Current Concepts and Future Trends in Increasing the Benefits of Cochlear Implantation: A Narrative Review

Hearing loss is the most common neurosensory disorder, and with the constant increase in etiological factors, combined with early detection protocols, numbers will continue to rise. Cochlear implantation has become the gold standard for patients with severe hearing loss, and interest has shifted fro...

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Main Authors: Cristina Maria Blebea, Laszlo Peter Ujvary, Violeta Necula, Maximilian George Dindelegan, Maria Perde-Schrepler, Mirela Cristina Stamate, Marcel Cosgarea, Alma Aurelia Maniu
Format: Article
Language:English
Published: MDPI AG 2022-05-01
Series:Medicina
Subjects:
Online Access:https://www.mdpi.com/1648-9144/58/6/747
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author Cristina Maria Blebea
Laszlo Peter Ujvary
Violeta Necula
Maximilian George Dindelegan
Maria Perde-Schrepler
Mirela Cristina Stamate
Marcel Cosgarea
Alma Aurelia Maniu
author_facet Cristina Maria Blebea
Laszlo Peter Ujvary
Violeta Necula
Maximilian George Dindelegan
Maria Perde-Schrepler
Mirela Cristina Stamate
Marcel Cosgarea
Alma Aurelia Maniu
author_sort Cristina Maria Blebea
collection DOAJ
description Hearing loss is the most common neurosensory disorder, and with the constant increase in etiological factors, combined with early detection protocols, numbers will continue to rise. Cochlear implantation has become the gold standard for patients with severe hearing loss, and interest has shifted from implantation principles to the preservation of residual hearing following the procedure itself. As the audiological criteria for cochlear implant eligibility have expanded to include patients with good residual hearing, more attention is focused on complementary development of otoprotective agents, electrode design, and surgical approaches. The focus of this review is current aspects of preserving residual hearing through a summary of recent trends regarding surgical and pharmacological fundamentals. Subsequently, the assessment of new pharmacological options, novel bioactive molecules (neurotrophins, growth factors, etc.), nanoparticles, stem cells, and gene therapy are discussed.
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spelling doaj.art-b7890cf26173466fb02f644996386a132023-11-23T17:51:53ZengMDPI AGMedicina1010-660X1648-91442022-05-0158674710.3390/medicina58060747Current Concepts and Future Trends in Increasing the Benefits of Cochlear Implantation: A Narrative ReviewCristina Maria Blebea0Laszlo Peter Ujvary1Violeta Necula2Maximilian George Dindelegan3Maria Perde-Schrepler4Mirela Cristina Stamate5Marcel Cosgarea6Alma Aurelia Maniu7Department of Otorhinolaryngology, “Iuliu Hatieganu” University of Medicine and Pharmacy, 400347 Cluj Napoca, RomaniaDepartment of Otorhinolaryngology, “Iuliu Hatieganu” University of Medicine and Pharmacy, 400347 Cluj Napoca, RomaniaDepartment of Otorhinolaryngology, “Iuliu Hatieganu” University of Medicine and Pharmacy, 400347 Cluj Napoca, RomaniaDepartment of Otorhinolaryngology, “Iuliu Hatieganu” University of Medicine and Pharmacy, 400347 Cluj Napoca, RomaniaInstitute of Oncology “Prof.Dr. Ion Chiricuta”, 400015 Cluj Napoca, RomaniaDepartment of Otorhinolaryngology, “Iuliu Hatieganu” University of Medicine and Pharmacy, 400347 Cluj Napoca, RomaniaDepartment of Otorhinolaryngology, “Iuliu Hatieganu” University of Medicine and Pharmacy, 400347 Cluj Napoca, RomaniaDepartment of Otorhinolaryngology, “Iuliu Hatieganu” University of Medicine and Pharmacy, 400347 Cluj Napoca, RomaniaHearing loss is the most common neurosensory disorder, and with the constant increase in etiological factors, combined with early detection protocols, numbers will continue to rise. Cochlear implantation has become the gold standard for patients with severe hearing loss, and interest has shifted from implantation principles to the preservation of residual hearing following the procedure itself. As the audiological criteria for cochlear implant eligibility have expanded to include patients with good residual hearing, more attention is focused on complementary development of otoprotective agents, electrode design, and surgical approaches. The focus of this review is current aspects of preserving residual hearing through a summary of recent trends regarding surgical and pharmacological fundamentals. Subsequently, the assessment of new pharmacological options, novel bioactive molecules (neurotrophins, growth factors, etc.), nanoparticles, stem cells, and gene therapy are discussed.https://www.mdpi.com/1648-9144/58/6/747cochlear implanthearing lossdeafnessreviewnanomaterialsdexamethasone
spellingShingle Cristina Maria Blebea
Laszlo Peter Ujvary
Violeta Necula
Maximilian George Dindelegan
Maria Perde-Schrepler
Mirela Cristina Stamate
Marcel Cosgarea
Alma Aurelia Maniu
Current Concepts and Future Trends in Increasing the Benefits of Cochlear Implantation: A Narrative Review
Medicina
cochlear implant
hearing loss
deafness
review
nanomaterials
dexamethasone
title Current Concepts and Future Trends in Increasing the Benefits of Cochlear Implantation: A Narrative Review
title_full Current Concepts and Future Trends in Increasing the Benefits of Cochlear Implantation: A Narrative Review
title_fullStr Current Concepts and Future Trends in Increasing the Benefits of Cochlear Implantation: A Narrative Review
title_full_unstemmed Current Concepts and Future Trends in Increasing the Benefits of Cochlear Implantation: A Narrative Review
title_short Current Concepts and Future Trends in Increasing the Benefits of Cochlear Implantation: A Narrative Review
title_sort current concepts and future trends in increasing the benefits of cochlear implantation a narrative review
topic cochlear implant
hearing loss
deafness
review
nanomaterials
dexamethasone
url https://www.mdpi.com/1648-9144/58/6/747
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