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Cochlear Implants: Changing Indications and New Technology

by Nikki Kean • November 9, 2017

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Older patients are especially vulnerable. A family member often brings in these patients. “I frequently hear, ‘At the Thanksgiving dinner table, my mother or father used to be extremely engaged and now they are not participating in the conversation because they can’t hear it—and they are becoming more and more socially isolated,’” Dr. Tucci said.

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Explore This Issue
November 2017

Social isolation has been shown to be associated with an increased risk of depression, while hearing loss is also associated with a variety of negative health outcomes (Lancet. 2017 Jul 10. pii: S0140-6736(17)31073–31075). These can include:

  • Higher incidence of falls;
  • Greater association with dementia and cognitive decline;
  • Increased rates of hospitalization; and
  • Higher overall cost of care.

“All of these things are at tremendous cost to society. It is to our advantage [as a society] to figure out how to accurately identify and treat hearing loss of all types, not just for patients who are candidates for a cochlear implant,” Dr. Tucci said. Dr. Buchman agreed: “Cochlear implants are transformative for those people in need.”


Nikki Kean is a freelance medical writer based in New Jersey.

Financial disclosures: Craig A. Buchman, MD, is on the Medical Advisory Board of Advanced Bionics Corp. and Cochlear Corp. He also has ownership equity in Advanced Cochlear Diagnostics, LLC. Anil K. Lalwani, MD, is on the Medical Advisory Board of Advanced Bionics and the Surgical Advisory Board of MED-EL. Debara L. Tucci, MD, has disclosed that MED-EL has funded the Newborn Hearing Screening Program pilot in Nairobi, Kenya.

Hospitalists as Test Subjects

  • Heubi C, Choo D. Updated optimal management of single-sided deafness. Laryngoscope. 2017;127:1731–1732.
  • Trinidade A, Page JC, Kennett SW, Cox MD, Dornhoffer JL. Simultaneous versus sequential bilateral cochlear implants in adults: Cost analysis in a U.S. setting. Laryngoscope. 2017;127:2615–2618.
  • O’Connell BP, Hunter JB, Wanna GB. The importance of electrode location in cochlear implantation. Laryngoscope Inv Otol. 2016;1:169–174.
  • Moberly AC, Houston DM, Castellanos I. Non-auditory neurocognitive skills contribute to speech recognition in adults with cochlear implants. Laryngoscope Inv Otol. 2016;1:154–162.
  • Francis HW, Jennifer A. Yeagle JA, Thompson CB. Clinical and psychosocial risk factors of hearing outcome in older adults with cochlear implants. Laryngoscope. 2015;125:695–702.

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Filed Under: Home Slider, Special Reports Tagged With: clinical best practices, cochlear implants, hearing loss, residual hearing, treatmentsIssue: November 2017

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