Advances in implantable technologies used in auditory rehabilitation of patients with severe and profound hearing loss.
DOI:
https://doi.org/10.52692/1857-0011.2025.3-83.46Keywords:
cochlear implant, auditory rehabilitation, artificial intelligenceAbstract
In cases of severe or profound hearing loss, conventional hearing aids become ineffective, requiring advanced
implantable solutions such as cochlear implants, auditory brainstem implants, electro-acoustic hybrid systems, and boneanchored hearing systems. Innovations - from atraumatic electrodes and sound processors with artificial intelligence
algorithms to robot-assisted insertion - have improved sound perception, surgical success rates, and social integration,
outlining new directions for personalized auditory rehabilitation and the rapid integration of emerging technologies into
clinical practice.
References
Dupont A., et al. Résultats auditifs et qualité de vie après implantation cochléaire en France: étude prospective. J Fr ORL. 2023;75(3):123–130.
Essaid B., Kheddar H., Batel N., et al. Artificial Intelligence for Cochlear Implants: Review of Strategies, Challenges, and Perspectives. arXiv preprint. 2024. https://arxiv.org/abs/2403.15442
Gundacker G., Trales D.E., Ștefănescu H.E. Quality of life and audiological benefits in pediatric cochlear implant users in Romania: systematic review and cohort study. J Pers Med. 2023; 13(11):1610. https://doi.org/10.3390/jpm13111610
Huang E.H., Chao R., Tsao Y., Wu C-M. ElectrodeNe t- A deep learning based sound coding strategy for cochlear implants. arXiv preprint. 2023. https://arxiv.org/abs/2305.16753
Musleh A. A systematic review of the clinical effectiveness of cochlear implant surgery in pediatric and adult patients. Niger J Clin Pract. 2024; 27(7):807– 818. https://doi.org/10.4103/njcp.njcp_1470_21
Nair A.P.S., et al. A systematic review of machine learning approaches for cochlear implant sound coding. NPJ Digit Med. 2025; 8(1):40. https://www.nature.com/articles/s41746-025-01733-9
Neagoș C.M. The role of imaging investigations in evaluation of cochlear implant candidates. Rom J Med Imag. 2023; 10(2):85–93. https://pmc.ncbi.nlm.nih.gov/articles/PMC10744659/
Neukam J.D., et al. Barriers to cochlear implant uptake in adults: a scoping review. Otol Neurotol. 2024; 45(3):e195-e205. https://pubmed.ncbi.nlm.nih.gov/39514420/
Nowak M., Kowalski P. Implanty śli makowe u dzieci w Polsce - wyniki 2021 - 2023. Pol Ann Med. 2024; 31(2):145–150.
Oh S.J., Mavrommatis M.A., Fan C.J., DiRisio A.C., Villavisanis D.F., Berson E.R., Schwam Z.G., Wanna G.B., Cosetti M.K. Cochlear implantation in adults with single - sided deafness: a systematic review and meta - analysis. Otolaryngol Head Neck Surg. 2023; 168(2):131-142. https://doi.org/10.1177/01945998221083283
Shawkey E.C., Blaylock K., Arriaga M.A. Recent advances in cochlear implantation. Audiol Res. 2025; 15(1):9. https://www.mdpi.com/2504-463X/6/1/9
Ștefănescu H.E., et al. Reliability of Med-El cochlear implants in children in Romania. Habilitation Thesis. 2021.
Tan D. Current issues with pediatric cochlear implantation. Eur Arch Otorhinolaryngol. 2024; 281(7):1857-1864. https://www.ejao.org/journal/view.php?doi=10.7874/jao.2024.00073
Tawfik K.O., Khan M.M.R., Patro A., et al. Cochlear implantation of slim pre-curved arrays using automatic pre-operative insertion plans. arXiv preprint. 2024. https://arxiv.org/abs/2410.18366
Virzob C.R.B., et al. Efficacy of bilateral cochlear implantation in pediatric and adult patients with profound sensorineural hearing loss: a retrospective analysis in a developing European country. J Clin Med. 2023; 12(8):2948. https://doi.org/10.3390/jcm12082948
Zhang G., et al. Artificial intelligence–enabled innovations in cochlear implants. Front Neural Eng. 2025. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12079510/
Alshahrani N.A., et al. A systematic review and meta- analysis comparing cochlear implantation benefits on speech perception. Am J Transplant Res. 2024; 14(4):1012-1024. https://journals.lww.com/atmr/fulltext/2024/04000/a_systematic_review_and_meta_ analysis_comparing.1.aspx
Baumgartner W.D., et al. Barriers and challenges in hearing care and rehabilitation in low- and middle-income countries: key perspectives. Int J Public Health. 2025. https://doi.org/10.1016/j.ijpho.2025.01.034
Cochlear Implant Programming: A global survey on the state-of-the-art. Global Survey Summary. 2023.https://www.bohrium.com/paper-details/cochlear-implant-programming-a-global-survey-on-the-state- of-the art/813163150529527808-16135
Fagan J.J., Zungu M., Kuper H. Global access to hearing care and cochlear implantation: equity and policy. Bull World Health Organ. 2024; 102(7):443-450. https://doi.org/10.2471/BLT.23.289102
WHO. Deafness and hearing loss: fact sheet. Updated 2025-02-26. https://www.who.int/news-room/fact-sheets/detail/deafness-and-hearing-loss
WHO. World report on hearing: 2024 update - progress and country profiles. WHO Publications. 2024. https://www.who.int/publications/i/item/9789240077565
Wu H.C., et al. Prevalence of hearing loss among US adolescents aged 12 to 19 years: national trends and implications. JAMA Network Open. 2025; 8(3):e2830088. https://doi.org/10.1001/jamanetworkopen.2025.30088
Wright E.J., et al. Tele-audiology implementation during the COVID-19 pandemic and beyond: a scoping review. Int J Audiol. 2021; 60(11):838–848. https://doi.org/10.1080/14992027.2021.1914672
Zhao M., et al. Enhancing cochlear implant signal coding with scaled dot-product attention. arXiv preprint. 2025. https://arxiv.org/abs/2504.19046
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