinics are shifting these waiting intervals to become shorter (in some cases within 24 hours, little is known about tinnitus abatement very early in the postoperative period. The aim of this study was to compare preoperative and postoperative tinnitus handicaps in this unique but growing population of very early-activated patients. Methods: Twenty-seven adults with severe-to-profound hearing impairment with chronic tinnitus (>6 months) were included. Patients with concomitant psychiatric disorders were excluded. All patients were implanted with the same array and were switched on within 24 hours after the surgery. Tinnitus Handicap Inventory (THI) was recorded preoperatively, immediately after activation at 24 hours postoperatively, at 1 week, 2 weeks, and I month after activation. Wilcoxon signed-rank test was used to compare values between preoperative assessment and respective fitting sessions.  \nResults: Mean THI 24 hours after implantation increased in comparison to that assessed preoperatively (77 .6 vs 72 .5, p = 0.001) . By 1 week after surgery, the THI had decreased to 54.9 (p \u003C 0 .001) . This trend continued and was statistically significant at 2 weeks (36 .0, p \u003C 0 .001) and 1 month (28 .5, p \u003C 0 .001) .  \nConclusion: On average, most patients with tinnitus will note a significant improvement in their tinnitus handicap when activated within 24 hours of CI. However, tinnitus does increase between surgery and 24 hours, most likely reflecting not only intracochlear changes, but modulation of the entire auditory pathway. Following this early rise, the tinnitus continues to abate over the following month. Patients with tinnitus may benefit from early activation, although should be counseled that they may experience an exacerbation during the very early postoperative period.  \nKeywords: Cochlear implantation; Early activation; Fitting; Tinnitus; Tinnitus handicap inventory  \n1. INTRODUCTION  \nTinnitus is commonly defined as “feeling of noise in the ear/ brain without external sources of sound”.1 As a symptom with varying degrees of associated distress ranging from mild to catastrophic life impairment, tinnitus is frequently associated with major disorders of mood, including depression and anxiety.2–4 Although the pathogenesis remains complex and incompletely  \n* Address correspondence. Dr. Daniel H. Coelho, Department of Otolaryngology—Head and Neck Surgery, Virginia Commonwealth University School of Medicine, Richmond, Virginia, [USA. E-mail address: daniel.coelho@vcuhealth.org](USA. E-mail address: daniel.coelho@vcuhealth.org) (D.H. Coelho)  \nAuthor contributions: Dr. Ivy Yenwen Chau and Dr. Sophia Yung-Hsia Li contributed equally to this work.  \nConflicts of interest: The authors declare that they have no conflicts of interest related to the subject matter or materials discussed in this article.  \nJournal of Chinese Medical Association. (2023) 86: 850-853.  \nReceived May 9, 2023; accepted June 18, 2023.  \ndoi","cbCaimKiPM7vOjHZ","https://ap.wps.com/l/cbCaimKiPM7vOjHZ","pdf",475898,"English","# Abstract\n# Introduction\n# Methods\n# Results\n# Conclusion","[{\"question\":\"What was the study’s primary aim?\",\"answer\":\"To compare preoperative and postoperative tinnitus handicaps in patients activated very early after cochlear implant surgery.\"},{\"question\":\"How were tinnitus outcomes measured in the study?\",\"answer\":\"Tinnitus Handicap Inventory (THI) scores were recorded preoperatively and then at 24 hours, 1 week, 2 weeks, and 1 month after activation.\"},{\"question\":\"What were the key results regarding THI over time?\",\"answer\":\"THI increased at 24 hours after implantation compared with preoperative values, then decreased progressively by 1 week and remained significantly lower at 2 weeks and 1 month.\"}]","Early effects of very early cochlear implant activation on tinnitus | PDF",1790679097]