Advanced Auditory Prostheses: Cochlear Implantation and Neural Hearing Restoration-An Updated Review

Abdulmajeed Hamoud Shudayyid Alharbi (1) , Suliman Ali Aldbasi , Homoud Mohammed Alsubaie (2) , Bander Musleh Ahmad Al Malki (3) , Rashed Saeed Abdullah Alshahrani‏ (4) , Mohammed Saeed Alyami (4) , Mohamed Abdo Arar (5) , Mohammed Hamoud Alharbi (6) , Mohammed Essa Abu Tawil (7) , Yousef Damigh Aldamigh‏ (8) , Mohammed Yousef Mohammed Khawaji (9) , Ashjan Hussain Ali Mubaraki (10)
(1) Maternity and children hospital in Buraidah, Ministry of Health, Saudi Arabia,
(2) King Salman Bin Abdulaziz Hospital in Riyadh , Ministry of Health, Saudi Arabia,
(3) King Khalid Hospital in Al-Kharj, Ministry of Health, Saudi Arabia,
(4) King Khaled Hospital Alkharj, Ministry of Health, Saudi Arabia,
(5) Al Darb General Hospital, Ministry of Health, Saudi Arabia,
(6) Alrawdhah1 Health Center, Ministry of Health, Saudi Arabia,
(7) Prince Mohammed bin Nasser Hospital, Ministry of Health, Saudi Arabia,
(8) Second Health Cluster, Ministry of Health, Saudi Arabia,
(9) Gizan -Damad General Hospital, Ministry of Health, Saudi Arabia,
(10) Primary Care Center in Nadajia, Ministry of Health, Saudi Arabia

Abstract

Background: Cochlear implants are advanced auditory prostheses designed to restore hearing in individuals with severe to profound sensorineural hearing loss by bypassing damaged cochlear structures and directly stimulating the auditory nerve.


Aim: This review aims to provide an updated overview of cochlear implantation, including indications, contraindications, surgical techniques, and clinical outcomes.


Method: A comprehensive literature review was conducted, analyzing current evidence on patient selection, surgical approaches, device components, and postoperative rehabilitation strategies.


Results: Cochlear implants significantly improve speech perception, language development, and quality of life across age groups. Expanded indications now include single-sided deafness and auditory neuropathy. Surgical techniques such as round window insertion minimize trauma, while multidisciplinary care ensures optimal outcomes.


Conclusion: Cochlear implantation represents a transformative intervention for auditory rehabilitation, offering substantial functional and psychosocial benefits when combined with structured follow-up and rehabilitation.

Full text article

Generated from XML file

References

Park LR, Gagnon EB, Brown KD. The Limitations of FDA Criteria: Inconsistencies with Clinical Practice, Findings, and Adult Criteria as a Barrier to Pediatric Implantation. Seminars in hearing. 2021 Nov:42(4):373-380. doi: 10.1055/s-0041-1739370.

Deep NL, Dowling EM, Jethanamest D, Carlson ML. Cochlear Implantation: An Overview. Journal of neurological surgery. Part B, Skull base. 2019 Apr:80(2):169-177. doi: 10.1055/s-0038-1669411.

Lim DJ. Functional structure of the organ of Corti: a review. Hearing research. 1986:22():117-46

Szymanski A, Geiger Z. Anatomy, Head and Neck, Ear. StatPearls. 2025 Jan

Jiam NT, Jiradejvong P, Pearl MS, Limb CJ. The Effect of Round Window vs Cochleostomy Surgical Approaches on Cochlear Implant Electrode Position: A Flat-Panel Computed Tomography Study. JAMA otolaryngology-- head & neck surgery. 2016 Sep 1:142(9):873-80. doi: 10.1001/jamaoto.2016.1512.

Richard C, Fayad JN, Doherty J, Linthicum FH Jr. Round window versus cochleostomy technique in cochlear implantation: histologic findings. Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology. 2012 Sep:33(7):1181-7. doi: 10.1097/MAO.0b013e318263d56d.

Roland PS, Wright CG, Isaacson B. Cochlear implant electrode insertion: the round window revisited. The Laryngoscope. 2007 Aug:117(8):1397-402

Nadol JB Jr. Comparative anatomy of the cochlea and auditory nerve in mammals. Hearing research. 1988 Aug:34(3):253-66

Erixon E, Högstorp H, Wadin K, Rask-Andersen H. Variational anatomy of the human cochlea: implications for cochlear implantation. Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology. 2009 Jan:30(1):14-22. doi: 10.1097/MAO.0b013e31818a08e8.

Tajudeen BA, Waltzman SB, Jethanamest D, Svirsky MA. Speech perception in congenitally deaf children receiving cochlear implants in the first year of life. Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology. 2010 Oct:31(8):1254-60. doi: 10.1097/MAO.0b013e3181f2f475.

Sharma A, Gilley PM, Dorman MF, Baldwin R. Deprivation-induced cortical reorganization in children with cochlear implants. International journal of audiology. 2007 Sep:46(9):494-9

Parry DA, Booth T, Roland PS. Advantages of magnetic resonance imaging over computed tomography in preoperative evaluation of pediatric cochlear implant candidates. Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology. 2005 Sep:26(5):976-82

Gibson WP, Graham JM. Editorial: 'auditory neuropathy' and cochlear implantation - myths and facts. Cochlear implants international. 2008 Mar:9(1):1-7. doi: 10.1179/cim.2008.9.1.1.

Manrique M, Zubicaray J, Ruiz de Erenchun I, Huarte A, Manrique-Huarte R. [Guidelines for cochlear implant indication in Navarre]. Anales del sistema sanitario de Navarra. 2015 May-Aug:38(2):289-96

Tucci DL, Telian SA, Zimmerman-Phillips S, Zwolan TA, Kileny PR. Cochlear implantation in patients with cochlear malformations. Archives of otolaryngology--head & neck surgery. 1995 Aug:121(8):833-8

Schleich P, Nopp P, D'Haese P. Head shadow, squelch, and summation effects in bilateral users of the MED-EL COMBI 40/40+ cochlear implant. Ear and hearing. 2004 Jun:25(3):197-204

Carlson ML, Breen JT, Driscoll CL, Link MJ, Neff BA, Gifford RH, Beatty CW. Cochlear implantation in patients with neurofibromatosis type 2: variables affecting auditory performance. Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology. 2012 Jul:33(5):853-62. doi: 10.1097/MAO.0b013e318254fba5.

Ahsan S, Telischi F, Hodges A, Balkany T. Cochlear implantation concurrent with translabyrinthine acoustic neuroma resection. The Laryngoscope. 2003 Mar:113(3):472-4

Modest MC, Carlson ML, Wanna GB, Driscoll CL. Cochlear Implantation in Patients With Superficial Siderosis: Seven Cases and Systematic Review of the Literature. Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology. 2015 Aug:36(7):1191-6. doi: 10.1097/MAO.0000000000000792.

Alkhamra RA. Cochlear implants in children implanted in Jordan: A parental overview. International journal of pediatric otorhinolaryngology. 2015 Jul:79(7):1049-54. doi: 10.1016/j.ijporl.2015.04.025.

Rehm HL, Morton CC. A new age in the genetics of deafness. Genetics in medicine : official journal of the American College of Medical Genetics. 1999 Sep-Oct:1(6):295-302; quiz

Gürtler N, Gysin C, Schmid N, Pieren C, Vischer M, Schumacher S, Oppermann P, Leuba D, Veraguth D. Bilateral congenital deafness: What investigations should be performed? Swiss medical weekly. 2017:147():w14416. doi: 10.4414/smw.2017.14416.

Choi KJ, Kaylie DM. What is the role of preoperative imaging for cochlear implants in adults with postlingual deafness? The Laryngoscope. 2017 Feb:127(2):287-288. doi: 10.1002/lary.26084.

Kahue CN, Sweeney AD, Carlson ML, Haynes DS. Vaccination recommendations and risk of meningitis following cochlear implantation. Current opinion in otolaryngology & head and neck surgery. 2014 Oct:22(5):359-66. doi: 10.1097/MOO.0000000000000092.

Friedland DR, Venick HS, Niparko JK. Choice of ear for cochlear implantation: the effect of history and residual hearing on predicted postoperative performance. Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology. 2003 Jul:24(4):582-9

Sürmelioğlu O, Cetik F, Tarkan O, Ozdemir S, Tuncer U, Kiroğlu M, Sahin R. Choice of cochlear implant side in a paediatric population. The Journal of laryngology and otology. 2014 Jun:128(6):504-7. doi: 10.1017/S0022215114001212.

Amaral MSAD, Damico TA, Gonçales AS, Reis ACMB, Isaac ML, Massuda ET, Hyppolito MA. Is there a best side for cochlear implants in post-lingual patients? Brazilian journal of otorhinolaryngology. 2018 Sep-Oct:84(5):560-565. doi: 10.1016/j.bjorl.2017.06.012.

Öztürk K, Göde S, Çelik S, Orhan M, Bilge O, Bilgen C, Kirazlı T, Saylam CY. Revisiting the Anatomy of the Facial Recess: The Boundaries of the Round Window Exposure. Balkan medical journal. 2016 Sep:33(5):552-555

Bielamowicz SA, Coker NJ, Jenkins HA, Igarashi M. Surgical dimensions of the facial recess in adults and children. Archives of otolaryngology--head & neck surgery. 1988 May:114(5):534-7

Luers JC, Hüttenbrink KB, Beutner D. Surgical anatomy of the round window-Implications for cochlear implantation. Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery. 2018 Apr:43(2):417-424. doi: 10.1111/coa.13048.

Farinetti A, Ben Gharbia D, Mancini J, Roman S, Nicollas R, Triglia JM. Cochlear implant complications in 403 patients: comparative study of adults and children and review of the literature. European annals of otorhinolaryngology, head and neck diseases. 2014 Jun:131(3):177-82. doi: 10.1016/j.anorl.2013.05.005.

Cohen NL, Hoffman RA. Complications of cochlear implant surgery in adults and children. The Annals of otology, rhinology, and laryngology. 1991 Sep:100(9 Pt 1):708-11

Terry B, Kelt RE, Jeyakumar A. Delayed Complications After Cochlear Implantation. JAMA otolaryngology-- head & neck surgery. 2015 Nov:141(11):1012-7. doi: 10.1001/jamaoto.2015.2154.

Mosnier I, Vanier A, Bonnard D, Lina-Granade G, Truy E, Bordure P, Godey B, Marx M, Lescanne E, Venail F, Poncet C, Sterkers O, Belmin J. Long-Term Cognitive Prognosis of Profoundly Deaf Older Adults After Hearing Rehabilitation Using Cochlear Implants. Journal of the American Geriatrics Society. 2018 Aug:66(8):1553-1561. doi: 10.1111/jgs.15445.

Clark JH, Yeagle J, Arbaje AI, Lin FR, Niparko JK, Francis HW. Cochlear implant rehabilitation in older adults: literature review and proposal of a conceptual framework. Journal of the American Geriatrics Society. 2012 Oct:60(10):1936-45. doi: 10.1111/j.1532-5415.2012.04150.x. =

Albernaz PL. History of cochlear implants. Brazilian journal of otorhinolaryngology. 2015 Mar-Apr:81(2):124-5. doi: 10.1016/j.bjorl.2014.12.006. =

Francis HW, Koch ME, Wyatt JR, Niparko JK. Trends in educational placement and cost-benefit considerations in children with cochlear implants. Archives of otolaryngology--head & neck surgery. 1999 May:125(5):499-505 =

Spencer LJ, Barker BA, Tomblin JB. Exploring the language and literacy outcomes of pediatric cochlear implant users. Ear and hearing. 2003 Jun:24(3):236-47

Authors

Abdulmajeed Hamoud Shudayyid Alharbi
Majjed40@hotmail.com (Primary Contact)
Suliman Ali Aldbasi
Homoud Mohammed Alsubaie
Bander Musleh Ahmad Al Malki
Rashed Saeed Abdullah Alshahrani‏
Mohammed Saeed Alyami
Mohamed Abdo Arar
Mohammed Hamoud Alharbi
Mohammed Essa Abu Tawil
Yousef Damigh Aldamigh‏
Mohammed Yousef Mohammed Khawaji
Ashjan Hussain Ali Mubaraki
Alharbi, A. H. S., Suliman Ali Aldbasi, Homoud Mohammed Alsubaie, Bander Musleh Ahmad Al Malki, Rashed Saeed Abdullah Alshahrani‏, Mohammed Saeed Alyami, … Ashjan Hussain Ali Mubaraki. (2025). Advanced Auditory Prostheses: Cochlear Implantation and Neural Hearing Restoration-An Updated Review. Saudi Journal of Medicine and Public Health, 2(2), 2929–2938. https://doi.org/10.64483/202522507

Article Details

Similar Articles

<< < 10 11 12 13 14 > >> 

You may also start an advanced similarity search for this article.