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Challenges and Opportunities in Application of Cochlear Implantation, 2nd Edition
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Challenges and Opportunities in Application of Cochlear Implantation, 2nd Edition

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

Deadline for manuscript submissions: closed (20 November 2024) | Viewed by 4463

Special Issue Editor

Prof. Dr. Nicolas Guevara

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Guest Editor
Institut Universitaire de la Face et du Cou, Centre Hospitalier Universitaire de Nice, Université Côte d’Azur, 06100 Nice, France
Interests: cochlear implant; otology; middle ear surgery; ear endoscopic surgery; hearing loss; auditory implants
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

It is my pleasure to invite you to contribute to the Special Issue entitled "Challenges and Opportunities in Application of Cochlear Implantation, 2nd Edition". In our previous special issue entitled "Challenges and Opportunities in Application of Cochlear Implantation", we collected high-standard original articles and review papers covering a wide range of topics. This is a continuation of the previous series.

Cochlear implants were a medical revolution of the twentieth century. This technology, commonly used in clinical practice since the 1990s, has made it possible to restore useful hearing to people who have become disabled by severe to profound deafness. In addition, it has transformed the lives of children born deaf, allowing them to integrate into the mainstream education system.

For this Special Issue, it is my pleasure to invite you and members of your research group to submit studies focusing on the latest challenges in indications (SSD, electroacoustic stimulation), surgical procedures including robotic and endoscopic approaches, post-operative imaging and anatomy-based fitting, electrophysiology application as well as auditory rehabilitation, and prognosis factors. Authors are welcome to cover other specific topics that have not been mentioned but fall within the theme of this Special Issue.

Prof. Dr. Nicolas Guevara
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

  • sensorineural hearing loss
  • tinnitus
  • cochlea/surgery
  • cochlear implant
  • robotics
  • imaging
  • auditory training

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Related Special Issue

Published Papers (3 papers)

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Research

12 pages, 453 KiB  
Article
Exploring the Hearing Improvement and Parental Stress in Children with Hearing Loss Using Hearing Aids or Cochlear Implants
by Daniele Portelli, Clara Lombardo, Sabrina Loteta, Cosimo Galletti, Carmela Azielli, Francesco Ciodaro, Carmela Mento, M’Hammed Aguennouz, Gabriella Di Rosa, Angela Alibrandi and Giuseppe Alberti
J. Clin. Med. 2025, 14(1), 2; https://doi.org/10.3390/jcm14010002 - 24 Dec 2024
Viewed by 770
Abstract
Objectives: This study aims to describe the stress levels experienced by parents of children with hearing loss who use conventional hearing aids or cochlear implants, and to assess the correlation between parental stress and the auditory skills acquired by the children. Methods: The [...] Read more.
Objectives: This study aims to describe the stress levels experienced by parents of children with hearing loss who use conventional hearing aids or cochlear implants, and to assess the correlation between parental stress and the auditory skills acquired by the children. Methods: The study was conducted at the Policlinic “Gaetano Martino” in Messina, evaluating data from 42 pairs of parents of children using hearing aids or cochlear implants. Parents completed the LittlEARS Auditory Questionnaire (LEAQ) and the Parental Stress Scale (PSS) 18 months after the initial device (hearing aid or cochlear implant) had been activated. Additionally, information was collected regarding the presence of peripartum issues (including preterm birth) or associated conditions, congenital hearing loss, the total number of children in the family, and the number of children with hearing loss in the family. Results: Significant differences were found in the months to effective stimulation (p = 0.026), the age of the children at the time of the survey (p = 0.024) and the PSS score (p = 0.029). Univariate and multivariate logistic regression revealed significant correlations between LEAQ scores and both the months to effective stimulation and the age of the children at the time of the survey; univariate and multivariate linear regression revealed significant correlations between PSS scores and the type of device, months to effective stimulation, age of the children at the time of the survey, peripartum issues, and the number of children. A Spearman correlation showed a positive relationship between LEAQ and age of the children at the time of the survey, and a negative correlation between the PSS scores and the age of the children at the time of the survey. Conclusions: Parents of children with cochlear implants reported higher stress levels than those with children using hearing aids, although auditory performance was comparable between groups. Improved auditory performance was associated with reduced parental stress. The PSS and LEAQ are effective tools used in clinical practice for assessing parental stress and tracking auditory recovery, respectively. Full article
(This article belongs to the Special Issue Challenges and Opportunities in Application of Cochlear Implantation, 2nd Edition)
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17 pages, 3162 KiB  
Article
A Mixed-Rate Strategy on a Bilaterally-Synchronized Cochlear Implant Processor Offering the Opportunity to Provide Both Speech Understanding and Interaural Time Difference Cues
by Stephen R. Dennison, Tanvi Thakkar, Alan Kan, Mario A. Svirsky, Mahan Azadpour and Ruth Y. Litovsky
J. Clin. Med. 2024, 13(7), 1917; https://doi.org/10.3390/jcm13071917 - 26 Mar 2024
Cited by 2 | Viewed by 1297
Abstract
Background/Objective: Bilaterally implanted cochlear implant (CI) users do not consistently have access to interaural time differences (ITDs). ITDs are crucial for restoring the ability to localize sounds and understand speech in noisy environments. Lack of access to ITDs is partly due to lack [...] Read more.
Background/Objective: Bilaterally implanted cochlear implant (CI) users do not consistently have access to interaural time differences (ITDs). ITDs are crucial for restoring the ability to localize sounds and understand speech in noisy environments. Lack of access to ITDs is partly due to lack of communication between clinical processors across the ears and partly because processors must use relatively high rates of stimulation to encode envelope information. Speech understanding is best at higher stimulation rates, but sensitivity to ITDs in the timing of pulses is best at low stimulation rates. Methods: We implemented a practical “mixed rate” strategy that encodes ITD information using a low stimulation rate on some channels and speech information using high rates on the remaining channels. The strategy was tested using a bilaterally synchronized research processor, the CCi-MOBILE. Nine bilaterally implanted CI users were tested on speech understanding and were asked to judge the location of a sound based on ITDs encoded using this strategy. Results: Performance was similar in both tasks between the control strategy and the new strategy. Conclusions: We discuss the benefits and drawbacks of the sound coding strategy and provide guidelines for utilizing synchronized processors for developing strategies. Full article
(This article belongs to the Special Issue Challenges and Opportunities in Application of Cochlear Implantation, 2nd Edition)
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14 pages, 241 KiB  
Article
Working Memory and Language Relate to Report of Socio-Emotional Functioning in Children with Hearing Loss
by Dorothy A. White, Elizabeth Adams Costa, Nancy Mellon, Meredith Ouellette and Sharlene Wilson Ottley
J. Clin. Med. 2024, 13(6), 1637; https://doi.org/10.3390/jcm13061637 - 13 Mar 2024
Viewed by 1736
Abstract
Background: Children with hearing loss have been found to have significantly more behavioral and emotional challenges than their typically hearing peers, though these outcomes are variable at the individual level. Working memory deficits have been found to relate to executive functioning and overall [...] Read more.
Background: Children with hearing loss have been found to have significantly more behavioral and emotional challenges than their typically hearing peers, though these outcomes are variable at the individual level. Working memory deficits have been found to relate to executive functioning and overall emotion regulation, leading to behavior challenges. Language development is essential for development of social relationships and communicating one’s needs and this may lead to distress when children cannot communicate effectively. Based on prior findings in children with hearing loss and their typically hearing peers, working memory and language skills were hypothesized to be related to parent and teacher report of socio-emotional functioning. Methods: Participants were 35 children with hearing loss (66% female, M = 5.17 years old, SD = ±1.97) whose language, working memory, and socio-emotional functioning were evaluated during the course of treatment and educational planning. Results: Bivariate analyses indicated that working memory was related to a number of socio-emotional domains (e.g., functional communication, atypicality, withdrawal), as were language scores (e.g., social skills, inattention). The direction of these associations was such that stronger working memory and language skills were related to more regulated socio-emotional functioning. Conclusions: This study is limited in generalizability by size and the relative homogeneity of the sample. A call to action of the current study includes more education with regard to profiles and presentations of children with hearing loss, and an early focus on socio-emotional learning to foster the development of regulatory skills. Full article
(This article belongs to the Special Issue Challenges and Opportunities in Application of Cochlear Implantation, 2nd Edition)
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