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Clinical Challenges and Innovations in Cochlear Implantation and Hearing Rehabilitation
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Clinical Challenges and Innovations in Cochlear Implantation and Hearing Rehabilitation

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Otolaryngology".

Deadline for manuscript submissions: 30 April 2026 | Viewed by 779

Special Issue Editor

Dr. Meredith Holcomb

E-Mail Website
Guest Editor
Department of Otolaryngology, University of Miami, Miami, FL 33136, USA
Interests: cochlear implant outcomes; clinical efficiency; cochlear implant programming

Special Issue Information

Dear Colleagues,

This Special Issue, “Clinical Challenges and Innovations in Cochlear Implantation and Hearing Rehabilitation”, seeks to address the persistent barriers that continue to limit the full potential of cochlear implant care despite remarkable advances in surgical techniques, device technology, and rehabilitation strategies. Challenges such as delayed referral to implant centers, variability in patient outcomes, disparities in access to care, and the need to optimize long-term auditory and language development remain central obstacles. The scope of this Special Issue spans surgical innovation, candidacy evaluation, patient counseling, clinical efficiency, and multidisciplinary rehabilitation approaches across the lifespan. By bringing together leading voices in otology, audiology, and allied fields, we aim to highlight innovative solutions, strengthen the evidence base, and inspire new models of care that prioritize patient-centered outcomes. Ultimately, this issue seeks to accelerate progress toward more equitable, effective, and personalized approaches to cochlear implantation and hearing rehabilitation, fostering sustained improvements in outcomes and quality of life for individuals with hearing loss worldwide.

Dr. Meredith Holcomb
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 250 words) can be sent to the Editorial Office for assessment.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • cochlear implant outcomes
  • clinical efficiency
  • barriers to care
  • cochlear implant surgery
  • cochlear implant referral
  • cochlear implant evaluation
  • cochlear implant candidacy
  • rehabilitation
  • rehabilitation strategies
  • quality of life

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Published Papers (2 papers)

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Research

14 pages, 2574 KB  
Article
The Role of Patient Motivation in Single-Sided Deafness: Patterns in Treatment Selection and Cochlear Implant Outcomes
by Leena Asfour, Allison Oliva, Erin Williams and Meredith A. Holcomb
J. Clin. Med. 2025, 14(24), 8944; https://doi.org/10.3390/jcm14248944 - 18 Dec 2025
Viewed by 178
Abstract
Background/Objectives: Single-sided deafness (SSD) treatment options include Contralateral Routing of Signal (CROS) or Bilateral Routing of Signal (BiCROS) systems, bone conduction devices, cochlear implants (CIs) and no intervention. Aligning treatment recommendations with patient motivations is fundamental for satisfaction and successful outcomes. At our [...] Read more.
Background/Objectives: Single-sided deafness (SSD) treatment options include Contralateral Routing of Signal (CROS) or Bilateral Routing of Signal (BiCROS) systems, bone conduction devices, cochlear implants (CIs) and no intervention. Aligning treatment recommendations with patient motivations is fundamental for satisfaction and successful outcomes. At our institution, a structured telehealth consultation precedes formal testing and includes treatment motivation exploration and comprehensive review of all interventions. This study examined SSD treatment motivations and their association with pursuing cochlear implantation. Methods: Adults who completed a pre-treatment SSD telehealth consultation over a four-year period were identified. Charts were retrospectively reviewed for demographics, SSD characteristics, treatment motivations, treatment choice, and CI outcomes. Results: A total of 122 adults were evaluated. Mean age was 56.3 (±13.0) years, and 59.8% were male. Mean SSD duration was 10.8 (±15.8) years. The most common etiology was sudden sensorineural hearing loss. The top primary motivations were improving overall hearing (23.0%), restoring hearing to the deaf ear (22.1%), and improving hearing in noise (21.3%). Most patients (45.1%) opted for a hearing aid, CROS or BiCROS system; 38.5% chose CI; and 14.8% declined treatment. Only 57.4% of those who selected CI had the implant, primarily due to surgery avoidance (31.5%) and insurance limitations (10.5%). Motivation did not predict treatment choice or CI receipt. Among CI recipients (n = 27), those motivated by hearing restoration demonstrated poorer speech outcomes and datalogging. Conclusions: Improving overall hearing and restoring hearing to the deaf ear were the most common motivations for seeking SSD treatment. Adult CI recipients had similar motivations to those who chose non-surgical options. Full article
(This article belongs to the Special Issue Clinical Challenges and Innovations in Cochlear Implantation and Hearing Rehabilitation)
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10 pages, 1356 KB  
Article
Clinical Presentation of Hearing Loss After Contact with a Fish: Case Report
by Nina Rubicz, Harald Meimberg, Christina Rupprecht, Nikolaus Poier-Fabian, Ulla Folger-Buchegger and Paul Martin Zwittag
J. Clin. Med. 2025, 14(22), 8010; https://doi.org/10.3390/jcm14228010 - 12 Nov 2025
Viewed by 395
Abstract
Background: A 33-year-old pregnant woman experienced ear trauma from contact with a fish while swimming. Afterwards, the woman presented with vertigo and hearing loss. Methods: Clinical examination showed a foreign body (FB) in the middle and inner ear, which was removed surgically under [...] Read more.
Background: A 33-year-old pregnant woman experienced ear trauma from contact with a fish while swimming. Afterwards, the woman presented with vertigo and hearing loss. Methods: Clinical examination showed a foreign body (FB) in the middle and inner ear, which was removed surgically under general anesthesia. Postoperative care included antibiotics; the FB was sent to the lab for analysis. Results: Although vertigo resolved after surgical intervention, the woman continued to experience hearing loss and finally experienced deafness. Patient had an unusual mechanism of inner ear trauma. The FB was identified as part of a fish and determined to originate from a fish species of the genus Hemiramphus which is listed as harmless to humans in FishBase. Conclusions: As severe penetration of an FB into the middle and inner ear can lead to serious complications, removal of an FB from the ear requires special competence and should therefore only be performed by specifically skilled professional staff. Full article
(This article belongs to the Special Issue Clinical Challenges and Innovations in Cochlear Implantation and Hearing Rehabilitation)
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