title: The importance of electrically evoked stapedial reflex in cochlear implant.
abstract: BACKGROUND
  The most important stage in fitting a cochlear implant is the identification of its dynamic range. The use of objective measures, in particular the electrically elicited stapedius reflex, may provide suitable assistence for initial fitting of cochlear implant, especially in children or adult with multiple disorders, because they provide specific values that serve as the basis of early cochlear implant programming.
  
  
  OBJECTIVE
  Verify through a review the use of the electrically elicited stapedius reflex threshold during the activation and mapping process of cochlear implant.
  
  
  METHODS
  Bibliographical search on the Pubmed and Bireme plataforms, and also on Medline, LILACS and SciELO databases, with standard searches until September 2012, using specific keywords. For the selection and evaluation of scientific studies found in the search, criterias have been established, considering the following aspects: author, year/location, grade of recommendation/level of evidence, purpose, sample, age, mean age in years, evaluative testing, results and conclusion.
  
  
  RESULTS
  Among 7,304 articles found, 7,080 were excluded from the title, 152 from the abstract, 17 from the article reading, 43 were repeated and 12 were selected for the study.
  
  
  CONCLUSIONS
  The electrically elicited stapedius reflex may support when programming the cochlear implant, especially in patients with inconsistent responses.
authors.forename: Kelly Cristina Lira de
authors.initials: KC
authors.lastname: Andrade
authors.affiliation: Universidade Federal de Pernambuco, RecifePE, Brasil, Universidade Federal de Pernambuco, Recife, PE, Brasil.
authors.forename: Mariana de Carvalho
authors.initials: Mde C
authors.lastname: Leal
authors.affiliation: Universidade Federal de Pernambuco, RecifePE, Brasil, Universidade Federal de Pernambuco, Recife, PE, Brasil.
authors.forename: Lilian Ferreira
authors.initials: LF
authors.lastname: Muniz
authors.affiliation: Universidade Estadual de Ciências da Saúde de Alagoas, MaceióAL, Brasil, Universidade Estadual de Ciências da Saúde de Alagoas, Maceió, AL, Brasil.
authors.forename: Pedro de Lemos
authors.initials: Pde L
authors.lastname: Menezes
authors.affiliation: Fundação de Ensino Superior de Olinda, OlindaPE, Brasil, Fundação de Ensino Superior de Olinda, Olinda, PE, Brasil.
authors.forename: Katia Maria Gomes de
authors.initials: KM
authors.lastname: Albuquerque
authors.affiliation: Universidade Federal de Pernambuco, RecifePE, Brasil, Universidade Federal de Pernambuco, Recife, PE, Brasil.
authors.forename: Aline Tenório Lins
authors.initials: AT
authors.lastname: Carnaúba
mesh_terms: D001309:Auditory Threshold / Q000502:physiology*; D019929:Cochlear Implantation; D003054:Cochlear Implants; D003638:Deafness / Q000601:surgery*; D004558:Electric Stimulation; D006801:Humans; D012022:Reflex, Acoustic / Q000502:physiology*