Post-cochlear Implant Auditory Training Using Speech Tracking in an Adult with Bilateral Cochlear Otosclerosis

Aim: This report describes the pre-cochlear implant audiological test results and post-implant rehabilitation using speech tracking in a 49-yearold female with bilateral cochlear otosclerosis.Background: Cochlear implant outcomes in patients with cochlear otosclerosis are quite variable and more often exhibit poor word recognition scores (WRS).Auditory training is of utmost importance to achieve optimal speech perception skills.The speech tracking technique has been extensively used clinically for both training and evaluating performance with cochlear implants.Only a few studies have documented the outcomes of speech tracking training in individuals with cochlear implants.However, there is a dearth of studies reporting speech tracking training outcomes post-cochlear implantation in those with cochlear otosclerosis.Case description: Based on the results of audiological and radiological tests, the left ear was selected for cochlear implantation (CI).Post-cochlear implant, auditory stimulation could be provided without facial nerve stimulation.Speech tracking was carried out for a period of 6 months which showed significant improvement in tracking rate as well as WRS over time.Conclusion: Speech tracking training should be included as a part of auditory training to help adult cochlear implant users with cochlear otosclerosis to maximize benefit from their implant.