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Cochlear Implantation and Rehabilitation

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Hearing Loss: Mechanisms, Prevention and Cure

Part of the book series: Advances in Experimental Medicine and Biology ((AEMB,volume 1130))

Abstract

Cochlear implant (CI) is currently the only medical treatment available to partially restore hearing to patients with profound-to-severe hearing loss. CI is fundamentally distinct from hearing aid (HA) use, as implants are surgically placed under the skin behind the ear where they bypass the normal sound-conducting mechanism, convert sound signals into electrical stimulation, and directly stimulate the residual auditory nerves. In recent years, CI has evolved into one of the most profound advances in modern medicine and provided hearing to more than 320,000 deaf patients. According to the time of onset, deafness is classified as prelingual and postlingual deafness, and the indications of cochlear implants vary slightly. The medical evaluation must be made before surgery, including the medical history, objective and subjective audiometry, imaging of the ear, as well as the genetic diagnostic. Here we reviewed the surgical approaches for cochlear implants as well as the complications.

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References

  1. Volta (1800) On the electricity excited by mere contact of conducting substances of different kinds. Royal Soc Philos Trans 90:403–431

    Article  Google Scholar 

  2. Djourno A, Eyries C (1957) Auditory prosthesis by means of a distant electrical stimulation of the sensory nerve with the use of an indwelt coiling. Presse Med 65(63):1417–1417

    CAS  PubMed  Google Scholar 

  3. House WF, Urban J (1973) Long term results of electrode implantation and electronic stimulation of the cochlea in man. Ann Otol Rhinol Laryngol 82(4):504–517

    Article  CAS  Google Scholar 

  4. Simmons FB, Epley JM, Lummis RC, Guttman N, Frishkopf LS, Harmon LD, Zwicker E (1965) Auditory nerve: electrical stimulation in man. Science 148:104–106

    Article  CAS  Google Scholar 

  5. Fretz RJ, Fravel RP (1985) Design and function: a physical and electrical description of the 3M House cochlear implant system. Ear Hear 6(3):14S–19S

    Article  CAS  Google Scholar 

  6. Bilger RC (1977) Psychoacoustic evaluation of present prostheses. Ann Otol Rhinol Laryngol Suppl 86:92–104

    CAS  PubMed  Google Scholar 

  7. Gantz B, Tyler RS, Abbas P, Tye-Murray N, Knutson JF, Mccabe BF, Lansing C, Brown CJ, Woodworth G, Hinrichs J, Kuk F (1988) Evaluation of five different cochlear implant designs: audiologic assessment and predictors of performance. Laryngoscope 98(10):1100–1106

    Article  CAS  Google Scholar 

  8. Loizou PC (1999) Introduction to cochlear implants. IEEE Eng Med Biol Mag 18(1):32–42

    Article  CAS  Google Scholar 

  9. Loizou PC (1999) Signal-processing techniques for cochlear implants. IEEE Eng Med Biol Mag 18(3):34–46

    Article  CAS  Google Scholar 

  10. Seligman PM, Patrick JF, Tong YC, Clark GM, Dowell RC, Crosby PA (1984) A signal processor for a multiple-electrode hearing prosthesis. Acta Otolaryngol 98(sup411):135–139

    Article  Google Scholar 

  11. Tye-Murray N, Lowder M, Tyler RS (1990) Comparison of the F0F2 and F0F1F2 processing strategies for the Cochlear Corporation cochlear implant. Ear Hear 11(3):195–200

    Article  CAS  Google Scholar 

  12. Patrick JF, Clark GM (1991) The nucleus 22-channel cochlear implant system. Sci Publ 5(370):1989–1990

    Google Scholar 

  13. Eddington D (1980) Speech discrimination in deaf subjects with cochlear implants. J Acoust Soc Am 68(3):885–891

    Article  CAS  Google Scholar 

  14. Wilson BS, Finley CC, Lawson DT, Wolford RD, Eddington DK, Rabinowitz WM (1991) Better speech recognition with cochlear implants. Nature 352(6332):236–238

    Article  CAS  Google Scholar 

  15. Han D, Liu B, Zhou N, Chen X, Kong Y, Liu H, Xu L (2009) Lexical tone perception with HiResolution and HiResolution 120 sound-processing strategies in pediatric Mandarin-speaking cochlear implant users. Ear Hear 30(2):885–891

    Article  Google Scholar 

  16. Seligman P, McDermott H (1995) Architecture of the Spectra 22 speech processor. Ann Otol Rhinol Laryngol 8(761):139–141

    Google Scholar 

  17. Skinner MW, Arndt PL, Staller SJ (2002) Nucleus 24 advanced encoder conversion study: performance versus preference. Ear Hear 23(1):2–17

    Article  Google Scholar 

  18. Patrick JF, Busby PA, Gibson PJ (2006) The development of the Nucleus Freedom Cochlear implant system. Trends Amplif 10(4):175–200

    Article  Google Scholar 

  19. Arnoldner C, Riss D, Brunner M, Baumgartner WD, Hamzavi JS (2007) Speech and music perception with the new fine structure speech coding strategy: preliminary results. Acta Otolaryngol 127(12):1298–1303

    Article  Google Scholar 

  20. Firszt JB, Holden LK, Reeder RM, Skinner MW (2009) Speech recognition in cochlear implant recipients: comparison of standard HiRes and HiRes 120 sound processing. Otol Neurotol 30(2):146–152

    Article  Google Scholar 

  21. Starr A, Picton T, Sininger Y, Hood L, Berlin C (1996) Auditory neuropathy. Brain 119(Pt 3):741–753

    Article  Google Scholar 

  22. Hood LJ (2015) Otolaryngologic clinics of North America. Otolaryngol Clin N Am 48:1027–1040

    Article  Google Scholar 

  23. House W, Luxford W, Courtney B (1985) Otitis media in children following the cochlear implant. Ear Hear 6:24S–26S

    Article  CAS  Google Scholar 

  24. Luntz M, Hodges A, Balkany T, Dolan-Ash S, Schloffman J (1996) Otitis media in children with cochlear implants. Laryngoscope 106:1403–1405

    Article  CAS  Google Scholar 

  25. Morton N (1991) Genetic epidemiology of hearing impairment. Ann N Y Acad Sci 630:16–31

    Article  CAS  Google Scholar 

  26. House W, Berliner K (1986) Safety and efficacy of the House/3M cochlear implant in profoundly deaf adults. Otolaryngol Clin N Am 19:275–286

    CAS  Google Scholar 

  27. Mangus B, Rivas A et al (2012) Surgical techniques in cochlear implants. Otolaryngol Clin N Am 45:69–80

    Article  Google Scholar 

  28. Iseli C, Adunka OF, Buchman CA (2014) Scala tympani cochleostomy survey: a follow-up study. Laryngoscope 124:1928–1931

    Article  Google Scholar 

  29. Kronenberg J, Migirov L, Dagan T (2001) Suprameatal approach: new surgical approach for cochlear implantation. J Laryngol Otol 115:283–285

    Article  CAS  Google Scholar 

  30. Postelmans JT, Grolman W, Tange RA, Stokroos RJ (2009) Comparison of two approaches to the surgical management of cochlear implantation. Laryngoscope 119:1571–1578

    Article  Google Scholar 

  31. Gawecki W, Karlik M, Borucki L, Wróbel M, Stieler O, Szyfter W (2018) Middle fossa approach for cochlear implantation. Otol Neurotol 39:e96

    Article  Google Scholar 

  32. Kiratzidis T, Arnold W, Iliades T (2002) Veria operation updated. I. The trans-canal wall cochlear implantation. ORL 64:406–412

    Article  Google Scholar 

  33. Kiratzidis T, Iliades T, Arnold W (2002) Veria operation. II. Surgical results from 101 cases. ORL 64:413–416

    Article  Google Scholar 

  34. Pau H, Just T, Bornitz M, Lasurashvilli N, Zahnert T (2007) Noise exposure of the inner ear during drilling a cochleostomy for cochlear implantation. Laryngoscope 117:535–540

    Article  Google Scholar 

  35. James C, Albegger K, Battmer R et al (2005) Preservation of residual hearing with cochlear implantation: how and why. Acta Otolaryngol 125:481–491

    Article  Google Scholar 

  36. Skarzynski H, Lorens A, Piotrowska A, Anderson I (2007) Partial deafness cochlear implantation in children. Int J Pediatr Otorhinolaryngol 71:1407–1413

    Article  Google Scholar 

  37. Sun C, Hsu C, Chen P, Wu H (2015) Residual hearing preservation after cochlear implantation via round window or cochleostomy approach. Laryngoscope 125:1715–1719

    Article  Google Scholar 

  38. Havenith S, Lammers MJ, Tange RA et al (2013) Hearing preservation surgery: cochleostomy or round window approach? A systematic review. Otol Neurotol 34:667

    Article  Google Scholar 

  39. Sennaroglu L, Saatci I (2002) A new classification for cochleovestibular malformations. Laryngoscope 112:2230–2241

    Article  Google Scholar 

  40. Sennaroglu L (2009) Cochlear implantation in inner ear malformations – a review article. Cochlear Implant Int 11:4–41

    Article  Google Scholar 

  41. Lenarz T (2018) Cochlear implant – state of the art. GMS Curr Top Otorhinolaryngol Head Neck Surg 16:Doc04

    PubMed  PubMed Central  Google Scholar 

  42. Farinetti A, Gharbia BD, Mancini J, Roman S, Nicollas R, Triglia J-M (2014) Cochlear implant complications in 403 patients: comparative study of adults and children and review of the literature. Eur Ann Otorhinolaryngol Head Neck Dis 131:177–182

    Article  CAS  Google Scholar 

  43. Eisenberg LS, Johnson KC, Martinez AS et al (2006) Speech recognition at 1-year follow-up in the childhood development after cochlear implantation study: methods and preliminary findings. Audiol Neurootol 11:259–268

    Article  Google Scholar 

  44. Dettman SJ, D’Costa WA, Dowell RC, Winton EJ, Hill KL, Williams SS (2004) Cochlear implants for children with significant residual hearing. Arch Otolaryngol Head Neck Surg 130:612–618

    Article  Google Scholar 

  45. Gantz B, Rubinstein J, Tyler R et al (2000) Long-term results of cochlear implants in children with residual hearing. Ann Otol Rhinol Laryngol 185:33–36

    Article  CAS  Google Scholar 

  46. Dunn CC, Walker EA, Oleson J et al (2014) Longitudinal speech perception and language performance in pediatric cochlear implant users: the effect of age at implantation. Ear Hear 35:148

    Article  Google Scholar 

  47. Chen Y, Wong L, Zhu S, Xi X (2016) Early speech perception in Mandarin-speaking children at one-year post cochlear implantation. Res Dev Disabil 49:1–12

    Article  Google Scholar 

  48. Geers A, Brenner C, Davidson L (2003) Factors associated with development of speech perception skills in children implanted by age five. Ear Hear 24:24S–35S

    Article  Google Scholar 

  49. Lin FR, Chien WW, Li L, Clarrett DM, Niparko JK, Francis HW (2012) Cochlear implantation in older adults. Medicine 91:229

    Article  Google Scholar 

  50. Yang Z, Cosetti M (2016) Safety and outcomes of cochlear implantation in the elderly: a review of recent literature. J Otol 11:1–6

    Article  Google Scholar 

  51. Bronkhorst A, Plomp R (1988) The effect of head-induced interaural time and level differences on speech intelligibility in noise. J Acoust Soc Am 83:1508–1516

    Article  CAS  Google Scholar 

  52. Schafer EC, Amlani AM, Seibold A, Shattuck PL (2007) A meta-analytic comparison of binaural benefits between bilateral cochlear implants and bimodal stimulation. J Am Acad Audiol 18:760–776(17)

    Article  Google Scholar 

  53. Neuman AC, Haravon A, Sislian N, Waltzman SB (2007) Sound-direction identification with bilateral cochlear implants. Ear Hear 28:73

    Article  Google Scholar 

  54. Mosnier I, Sterkers O, Bebear J-P et al (2009) Speech performance and sound localization in a complex noisy environment in bilaterally implanted adult patients. Audiol Neurotol 14:106–114

    Article  Google Scholar 

  55. Papsin BC, Gordon KA (2008) Bilateral cochlear implants should be the standard for children with bilateral sensorineural deafness. Curr Opin Otolaryngol 16:69

    Article  Google Scholar 

  56. Balkany T, Hodges A, Telischi F et al (2008) William House Cochlear Implant Study Group: position statement on bilateral cochlear implantation. Otol Neurotol 29:107

    Article  Google Scholar 

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Correspondence to Huawei Li .

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Chen, F., Ni, W., Li, W., Li, H. (2019). Cochlear Implantation and Rehabilitation. In: Li, H., Chai, R. (eds) Hearing Loss: Mechanisms, Prevention and Cure. Advances in Experimental Medicine and Biology, vol 1130. Springer, Singapore. https://doi.org/10.1007/978-981-13-6123-4_8

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