The Cochlear Implant: Historical Aspects and Future Prospects

Authors

  • Adrien A. Eshraghi,

    Corresponding author
    1. Department of Otolaryngology, University of Miami Ear Institute, University of Miami Miller School of Medicine, Miami, Florida
    • University of Miami Ear Institute, 1600 NW 10th Avenue, RMSB 3160, Miami, FL 33136-1015
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    • Fax: 243-5552

  • Ronen Nazarian,

    1. Department of Otolaryngology, University of Miami Ear Institute, University of Miami Miller School of Medicine, Miami, Florida
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  • Fred F. Telischi,

    1. Department of Otolaryngology, University of Miami Ear Institute, University of Miami Miller School of Medicine, Miami, Florida
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  • Suhrud M. Rajguru,

    1. Department of Otolaryngology, University of Miami Ear Institute, University of Miami Miller School of Medicine, Miami, Florida
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  • Eric Truy,

    1. Institut National de la Santé et de la Recherche Médicale U960, Department of Cognitive Studies, Ecole Normale Superieure, 75005 Paris, France
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  • Chhavi Gupta

    1. Department of Otolaryngology, University of Miami Ear Institute, University of Miami Miller School of Medicine, Miami, Florida
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  • Dr Eshraghi has research grants from NOHR and MEDEL GmbH, he is a consultant for MEDEL GmbH; Dr Telischi serves on Surgical Advisory Board of Cochlear Corp. and MEDEL Corp.; Dr Truy is a consultant for Neurelec Corp.

Abstract

The cochlear implant (CI) is the first effective treatment for deafness and severe losses in hearing. As such, the CI is now widely regarded as one of the great advances in modern medicine. This article reviews the key events and discoveries that led up to the current CI systems, and we review and present some among the many possibilities for further improvements in device design and performance. The past achievements include: (1) development of reliable devices that can be used over the lifetime of a patient; (2) development of arrays of implanted electrodes that can stimulate more than one site in the cochlea; and (3) progressive and large improvements in sound processing strategies for CIs. In addition, cooperation between research organizations and companies greatly accelerated the widespread availability and use of safe and effective devices. Possibilities for the future include: (1) use of otoprotective drugs; (2) further improvements in electrode designs and placements; (3) further improvements in sound processing strategies; (4) use of stem cells to replace lost sensory hair cells and neural structures in the cochlea; (5) gene therapy; (6) further reductions in the trauma caused by insertions of electrodes and other manipulations during implant surgeries; and (7) optical rather electrical stimulation of the auditory nerve. Each of these possibilities is the subject of active research. Although great progress has been made to date in the development of the CI, including the first substantial restoration of a human sense, much more progress seems likely and certainly would not be a surprise. Anat Rec, 2012. © 2012 Wiley Periodicals, Inc.

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