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Clinical Advances in Hearing Rehabilitation and Cochlear Implantation
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Clinical Advances in Hearing Rehabilitation and Cochlear Implantation

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

Deadline for manuscript submissions: closed (25 August 2024) | Viewed by 11149

Special Issue Editor

Prof. Dr. Thomas Zahnert

E-Mail Website
Guest Editor
Faculty of Medicine Carl Gustav Carus, Department of Otorhinolaryngology, Head and Neck Surgery, Technische Universität Dresden, Fetscherstraße 74, 01307 Dresden, Saxony, Germany
Interests: ear and skull-base surgery; head and neck tumor/cancer surgery; functional endoscopic sinus surgery; congenital ear problem treatment; reconstructive middle ear surgery; hearing aids; implantable hearing systems

Special Issue Information

Dear Colleagues,

Hearing rehabilitation holds a central position within the field of otolaryngology, encompassing both conservative options such as conventional hearing aid provision and surgical strategies such as tympanoplasty, vibroplasty, cochlear implantation and the application of brainstem implants. The significant progress in medical technology is noteworthy, particularly in enhancing the functionality of passive middle ear implants and implant couplers for active middle ear implants. Furthermore, advances in the development of electrode arrays and signal transmission for cochlear implants are evident. Future innovative strategies, such as photo-optical signal transmission and the development of neurostimulatory feedback systems, underscore these advancements. Additional opportunities lie in the integration of artificial intelligence into signal transmission processes, as well as the genetic diagnosis and therapy of hearing impairments.

Collectively, these advancements contribute to an increasingly individualized, if not personalized, approach to care. Consequently, the consultation process for determining the optimal solution for hearing rehabilitation in individual situations has become more complex. The compilation in this Special Issue aims to assemble the latest clinical advances in medical and surgical hearing rehabilitation, differentiating them from purely research-oriented developments and contributing to reducing this complexity.

Prof. Dr. Thomas Zahnert
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 100 words) can be sent to the Editorial Office for announcement on this website.

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

  • hearing rehabilitation
  • active middle ear implants
  • middle ear prosthesis
  • bone conduction hearing aids
  • cochlea implants
  • hereditary hearing impairment

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Published Papers (5 papers)

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Research

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9 pages, 934 KiB  
Article
Auditory Development of Young Children with Profound Hearing Loss, Cochlear Implants, and Congenital CMV Infection
by Piotr H. Skarzynski, Anita Obrycka, Aleksandra Kolodziejak, Artur Lorens, Elzbieta Gos, Rita Zdanowicz and Henryk Skarzynski
J. Clin. Med. 2024, 13(22), 6734; https://doi.org/10.3390/jcm13226734 - 8 Nov 2024
Viewed by 990
Abstract
Background/Objectives: The aim of this study was to assess auditory development in young children with profound hearing loss, cochlear implants (CIs), and congenital cytomegalovirus (cCMV) infection and to determine the effect of comorbidities on their development. Methods: The study group (cCMV group) consisted [...] Read more.
Background/Objectives: The aim of this study was to assess auditory development in young children with profound hearing loss, cochlear implants (CIs), and congenital cytomegalovirus (cCMV) infection and to determine the effect of comorbidities on their development. Methods: The study group (cCMV group) consisted of 47 CI children—18 girls and 29 boys—who had been diagnosed as having prelingual hearing loss due to cCMV infection (with or without comorbidities); the mean age at CI activation was 15.2 months (range: 9.7–23.8; SD = 3.5). The reference group (no cCMV) consisted of 117 similar children (57 girls and 60 boys) who had profound sensorineural hearing loss not caused by cCMV infection; they had no comorbidities. The mean age at CI activation in the second group was 14.3 months (range: 7.9–23.5; SD = 4.0). Auditory development in all children was assessed with the LittlEARS Auditory Questionnaire (LEAQ) at CI activation and at about 1, 5, 9, 14, and 24 months of CI use. Results: The mean LEAQ total score increased over a similar time frame from 9.8 pts to 28.9 pts in the cCMV group without comorbidities, from 4.5 pts to 18.5 pts in the cCMV group with comorbidities, and from 9.2 to 31.6 pts in the reference group with no cCMV infection. Conclusions: Early cochlear implantation in children with sensorineural hearing loss due to congenital CMV infection and no comorbidities promotes their early auditory development in a similar way to children without cCMV infection. Full article
(This article belongs to the Special Issue Clinical Advances in Hearing Rehabilitation and Cochlear Implantation)
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Review

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14 pages, 1283 KiB  
Review
Eustachian Tube Dysfunction Diagnostic Pathway—What Is the Current State of the Art and How Relevant Is Chronic Nasal Disease?
by Sofia Anastasiadou, Polyzois Bountzis, Dimitrios Evangelos Gkogkos, Petros Karkos, Jannis Constantinidis, Stefanos Triaridis and George Psillas
J. Clin. Med. 2024, 13(13), 3700; https://doi.org/10.3390/jcm13133700 - 25 Jun 2024
Viewed by 2667
Abstract
Background: Eustachian tube dysfunction (ETD) presents a complex diagnostic challenge in otolaryngology, compounded by its multifaceted nature and overlapping symptoms with chronic nasal disease. This article examines the intricacies of ETD diagnosis, emphasising the necessity for a consensus on diagnostic procedures. Methods [...] Read more.
Background: Eustachian tube dysfunction (ETD) presents a complex diagnostic challenge in otolaryngology, compounded by its multifaceted nature and overlapping symptoms with chronic nasal disease. This article examines the intricacies of ETD diagnosis, emphasising the necessity for a consensus on diagnostic procedures. Methods: A review of the literature was performed through the OVID research tool in the Pubmed/Medline databases to identify relevant articles that discuss eustachian tube dysfunction diagnostics as well as its correlation with chronic nasal disease. Results: The literature review harvested 201 articles, and only 51 of them were included in the full text review. A consensus statement was identified on eustachian tube dysfunction, function and diagnostics. It appears that there is significant variability in the diagnostic tools used to identify eustachian tube dysfunction. The main diagnostic approaches used are tympanometry, tubomanometry and sonotubometry, combined with the Patient-Reported Outcome Measure ETDQ-7 questionnaire to support the diagnosis of the condition. Nasal pathology is mostly absent from the retrieved studies, while ear pathology is more commonly mentioned in the current literature. Conclusions: There is no gold standard diagnostic tool to determine the presence of eustachian tube dysfunction. Further discussion, large multicentre studies and focused research are required to achieve a consensus on a diagnostic approach. The authors suggest a diagnostic pathway that combines subjective and objective diagnostic tools to determine the presence of eustachian tube dysfunction. This pathway is simple and can be used in district ENT departments, highlighting the nasal pathology relevance to ETD. Full article
(This article belongs to the Special Issue Clinical Advances in Hearing Rehabilitation and Cochlear Implantation)
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15 pages, 926 KiB  
Review
The Chronological Evolution of Cochlear Implant Contraindications: A Comprehensive Review
by Nezar Hamed, Norah Alajmi, Faisal Ibrahim Alkoblan, Yazeed Abdullah Alghtani, Yassin Abdelsamad, Ahmed Alhussien, Rafeef Ibrahim Alhajress and Salman F. Alhabib
J. Clin. Med. 2024, 13(8), 2337; https://doi.org/10.3390/jcm13082337 - 18 Apr 2024
Cited by 1 | Viewed by 3174
Abstract
Cochlear implantation has emerged as a transformative intervention in addressing profound hearing loss, offering a paradigm shift in auditory rehabilitation for individuals with restricted auditory function. Throughout its history, the understanding of contraindications for cochlear implant (CI) surgery has evolved significantly. This review [...] Read more.
Cochlear implantation has emerged as a transformative intervention in addressing profound hearing loss, offering a paradigm shift in auditory rehabilitation for individuals with restricted auditory function. Throughout its history, the understanding of contraindications for cochlear implant (CI) surgery has evolved significantly. This review comprehensively analyzes the chronological advancements in the understanding of CI contraindications, examining studies conducted from historical timelines to the present. Recent research has revealed significant developments in the field, prompting a reevaluation of established criteria and resulting in expanded indications for CI. The chronological evolution of contraindications underscores the transformative nature of the field, offering potential improvements in outcomes and enhancing the quality of life for individuals with profound hearing loss. In conclusion, this narrative review emphasizes the dynamic nature of the field, where the reevaluation of contraindications has created new opportunities and broader indications for CI. The emerging prospects, including improved outcomes and enhanced quality of life, hold promise for individuals with profound hearing loss. Full article
(This article belongs to the Special Issue Clinical Advances in Hearing Rehabilitation and Cochlear Implantation)
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Other

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20 pages, 1100 KiB  
Systematic Review
Factors in the Effective Use of Hearing Aids among Subjects with Age-Related Hearing Loss: A Systematic Review
by Perrine Morvan, Johanna Buisson-Savin, Catherine Boiteux, Eric Bailly-Masson, Mareike Buhl and Hung Thai-Van
J. Clin. Med. 2024, 13(14), 4027; https://doi.org/10.3390/jcm13144027 - 10 Jul 2024
Cited by 1 | Viewed by 2676
Abstract
Objectives: Investigate factors contributing to the effective management of age-related hearing loss (ARHL) rehabilitation. Methods: A systematic review was conducted following PRISMA guidelines. The protocol was registered in PROSPERO (CRD42022374811). Articles were identified through systematic searches in the Scopus, PubMed, Web of [...] Read more.
Objectives: Investigate factors contributing to the effective management of age-related hearing loss (ARHL) rehabilitation. Methods: A systematic review was conducted following PRISMA guidelines. The protocol was registered in PROSPERO (CRD42022374811). Articles were identified through systematic searches in the Scopus, PubMed, Web of Science, and Cochrane databases in May 2024. Only articles published between January 2005 and May 2024 were included. Studies were assessed for eligibility by two independent researchers and evaluated using the Crowe Critical Appraisal Tool v1.4 (CCAT). Results: Of the 278 articles identified, 54 were included. Three factors explain effective HA use. First, hearing aid signal processing, with directional microphones and noise reduction, improves user comfort and understanding regarding noise. Second, there is hearing aid fitting, with the NAL prescription rules as the gold standard, and bilateral, high-level HA performance for spatial localization and noise comprehension. Third, there is a patient-centered approach, using patient-related outcome measures (PROMs), questionnaires, counseling, and regular follow-up to involve patients in their therapeutic rehabilitation. Conclusions: Reaching a consensus on acoustic parameters is challenging due to variability in audiological results. Involving patients in their rehabilitation, addressing their needs and expectations, and offering individualized care are crucial. Full article
(This article belongs to the Special Issue Clinical Advances in Hearing Rehabilitation and Cochlear Implantation)
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8 pages, 538 KiB  
Case Report
Audiological Outcome of the Simultaneous Tumor Resection and Cochlear Implantation in Two Cases of Sporadic and Two Cases of Neurofibromatosis Type 2-Associated Intracochlear Schwannoma
by Abdullah A. AlMutawah, Taegyeong Kim and Jong Woo Chung
J. Clin. Med. 2024, 13(11), 3042; https://doi.org/10.3390/jcm13113042 - 22 May 2024
Viewed by 1069
Abstract
Objectives: Simultaneous removal and cochlear implantation (CI) have been reported in intralabyrinthine and intracochlear schwannoma. A wide range of postoperative hearing outcomes have been reported after CI in these cases. This study evaluated the outcomes of performing a simultaneous resection of Schwannoma [...] Read more.
Objectives: Simultaneous removal and cochlear implantation (CI) have been reported in intralabyrinthine and intracochlear schwannoma. A wide range of postoperative hearing outcomes have been reported after CI in these cases. This study evaluated the outcomes of performing a simultaneous resection of Schwannoma in cochlea and cochlear implantation (CI), aiming to assess the effectiveness of this combined surgical approach for hearing rehabilitation with CI. Methods: This retrospective case series was conducted at a tertiary care center. The study included four consecutive patients with profound sensorineural hearing loss due to a mass inside the cochlea. These patients underwent simultaneous single-sided CI and tumor resection performed by the same surgeon. Preoperative and postoperative audiological assessments were conducted to evaluate the patients’ hearing outcomes before and after the surgical intervention. Results: Simultaneous CI with tumor resection was successful in all cases. Two of the four patients had a unilateral tumor, while the other two had a bilateral tumor with the involvement of the internal auditory canal and cerebellopontine angle (neurofibromatosis type 2 (NF2)). In two cases of unilateral tumor, aided free-field pure tone average (PTA) was 26 dB, and 46 dB hearing level (HL), and word recognition score (WRS) at 65 dB was 40% and 68%, respectively, 3 months after surgery. In two cases of tumor with NF2, aided free-field PTA was 36 dB and 60 dB HL, and both cases showed 0% WRS at 65 dB 3 months after surgery. Conclusions: Simultaneous schwannoma excision and CI in patients with Schwannoma inside cochlea are surgically practical and safe. Postoperatively, there was a notable improvement in hearing in cases of sporadic schwannoma, regardless of the type of CI used. However, there was 0% WRS in the two NF2 patients with a mass in the internal auditory canal. Full article
(This article belongs to the Special Issue Clinical Advances in Hearing Rehabilitation and Cochlear Implantation)
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