Cochlear implants – An Overview. Are CIs world’s most successful sensory prostheses?
DOI:
https://doi.org/10.12775/JEHS.2023.24.01.012Keywords
deafness, cochlea, cochlear implantation, speech processing, speech perceptionAbstract
Cochlear implants (CIs) have greatly improved over the last 2 decades and now are the world’s most successful sensory prostheses, that restored hearing to more than 800,000 deaf people. CIs are small electronic devices that consists of an external portion that is located behind the ear and a second portion that is surgically fixed under the skin, they replace the function of the inner hair cells in the cochlea by direct electrical stimulation of the auditory nerve. Although cochlear implantation has been used for almost 50 years, the indications for this procedure are subject to constant modifications but the main indication is the inability to achieve sufficient speech understanding. Properly implanted, fitted, and rehabilitated hearing prostheses allow to achieve open speech understanding in 70-80% of post-lingual deafness patients and very good speech development results in children. These days cochlear implantation has become the treatment of choice for people with significant hearing loss and are constantly being developed intensively.
References
Boisvert I, Reis M, Au A, Cowan R, Dowell RC. Cochlear implantation outcomes in adults: A scoping review. PLoS One. 2020;15(5). doi:10.1371/JOURNAL.PONE.0232421
Carlyon RP, Goehring T. Cochlear Implant Research and Development in the Twenty-first Century: A Critical Update. JARO J Assoc Res Otolaryngol. 2021;22(5):481. doi:10.1007/S10162-021-00811-5
Macherey O, Carlyon RP. Cochlear implants. Curr Biol. 2014;24(18):R878-R884. doi:10.1016/j.cub.2014.06.053
[Electric excitation of the cochlear nerve in man by induction at a distance with the aid of micro-coil included in the fixture] - PubMed. Accessed April 19, 2023. https://pubmed.ncbi.nlm.nih.gov/13479991/
Lenarz T, Büchner A, Illg A. Cochlear Implantation: Concept, Results Outcomes and Quality of Life. Laryngorhinootologie. 2022;101(S 01):S36-S78. doi:10.1055/A-1731-9321/ID/R17319321-0039
What Are Cochlear Implants for Hearing? | NIDCD. Accessed April 20, 2023. https://www.nidcd.nih.gov/health/cochlear-implants
Clinical Practice Guidelines: Cochlear Implants. Published online 2019.
Deep NL, Dowling EM, Jethanamest D, Carlson ML. Cochlear Implantation: An Overview. J Neurol Surg B Skull Base. 2019;80(2):169. doi:10.1055/S-0038-1669411
Lenarz T. Cochlear implant – state of the art. GMS Curr Top Otorhinolaryngol Head Neck Surg. 2017;16:Doc04. doi:10.3205/CTO000143
Szyfter W, Karlik M, Sekula A, Harris S, Gawęcki W. Aktualne wskazania do implantacji ślimakowej u dorosłych i u dzieci. Otolaryngol Pol. 2019;73(3)(3):1-5. doi:10.5604/01.3001.0013.1000
Würfel W, Lanfermann H, Lenarz T, Majdani O. Cochlear length determination using Cone Beam Computed Tomography in a clinical setting. Hear Res. 2014;316:65-72. doi:10.1016/J.HEARES.2014.07.013
Kuo SCL, Gibson WPR. The role of the promontory stimulation test in cochlear implantation. Cochlear Implants Int. 2002;3(1):19-28. doi:10.1179/CIM.2002.3.1.19
House WF, Brackmann DE. Electrical promontory testing in differential diagnosis of sensori-neural hearing impairment. Laryngoscope. 1974;84(12):2163-2171. doi:10.1288/00005537-197412000-00007
Lenarz T, Lim H, Joseph G, Reuter G, Lenarz M. [Central auditory prosthesis]. HNO. 2009;57(6):551-562. doi:10.1007/S00106-009-1944-X
GMS | 29. Wissenschaftliche Jahrestagung der Deutschen Gesellschaft für Phoniatrie und Pädaudiologie e. V. | Funktionelle Kernspintomographie (fMRT) in der Hördiagnostik. Accessed May 23, 2023. https://www.egms.de/static/en/meetings/dgpp2012/12dgpp02.shtml
Saliba J, Bortfeld H, Levitin DJ, Oghalai JS. Functional near-infrared spectroscopy for neuroimaging in cochlear implant recipients. Hear Res. 2016;338:64. doi:10.1016/J.HEARES.2016.02.005
Glaubitz C, Liebscher T, Hoppe U. Bedeutung von CI-Nutzungsverhalten und CI-Anpassung für sprachproduktive Leistungen sehr früh cochleaimplantierter Kinder. HNO. 2021;69(5):425. doi:10.1007/S00106-020-00942-W
Finke M, Billinger M, Büchner A. Toward Automated Cochlear Implant Fitting Procedures Based on Event-Related Potentials. Ear Hear. 2017;38(2):e118-e127. doi:10.1097/AUD.0000000000000377
Finke M, Billinger M, Büchner A. Toward Automated Cochlear Implant Fitting Procedures Based on Event-Related Potentials. Ear Hear. 2017;38(2):e118-e127. doi:10.1097/AUD.0000000000000377
Cullington H, Kitterick P, Weal M, Margol-Gromada M. Feasibility of personalised remote long-term follow-up of people with cochlear implants: a randomised controlled trial. BMJ Open. 2018;8(4):e019640. doi:10.1136/BMJOPEN-2017-019640
Dazert S, Thomas JP, Loth A, Zahnert T, Stöver T. Cochlear Implantation: Diagnosis, Indications, and Auditory Rehabilitation Results. Dtsch Arztebl Int. 2020;117(41):690. doi:10.3238/ARZTEBL.2020.0690
Hoppe U, Liebscher T, Hornung J. Anpassung von Cochleaimplantatsystemen. HNO. 2017;65(7):546-551. doi:10.1007/S00106-016-0226-7/METRICS
Illg A. [Rehabilitation in children and adults : An overview]. HNO. 2017;65(7):552-560. doi:10.1007/S00106-016-0311-Y
Zeh R, Baumann U. [Inpatient rehabilitation of adult CI users: Results in dependency of duration of deafness, CI experience and age]. HNO. 2015;63(8):557-576. doi:10.1007/S00106-015-0037-2
Diller G. [(Re)habilitation after cochlear implantation]. HNO. 2009;57(7):649-656. doi:10.1007/S00106-009-1922-3
Categories of Auditory Performance - PubMed. Accessed May 23, 2023. https://pubmed.ncbi.nlm.nih.gov/7668685/
Yang Z, Cosetti M. Safety and outcomes of cochlear implantation in the elderly: A review of recent literature. J Otol. 2016;11(1):1-6. doi:10.1016/J.JOTO.2016.03.004
Holden LK, Finley CC, Firszt JB, et al. Factors affecting open-set word recognition in adults with cochlear implants. Ear Hear. 2013;34(3):342-360. doi:10.1097/AUD.0B013E3182741AA7
Cusumano C, Friedmann DR, Fang Y, Wang B, Roland JT, Waltzman SB. Performance Plateau in Prelingually and Postlingually Deafened Adult Cochlear Implant Recipients. Otol Neurotol. 2017;38(3):334-338. doi:10.1097/MAO.0000000000001322
Lesinski-Schiedat A, Illg A, Warnecke A, Heermann R, Bertram B, Lenarz T. Kochleaimplantation bei kindern im 1. Lebensjahr: Vorläufige ergebnisse. HNO. 2006;54(7):565-572. doi:10.1007/S00106-005-1260-Z/METRICS
Wanna GB, Gifford RH, McRackan TR, Rivas A, Haynes DS. Bilateral cochlear implantation. Otolaryngol Clin North Am. 2012;45(1):81-89. doi:10.1016/J.OTC.2011.08.018
Schulze-Gattermann H, Illg A, Schoenermark M, Lenarz T, Lesinski-Schiedat A. Cost-benefit analysis of pediatric cochlear implantation: German experience. Otol Neurotol. 2002;23(5):674-681. doi:10.1097/00129492-200209000-00013
Carlson ML. Cochlear Implantation in Adults. N Engl J Med. 2020;382(16):1531-1542. doi:10.1056/NEJMRA1904407
Terry B, Kelt RE, Jeyakumar A. Delayed Complications After Cochlear Implantation. JAMA Otolaryngol Head Neck Surg. 2015;141(11):1012-1017. doi:10.1001/JAMAOTO.2015.2154
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Konrad Dendys, Jan Bieniasz, Paula Bigos, Wojciech Kuźnicki, Igor Matkowski, Piotr Potyrała
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
The periodical offers access to content in the Open Access system under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0
Stats
Number of views and downloads: 307
Number of citations: 0
