Niedosłuch odbiorczy (głęboki)
Epidemiologia

Niedosłuch odbiorczy, zwłaszcza w stopniu głębokim, stanowi istotne wyzwanie zdrowotne globalnie, dotykając około 18% dorosłych w USA oraz 430 milionów osób na świecie, z prognozą wzrostu do 2,5 miliarda do 2050 roku. Wśród osób powyżej 60. roku życia częstość upośledzającego niedosłuchu przekracza 25%. Pomimo dostępności aparatów słuchowych, ich wykorzystanie pozostaje niskie – w USA jedynie 30% seniorów i 16% osób w wieku 20-69 lat z niedosłuchem korzysta z tych urządzeń. Implanty ślimakowe, wszczepione dotychczas ponad 1 milionowi pacjentów globalnie, są stosowane przez mniej niż 10% kwalifikujących się kandydatów, mimo że poprawiają rozumienie mowy 6-7-krotnie i są pokrywane przez Medicare oraz większość ubezpieczeń. Rozwój technologii implantów, w tym implantów hybrydowych, zakotwiczonych w kości (BAHA), ucha środkowego oraz pnia mózgu (ABI), rozszerza spektrum wskazań i grup wiekowych, z coraz częstszym wszczepianiem u dzieci i seniorów (średni wiek biorcy implantu to 65 lat).

  1. Charakterystyka niedosłuchu odbiorczego (głębokiego)
  2. Epidemiologia stosowania aparatów słuchowych
  3. Epidemiologia implantów ślimakowych
    1. Implanty ślimakowe – dane demograficzne i geograficzne
  4. Trendy w stosowaniu implantów słuchowych
    1. Nowe technologie implantów
  5. Nadzór nad implantami słuchowymi i aparatami słuchowymi
    1. Finansowanie i ubezpieczenia
  6. Programy monitorowania i nadzoru
    1. Programy narodowe dla pacjentów z implantami słuchowymi
  7. Wpływ implantów słuchowych na zdrowie publiczne
    1. Efektywność i wyniki kliniczne
    2. Porównanie efektywności aparatów słuchowych i implantów ślimakowych
    3. Wpływ na funkcje poznawcze i demencję
  8. Wyzwania i bariery w dostępie do implantów słuchowych
    1. Bariery ekonomiczne i dostępność
    2. Świadomość i edukacja
    3. Kontrowersje etyczne
  9. Przyszłość implantów słuchowych i nadzoru nad nimi
    1. Rozwój technologii
    2. Integracja z innymi technologiami
    3. Przyszłe kierunki badań i nadzoru
  10. Podsumowanie danych epidemiologicznych dotyczących implantów słuchowych
    1. Kolejne rozdziały

Charakterystyka niedosłuchu odbiorczego (głębokiego)

Niedosłuch odbiorczy (głęboki) stanowi poważny problem zdrowotny dotykający znaczącą część populacji. Według danych epidemiologicznych, około 18% dorosłych w Stanach Zjednoczonych cierpi z powodu różnego stopnia utraty słuchu, przy czym mężczyźni są niemal dwukrotnie częściej dotknięci tym problemem niż kobiety.1 Na całym świecie problem niedosłuchu dotyka około 430 milionów osób wymagających rehabilitacji słuchowej, w tym 34 miliony dzieci.2 Szacuje się, że do 2050 roku liczba osób z jakimkolwiek stopniem utraty słuchu wzrośnie do około 2,5 miliarda, z czego ponad 700 milionów będzie wymagało rehabilitacji słuchowej.3

Szczególnie niepokojący jest fakt, że około 80% osób z upośledzającym niedosłuchem mieszka w krajach o niskim i średnim dochodzie, co stanowi dodatkowe wyzwanie dla systemów opieki zdrowotnej.4 Częstość występowania niedosłuchu wzrasta z wiekiem – wśród osób powyżej 60 roku życia ponad 25% cierpi z powodu upośledzającego niedosłuchu.5 W przypadku dzieci, dane wskazują, że od 2 do 3 na 1000 urodzeń wiąże się z pewnym stopniem utraty słuchu w co najmniej jednym uchu.6

Epidemiologia stosowania aparatów słuchowych

Mimo powszechności niedosłuchu, wykorzystanie aparatów słuchowych pozostaje na stosunkowo niskim poziomie w stosunku do potrzeb. W Stanach Zjednoczonych około 28,8 miliona dorosłych mogłoby odnieść korzyść ze stosowania aparatów słuchowych.7 Jednakże wśród osób powyżej 70 roku życia z utratą słuchu, które mogłyby skorzystać z aparatów słuchowych, mniej niż 1 na 3 (30%) kiedykolwiek ich używała. Statystyki są jeszcze gorsze w przypadku dorosłych w wieku 20-69 lat, gdzie jedynie około 16% osób mogących skorzystać z aparatów słuchowych kiedykolwiek ich używało.89

Badania wykazują, że częstość stosowania aparatów słuchowych zwiększyła się w latach 2001-2012 z 25,2% do 30,1% wśród osób powyżej 70 roku życia z umiarkowanym lub większym niedosłuchem (35 dB HL), natomiast pozostała na niezmienionym poziomie około 16% dla dorosłych w wieku 20-69 lat.10 Dane te wskazują na znaczącą lukę w zaspokajaniu potrzeb osób z niedosłuchem, szczególnie w młodszych grupach wiekowych.

Epidemiologia implantów ślimakowych

Implanty ślimakowe stanowią alternatywną metodę rehabilitacji słuchu dla osób z głębokim niedosłuchem odbiorczym. Do lipca 2022 roku na całym świecie wszczepiono ponad 1 milion implantów ślimakowych. W Stanach Zjednoczonych wszczepiono około 118 100 urządzeń dorosłym i 65 000 dzieciom.11 Pomimo tego, tylko około 5% kwalifikujących się kandydatów korzysta z implantów ślimakowych, co wskazuje na znaczne niedostateczne wykorzystanie tej technologii.1213

Liczba zabiegów wszczepienia implantów ślimakowych wzrosła 2,5-krotnie w latach 2001-2012, podczas gdy ogólna częstość występowania wśród osób z ciężkim do głębokiego niedosłuchem (70 dB HL) wzrosła z 0,44% do 0,97%. Największa częstość występowania implantów ślimakowych dotyczyła dzieci w wieku przedszkolnym z ciężkim do głębokiego niedosłuchem, zwiększając się z 12,6% do 21,2%. Największy względny wzrost liczby operacji implantów ślimakowych dotyczył osób powyżej 65 roku życia z ciężkim do głębokiego niedosłuchem, zwiększając się 4-krotnie z 0,13% do 0,49%.14

Implanty ślimakowe – dane demograficzne i geograficzne

Według Narodowego Instytutu Zdrowia (NIH), ponad 41 000 dorosłych i prawie 26 000 dzieci w Stanach Zjednoczonych posiada implanty ślimakowe.15 Częstość stosowania implantów ślimakowych różni się znacząco w zależności od regionu geograficznego i dostępności opieki zdrowotnej. Szacuje się, że w Stanach Zjednoczonych około 1 miliona osób mogłoby odnieść korzyść z implantów ślimakowych, jednak obecnie korzysta z nich mniej niż 10% potencjalnych kandydatów.16

Warto zauważyć, że w niektórych ośrodkach medycznych liczba implantów ślimakowych jest znacząca – na przykład jeden z ośrodków zdrowia MUSC (Medical University of South Carolina) przeprowadza ponad 200 zabiegów wszczepienia implantów ślimakowych rocznie.17 Świadczy to o rosnącej dostępności i akceptacji tej technologii w niektórych ośrodkach specjalistycznych.

Trendy w stosowaniu implantów słuchowych

W ostatnich latach obserwuje się znaczący rozwój technologii implantów słuchowych, zarówno pod względem ich funkcjonalności, jak i zastosowania. Tradycyjnie implanty ślimakowe były przeznaczone dla osób z głębokim lub całkowitym niedosłuchem, jednak kryteria kwalifikacji pacjentów uległy znacznemu rozszerzeniu.18 Obecnie dorośli pacjenci mogą mieć jedynie umiarkowaną utratę słuchu w niskich częstotliwościach, przechodząc w głęboką utratę w średnich i wysokich częstotliwościach, a mimo to być doskonałymi kandydatami do implantu ślimakowego.19

Ważnym trendem jest również wzrost liczby wszczepień implantów ślimakowych u osób starszych. Nie istnieje górna granica wieku dla kwalifikacji do implantu ślimakowego, a średni wiek biorcy implantu ślimakowego wynosi 65 lat.20 Ponadto, implanty ślimakowe są coraz częściej wszczepiane u dzieci w bardzo młodym wieku, co wynika z lepszych wyników przy wczesnej interwencji.21

Nowe technologie implantów

Oprócz tradycyjnych implantów ślimakowych, rozwijane są również inne typy implantów słuchowych, takie jak:

  • Implanty hybrydowe – przeznaczone dla osób z łagodnym do umiarkowanego niedosłuchem w niskich częstotliwościach, które mogą odnosić pewne korzyści z tradycyjnego wzmocnienia, ale nadal mają trudności ze zrozumieniem słów.2223
  • Implanty zakotwiczone w kości (BAHA) – używane głównie w przypadku niedosłuchu przewodzeniowego lub jednostronnej głuchoty. Badania wskazują na wskaźniki powodzenia wynoszące 90% lub więcej.2425
  • Implanty ucha środkowego – opracowane do leczenia niedosłuchu przewodzeniowego i odbiorczego. Pacjenci z umiarkowanym do ciężkiego niedosłuchem odbiorczym mogą być dobrymi kandydatami do wszczepialnego urządzenia ucha środkowego.26
  • Implanty pnia mózgu (ABI) – modyfikacja implantu ślimakowego, w której matryca elektrod jest umieszczana bezpośrednio w mózgu. Jest to opcja dla pacjentów z głębokim, trwałym niedosłuchem i problemem z nerwem słuchowym.2728

Najnowszym trendem w rozwoju technologii implantów słuchowych jest dążenie do stworzenia w pełni wewnętrznego implantu ślimakowego. Obecnie implanty ślimakowe są tylko częściowo wszczepiane i polegają na zewnętrznym sprzęcie, który zazwyczaj znajduje się z boku głowy.29 Zespół badaczy z MIT, Massachusetts Eye and Ear, Harvard Medical School i Columbia University opracował wszczepialny mikrofon, który działa równie dobrze jak komercyjne zewnętrzne mikrofony aparatów słuchowych, co stanowi znaczący krok w kierunku stworzenia w pełni wewnętrznego implantu ślimakowego.30

Nadzór nad implantami słuchowymi i aparatami słuchowymi

Zarówno aparaty słuchowe, jak i implanty ślimakowe są regulowane przez Agencję ds. Żywności i Leków (FDA) jako wyroby medyczne.31 FDA zatwierdziła stosowanie implantów ślimakowych dla szerokiego zakresu pacjentów, w tym:

  • Osób z obustronnym niedosłuchem od połowy lat 80-tych32
  • Osób z jednostronnym niedosłuchem od lipca 2019 roku33
  • Osób ze słabymi wynikami rozumienia mowy przy stosowaniu odpowiednio dopasowanych aparatów słuchowych34

Istotną zmianą w nadzorze nad aparatami słuchowymi było wprowadzenie w październiku 2022 roku możliwości zakupu niektórych typów aparatów słuchowych przewodzenia powietrznego (noszonych wewnątrz lub za uchem) bez recepty dla dorosłych.35 Ma to na celu zwiększenie dostępności tych urządzeń dla szerszej grupy osób z niedosłuchem.

Finansowanie i ubezpieczenia

Kwestia finansowania aparatów słuchowych i implantów ślimakowych jest istotnym czynnikiem wpływającym na ich dostępność. W przeciwieństwie do aparatów słuchowych, implanty ślimakowe są zazwyczaj pokrywane przez Medicare oraz przez większość planów ubezpieczeniowych.3637 Według FDA, publiczni ubezpieczyciele zdrowotni, tacy jak Medicare, Medicaid i Stowarzyszenie Weteranów, oraz ponad 90% komercyjnych firm ubezpieczeniowych, pokrywają koszty implantów ślimakowych.38

Jednakże nie wszystkie plany ubezpieczeniowe pokrywają koszty aparatów słuchowych, co może stanowić barierę finansową dla wielu pacjentów.39 Średni koszt aparatów słuchowych może wynosić od 1 000 do 8 000 dolarów lub więcej, w zależności od wielu czynników, podczas gdy koszt zabiegów wszczepienia implantów może być znacznie wyższy.40

Programy monitorowania i nadzoru

W celu monitorowania trendów w zakresie stosowania aparatów słuchowych i implantów ślimakowych opracowano specjalne metody szacowania i śledzenia częstości ich występowania w populacji osób z niedosłuchem w Stanach Zjednoczonych.41 Takie programy są istotne dla oceny skuteczności interwencji zdrowotnych i planowania przyszłych działań w zakresie opieki nad osobami z niedosłuchem.

WHO pracuje nad promowaniem zintegrowanej, skoncentrowanej na ludziach opieki nad uchem i słuchem (IPC-EHC). Działania te obejmują kierowanie, wspieranie i pomaganie państwom członkowskim w zwiększaniu świadomości na temat problemów związanych z uchem i słuchem.42

Programy narodowe dla pacjentów z implantami słuchowymi

W wielu krajach istnieją specjalne programy narodowe zapewniające dostęp do implantów słuchowych. Na przykład w Irlandii kwalifikujący się pacjenci mogą otrzymać implanty ślimakowe bezpłatnie w ramach programu narodowego. Program oferuje ocenę i leczenie w szpitalu Beaumont w Dublinie. Czas oczekiwania na pierwszą wizytę może wynosić do 3 miesięcy dla dzieci i od 9 miesięcy do 1 roku dla dorosłych. Czas między pierwszą wizytą kliniczną a operacją może wynosić do 9 miesięcy dla dzieci i od 2 do 2,5 roku dla dorosłych.43

Ponadto, wiele uniwersytetów i ośrodków medycznych prowadzi specjalne programy implantów ślimakowych, które oferują szeroki zakres usług, w tym ocenę słuchu i diagnostykę, ocenę kwalifikacji do implantu ślimakowego, programowanie/mapowanie implantu ślimakowego, dopasowanie/programowanie aparatów słuchowych dla dzieci, badanie mowy i języka, terapię werbalną słuchową (AVT) oraz poradnictwo dla pacjentów i rodzin.44

Wpływ implantów słuchowych na zdrowie publiczne

Zastosowanie implantów ślimakowych i aparatów słuchowych ma istotny wpływ na zdrowie publiczne, wpływając na jakość życia osób z niedosłuchem oraz potencjalnie zapobiegając lub opóźniając rozwój innych problemów zdrowotnych.

Efektywność i wyniki kliniczne

Badania wykazują, że zarówno aparaty słuchowe, jak i implanty ślimakowe mogą znacząco poprawić jakość życia osób z niedosłuchem. Osoby korzystające z implantów ślimakowych zgłaszają poprawę w takich obszarach jak:

  • Słyszenie mowy bez wskazówek, takich jak czytanie z ust45
  • Słyszenie codziennych dźwięków i rozpoznawanie ich, w tym dźwięków ostrzegających o niebezpieczeństwie46
  • Możliwość słuchania w hałaśliwych miejscach47
  • Wiedza, skąd pochodzą dźwięki48
  • Oglądanie programów telewizyjnych i możliwość rozmowy przez telefon49

W przypadku dzieci, implanty ślimakowe mogą poprawić umiejętności dzieci głuchych z wczesnymi zaburzeniami rozwojowymi we wszystkich badanych umiejętnościach do prawie 25%.50 Badania wykazują również, że wyniki po wszczepieniu implantu ślimakowego są ogólnie dobre. Średnio pacjenci mogą oczekiwać poprawy zdolności rozumienia mowy i słów o około sześć do siedmiu razy w porównaniu do tego, co słyszeli przed operacją.51

Porównanie efektywności aparatów słuchowych i implantów ślimakowych

Wyniki badań sugerują, że w niektórych przypadkach implanty ślimakowe mogą przewyższać aparaty słuchowe pod względem efektywności, szczególnie w przypadku osób z ciężkim lub głębokim niedosłuchem. W jednym z badań porównano dwie grupy dzieci – z implantami ślimakowymi i aparatami słuchowymi. Obie grupy uzyskały maksymalne wyniki w percepcji mowy na poziomie konwersacyjnym. Jednakże grupa z aparatami słuchowymi wykazała znacznie niższą percepcję na poziomie cichej mowy (68%) niż grupa z implantami ślimakowymi (87%).52

Badania wykazują również zaskakująco obiecujące wyniki u dzieci głuchych, które otrzymują implanty ślimakowe w młodym wieku; osiągają one wyniki percepcji mowy lepsze niż dzieci z ciężkim niedosłuchem z aparatami słuchowymi.53 Jest to szczególnie istotne, ponieważ percepcja mowy jest ważnym warunkiem wstępnym dla rozwoju języka, czytania, wyników w nauce oraz dobrostanu społecznego i emocjonalnego.54

Wpływ na funkcje poznawcze i demencję

Badacze opublikowali wyniki sugerujące, że stosowanie aparatów słuchowych i implantów ślimakowych może zmniejszyć ryzyko rozwoju demencji poprzez spowolnienie pogorszenia funkcji poznawczych, takich jak utrata pamięci.55 Stosowanie tych urządzeń przez osoby z utratą słuchu zmniejszyło długoterminowe pogorszenie funkcji poznawczych o 19%. Ponadto, stosowanie tych urządzeń prowadziło do 3% poprawy wyników testów poznawczych, w tym zdolności rozwiązywania problemów.56

Jednakże u dzieci głuchych z implantami ślimakowymi, niektóre zadania związane z funkcjami wykonawczymi, takie jak pamięć robocza, przesunięcie poznawcze, planowanie i hamowanie, są słabo rozwinięte.57 Analiza wyników funkcji wykonawczych, skupiająca się na porównaniu grup z implantami ślimakowymi i aparatami słuchowymi z grupą normalną, wykazała różnicę między rozkładami dzieci z implantami ślimakowymi i dzieci rozwijających się typowo w trzech domenach: (1) planowanie oraz (2) krótko- i (3) długotrwałe zadania pamięci werbalnej.58

Wyzwania i bariery w dostępie do implantów słuchowych

Pomimo korzyści płynących z zastosowania implantów słuchowych, istnieje wiele wyzwań i barier ograniczających ich dostępność i wykorzystanie.

Bariery ekonomiczne i dostępność

Jednym z głównych wyzwań jest ograniczony dostęp do implantów słuchowych ze względu na ich koszt i ograniczone pokrycie przez ubezpieczenia zdrowotne, szczególnie w przypadku aparatów słuchowych. Chociaż implanty ślimakowe są zazwyczaj pokrywane przez Medicare i większość planów ubezpieczeniowych, nie wszystkie plany ubezpieczeniowe pokrywają koszty aparatów słuchowych.59

Ponadto, dostęp do specjalistycznej opieki zdrowotnej, w tym do audiologów i otolaryngologów, może być ograniczony, szczególnie w obszarach wiejskich lub krajach o niższym dochodzie. Jak wspomniano wcześniej, około 80% osób z upośledzającym niedosłuchem mieszka w krajach o niskim i średnim dochodzie.60

Świadomość i edukacja

Jedną z przeszkód w kierowaniu odpowiednich kandydatów do implantacji ślimakowej jest brak świadomości zarówno wśród specjalistów, jak i potencjalnych odbiorców, dotyczący aktualnych kryteriów kwalifikacji.61 W miarę jak kryteria implantacji ślimakowej rozszerzały się w porównaniu z tymi z przeszłości, wielu specjalistów zajmujących się dopasowywaniem aparatów słuchowych może nie być świadomych tych zmian.62

Istnieje potrzeba edukacji zarówno specjalistów, jak i ogółu społeczeństwa na temat korzyści płynących z wczesnej interwencji w przypadku utraty słuchu. Utrata słuchu typowo następuje stopniowo w czasie, a jednak większość ludzi nie udaje się do lekarza, dopóki problem nie zakłóca ich codziennego życia.63

Kontrowersje etyczne

Implanty ślimakowe są kontrowersyjne głównie w społeczności Głuchych, ponieważ niektórzy jej członkowie uważają, że implanty podważają kulturę Głuchych i język migowy.64 Wielu członków społeczności Głuchych uważa, że implanty ślimakowe są przejawem audyzmu, specyficznej formy ableizmu skierowanej przeciwko osobom z utratą słuchu.65

Ważne jest, aby być świadomym etycznych kontrowersji związanych z tymi urządzeniami. Niektórzy członkowie społeczności Głuchych uważają, że reprezentują one większy problem ableizmu i są próbą poprawy życia osób słyszących, a nie ich własnego.66

Przyszłość implantów słuchowych i nadzoru nad nimi

Przyszłość implantów słuchowych i nadzoru nad nimi obejmuje dalszy rozwój technologii, poprawę dostępu do opieki zdrowotnej oraz lepsze zrozumienie długoterminowych korzyści i ryzyka związanego z ich stosowaniem.

Rozwój technologii

Technologia implantów słuchowych stale się rozwija, oferując lepsze naturalne brzmienie, wzmocnienie i eliminację szumów tła.67 Jednym z najbardziej ekscytujących obszarów rozwoju jest dążenie do stworzenia w pełni wszczepialnego implantu ślimakowego, który eliminowałby potrzebę stosowania zewnętrznych komponentów.68

Firma Envoy Medical prowadzi obecnie badania kliniczne testujące swój produkt Acclaim, który jest w pełni wszczepialnym implantem ślimakowym dla dorosłych.69 Medical University of South Carolina będzie pierwszym ośrodkiem badań klinicznych w kraju, który przetestuje nowy rodzaj implantu ślimakowego dla dorosłych z utratą słuchu.70

Integracja z innymi technologiami

Innym ważnym trendem jest integracja implantów słuchowych z innymi technologiami, takimi jak urządzenia do streamingu audio. Na przykład, Amazon i Cochlear opracowali rozwiązanie umożliwiające użytkownikom implantów Cochlear strumieniowe przesyłanie dźwięku z telewizorów Amazon Smart TV bezpośrednio do implantów słuchowych Cochlear za pośrednictwem protokołu Audio Streaming for Hearing Aids (ASHA).71

Pozwala to użytkownikom implantów Cochlear na wygodniejsze oglądanie filmów i odcinków programów telewizyjnych dostępnych w serwisach Netflix, Prime Video i innych usługach streamingowych, a także w lokalnych sieciach telewizyjnych.72 Znaleziono sposób na ominięcie mikrofonów implantów, strumieniowe przesyłanie dźwięku z Fire TV bezpośrednio do implantów i zapobieganie degradacji dźwięku przez hałas i echo.73

Przyszłe kierunki badań i nadzoru

Przyszłe badania będą się koncentrować na dalszym udoskonalaniu technologii implantów słuchowych, rozszerzaniu kryteriów kwalifikacji pacjentów oraz lepszym zrozumieniu długoterminowych korzyści i ryzyka związanego z ich stosowaniem. Badania będą również dążyć do lepszego zrozumienia, w jaki sposób utrata słuchu wpływa na ryzyko rozwoju demencji i innych problemów poznawczych.74

Ważnym aspektem przyszłego nadzoru nad implantami słuchowymi będzie również zapewnienie, że osoby z utratą słuchu mają dostęp do badań słuchu, jeśli obawiają się o swój słuch, aby można było zaoferować odpowiednie wsparcie, takie jak aparaty słuchowe, na wczesnym etapie, co pomoże utrzymać zdrowie mózgu.75

Typ urządzenia Wskazania Grupa wiekowa Pokrycie ubezpieczeniowe Skuteczność
Aparat słuchowy Łagodna do umiarkowanej utrata słuchu Dzieci i dorośli Ograniczone pokrycie przez większość ubezpieczycieli Wysoka dla łagodnej do umiarkowanej utraty słuchu
Implant ślimakowy Ciężka do głębokiej utrata słuchu, gdy aparaty słuchowe nie przynoszą korzyści Dzieci od 9 miesiąca życia, dorośli bez górnej granicy wieku Pokrywane przez Medicare i większość planów ubezpieczeniowych (>90%) 6-7 krotna poprawa rozumienia mowy
Implant hybrydowy Łagodna do umiarkowanej utrata słuchu w niskich częstotliwościach Dorośli Zróżnicowane pokrycie Wysoka dla specyficznych przypadków utraty słuchu
Implant zakotwiczony w kości (BAHA) Niedosłuch przewodzeniowy, jednostronna głuchota Dzieci od 5 roku życia, dorośli Pokrywane przez większość ubezpieczycieli Wskaźniki powodzenia 90% lub wyższe
Implant ucha środkowego Niedosłuch przewodzeniowy i odbiorczy Dzieci od 12 roku życia, dorośli Zróżnicowane pokrycie Wysoka dla specyficznych przypadków
Implant pnia mózgu (ABI) Głęboki niedosłuch z problemem nerbu słuchowego Osoby od 12 roku życia Pokrywane dla określonych wskazań Zróżnicowana, zależna od indywidualnego przypadku

Podsumowanie danych epidemiologicznych dotyczących implantów słuchowych

Niedosłuch odbiorczy (głęboki) stanowi poważny problem zdrowia publicznego, dotykający znaczącą część populacji na całym świecie. Dane epidemiologiczne wskazują na rosnącą prevalencję tego schorzenia, szczególnie wśród osób starszych. Pomimo dostępności różnych opcji rehabilitacji słuchowej, takich jak aparaty słuchowe i implanty ślimakowe, wiele osób mogących odnieść korzyść z tych technologii nie ma do nich dostępu lub z nich nie korzysta.7677

Trendy w stosowaniu implantów słuchowych wskazują na powolny, ale stały wzrost ich wykorzystania, szczególnie wśród osób starszych i dzieci z głębokim niedosłuchem. Rozwój technologii implantów słuchowych, rozszerzenie kryteriów kwalifikacji pacjentów oraz większa świadomość korzyści płynących z wczesnej interwencji w przypadku utraty słuchu mogą przyczynić się do dalszego zwiększenia ich wykorzystania.7879

Przyszłe badania i nadzór nad implantami słuchowymi powinny koncentrować się na poprawie dostępu do tych technologii, szczególnie w krajach o niskim i średnim dochodzie, lepszym zrozumieniu długoterminowych korzyści i ryzyka związanego z ich stosowaniem oraz dalszym rozwoju technologii w celu poprawy jakości życia osób z niedosłuchem.8081

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  1. 13.04.2026
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Materiały źródłowe

  • #1 Cochlear implants for hearing loss: Myths vs. reality | ENT | Prevention | UT Southwestern Medical Center
    https://utswmed.org/medblog/cochlear-implants-hearing-loss-myths-vs-reality/
    Hearing loss is among the most common health-related obstacles in the U.S., affecting approximately 18% of adults, with nearly two men affected for every woman. One in eight people in the U.S. age 12 and older have double-sided hearing loss (in both ears). […] Among these patients, nearly 1 million could benefit from cochlear implants a surgically implanted device that can restore up to 80% word recognition and substantial hearing sensation in patients with severe to profound hearing loss. […] The U.S. Food and Drug Administration has approved cochlear implants for a wide range of patients, including those with double-sided hearing loss, since the mid-1980s, single-sided hearing loss, as of July 2019, and poor speech comprehension scores while using properly fit hearing aids. […] More than 41,000 adults and nearly 26,000 children in the U.S. have cochlear implants, according to the National Institutes of Health (NIH). […] Whether a patient is born with severe or profound hearing loss or developed it later in life due to illness, injury, or aging cochlear implants are a major audiology advancement that can greatly improve communication and quality of life.
  • #2
    https://www.who.int/news-room/fact-sheets/detail/deafness-and-hearing-loss
    By 2050, nearly 2.5 billion people are projected to have some degree of hearing loss, and more than 700 million will require hearing rehabilitation. […] Over 5% of the worlds population or 430 million people require rehabilitation to address their disabling hearing loss (including 34 million children). […] It is estimated that by 2050 over 700 million people or 1 in every 10 people will have disabling hearing loss. […] Nearly 80% of people with disabling hearing loss live in low- and middle-income countries. […] The prevalence of hearing loss increases with age, among those older than 60 years, over 25% are affected by disabling hearing loss. […] Hard of hearing refers to people with hearing loss ranging from mild to severe. […] People who are hard of hearing usually communicate through spoken language and can benefit from hearing aids, cochlear implants, and other assistive devices as well as captioning.
  • #3
    https://www.who.int/news-room/fact-sheets/detail/deafness-and-hearing-loss
    By 2050, nearly 2.5 billion people are projected to have some degree of hearing loss, and more than 700 million will require hearing rehabilitation. […] Over 5% of the worlds population or 430 million people require rehabilitation to address their disabling hearing loss (including 34 million children). […] It is estimated that by 2050 over 700 million people or 1 in every 10 people will have disabling hearing loss. […] Nearly 80% of people with disabling hearing loss live in low- and middle-income countries. […] The prevalence of hearing loss increases with age, among those older than 60 years, over 25% are affected by disabling hearing loss. […] Hard of hearing refers to people with hearing loss ranging from mild to severe. […] People who are hard of hearing usually communicate through spoken language and can benefit from hearing aids, cochlear implants, and other assistive devices as well as captioning.
  • #4
    https://www.who.int/news-room/fact-sheets/detail/deafness-and-hearing-loss
    By 2050, nearly 2.5 billion people are projected to have some degree of hearing loss, and more than 700 million will require hearing rehabilitation. […] Over 5% of the worlds population or 430 million people require rehabilitation to address their disabling hearing loss (including 34 million children). […] It is estimated that by 2050 over 700 million people or 1 in every 10 people will have disabling hearing loss. […] Nearly 80% of people with disabling hearing loss live in low- and middle-income countries. […] The prevalence of hearing loss increases with age, among those older than 60 years, over 25% are affected by disabling hearing loss. […] Hard of hearing refers to people with hearing loss ranging from mild to severe. […] People who are hard of hearing usually communicate through spoken language and can benefit from hearing aids, cochlear implants, and other assistive devices as well as captioning.
  • #5
    https://www.who.int/news-room/fact-sheets/detail/deafness-and-hearing-loss
    By 2050, nearly 2.5 billion people are projected to have some degree of hearing loss, and more than 700 million will require hearing rehabilitation. […] Over 5% of the worlds population or 430 million people require rehabilitation to address their disabling hearing loss (including 34 million children). […] It is estimated that by 2050 over 700 million people or 1 in every 10 people will have disabling hearing loss. […] Nearly 80% of people with disabling hearing loss live in low- and middle-income countries. […] The prevalence of hearing loss increases with age, among those older than 60 years, over 25% are affected by disabling hearing loss. […] Hard of hearing refers to people with hearing loss ranging from mild to severe. […] People who are hard of hearing usually communicate through spoken language and can benefit from hearing aids, cochlear implants, and other assistive devices as well as captioning.
  • #6 Why Cochlear Implants Are Bad: Exploring the Controversy
    https://www.healthline.com/health/why-cochlear-implants-are-bad
    According to the Centers for Disease Control and Prevention (CDC), roughly 2 to 3 out of every 1,000 children in the United States are born with some form of hearing loss in at least one ear. Meanwhile, the Journal of American Medical Association (JAMA) estimates that roughly 1 in 8 Americans or 13% of the population ages 12 and older have hearing loss in both ears. […] Cochlear implants aren’t the same as hearing aids, as these devices are designed to bypass damaged parts of the inner ear to stimulate your auditory nerve directly. By contrast, hearing aids amplify external sounds. […] Note that the statistical risk of contracting meningitis from a cochlear implant is low and can be prevented. […] Just because a person has partial or complete hearing loss doesn’t mean that they’re automatically a good candidate for this surgery.
  • #7 Quick Statistics About Hearing, Balance, & Dizziness | NIDCD
    https://www.nidcd.nih.gov/health/statistics/quick-statistics-hearing
    About 28.8 million U.S. adults could benefit from using hearing aids. […] Among adults ages 70 and older with hearing loss who could benefit from hearing aids, fewer than 1 in 3 (30%) has ever used them. Even fewer adults ages 20-69 (approximately 16%) who could benefit from wearing hearing aids have ever used them. […] As of July 2022, more than 1 million cochlear implants have been implanted worldwide. In the United States, roughly 118,100 devices have been implanted in adults and 65,000 in children.
  • #8 Quick Statistics About Hearing, Balance, & Dizziness | NIDCD
    https://www.nidcd.nih.gov/health/statistics/quick-statistics-hearing
    About 28.8 million U.S. adults could benefit from using hearing aids. […] Among adults ages 70 and older with hearing loss who could benefit from hearing aids, fewer than 1 in 3 (30%) has ever used them. Even fewer adults ages 20-69 (approximately 16%) who could benefit from wearing hearing aids have ever used them. […] As of July 2022, more than 1 million cochlear implants have been implanted worldwide. In the United States, roughly 118,100 devices have been implanted in adults and 65,000 in children.
  • #9 Hearing Health Company | Hearing Loss and Devices | Envoy Medical
    https://www.envoymedical.com/
    15% of American adults (37.5 million) aged 18 and over report trouble hearing. […] Fewer than one in three (30 percent) of adults aged 70 and older have used hearing aids and even fewer adults aged 20 to 69 (approximately 16 percent) who could benefit from wearing hearing aids have used them. […] Of the estimated 1.4 to 4 million potential users in the United States who could benefit from cochlear implants, only five percent of eligible candidates use cochlear implants.
  • #10 2015 APHA Annual Meeting & Expo (Oct. 31 – Nov. 4, 2015): Hearing impairment rehabilitation through use of hearing aids and cochlear implants: Monitoring trends in age-specific prevalence for U.S. Healthy People 2020
    https://apha.confex.com/apha/143am/webprogram/Paper330239.html
    Hearing healthcare goals include increasing rehabilitation through hearing aid (HA) use, cochlear implants (CIs), and other assistive listening devices. […] In 2007, 28.6% of adults aged 20-69 years reported a hearing examination in the past 5 years; 38.5% for adults 70+ years. Prevalence of HA use, 2001-2012, increased from 25.2% to 30.1% among adults aged 70+ years with moderate-or-greater hearing impairment (HI), 35 dB hearing level (HL); however, HA prevalence remained unchanged at about 16% for adults aged 20-69 years. […] CI surgeries increased 2.5-fold from 2001-2012, while overall prevalence among severe-to-profound HI (70 dB HL) individuals rose from 0.44% to 0.97%. The highest prevalence of CIs was for preschool-aged children with severe-to-profound HI, increasing from 12.6% to 21.2%. […] The largest relative increase in CI surgeries was for severe-to-profound HI adults aged 65+ years, increasing 4-fold from 0.13% to 0.49%. […] This report describes new methods developed for estimating and tracking the prevalence of HA use and CIs for the U.S. HI population.
  • #11 Quick Statistics About Hearing, Balance, & Dizziness | NIDCD
    https://www.nidcd.nih.gov/health/statistics/quick-statistics-hearing
    About 28.8 million U.S. adults could benefit from using hearing aids. […] Among adults ages 70 and older with hearing loss who could benefit from hearing aids, fewer than 1 in 3 (30%) has ever used them. Even fewer adults ages 20-69 (approximately 16%) who could benefit from wearing hearing aids have ever used them. […] As of July 2022, more than 1 million cochlear implants have been implanted worldwide. In the United States, roughly 118,100 devices have been implanted in adults and 65,000 in children.
  • #12 Hearing Health Company | Hearing Loss and Devices | Envoy Medical
    https://www.envoymedical.com/
    15% of American adults (37.5 million) aged 18 and over report trouble hearing. […] Fewer than one in three (30 percent) of adults aged 70 and older have used hearing aids and even fewer adults aged 20 to 69 (approximately 16 percent) who could benefit from wearing hearing aids have used them. […] Of the estimated 1.4 to 4 million potential users in the United States who could benefit from cochlear implants, only five percent of eligible candidates use cochlear implants.
  • #13 Cochlear Implant Clinic Los Angeles | Pacific Hearing, Inc.
    https://pacifichearinginc.com/services/cochlear-implant/
    Cochlear implants are recommended when a person cannot hear well with hearing aids, or with significant hearing loss in just one ear. The Food and Drug Administration (FDA) has approved the use of cochlear implants for adults who meet specified criteria. Cochlear implant criteria have expanded over the past years! But, shockingly, only 5% of patients who would benefit from a cochlear implant receive them. […] The purpose of the cochlear implant evaluation is to obtain a comprehensive view of how an individual is performing with optimally fit hearing aids so we can determine if a surgical approach is best suited for the patient. The evaluation does not mean you must have surgery. During the process, we obtain diagnostic information to determine implant candidacy based on FDA criteria. […] The cochlear implant surgery is a 12-hour, outpatient procedure (the patient will return home the day of the procedure), that involves making an incision behind the ear.
  • #14 2015 APHA Annual Meeting & Expo (Oct. 31 – Nov. 4, 2015): Hearing impairment rehabilitation through use of hearing aids and cochlear implants: Monitoring trends in age-specific prevalence for U.S. Healthy People 2020
    https://apha.confex.com/apha/143am/webprogram/Paper330239.html
    Hearing healthcare goals include increasing rehabilitation through hearing aid (HA) use, cochlear implants (CIs), and other assistive listening devices. […] In 2007, 28.6% of adults aged 20-69 years reported a hearing examination in the past 5 years; 38.5% for adults 70+ years. Prevalence of HA use, 2001-2012, increased from 25.2% to 30.1% among adults aged 70+ years with moderate-or-greater hearing impairment (HI), 35 dB hearing level (HL); however, HA prevalence remained unchanged at about 16% for adults aged 20-69 years. […] CI surgeries increased 2.5-fold from 2001-2012, while overall prevalence among severe-to-profound HI (70 dB HL) individuals rose from 0.44% to 0.97%. The highest prevalence of CIs was for preschool-aged children with severe-to-profound HI, increasing from 12.6% to 21.2%. […] The largest relative increase in CI surgeries was for severe-to-profound HI adults aged 65+ years, increasing 4-fold from 0.13% to 0.49%. […] This report describes new methods developed for estimating and tracking the prevalence of HA use and CIs for the U.S. HI population.
  • #15 Cochlear implants for hearing loss: Myths vs. reality | ENT | Prevention | UT Southwestern Medical Center
    https://utswmed.org/medblog/cochlear-implants-hearing-loss-myths-vs-reality/
    Hearing loss is among the most common health-related obstacles in the U.S., affecting approximately 18% of adults, with nearly two men affected for every woman. One in eight people in the U.S. age 12 and older have double-sided hearing loss (in both ears). […] Among these patients, nearly 1 million could benefit from cochlear implants a surgically implanted device that can restore up to 80% word recognition and substantial hearing sensation in patients with severe to profound hearing loss. […] The U.S. Food and Drug Administration has approved cochlear implants for a wide range of patients, including those with double-sided hearing loss, since the mid-1980s, single-sided hearing loss, as of July 2019, and poor speech comprehension scores while using properly fit hearing aids. […] More than 41,000 adults and nearly 26,000 children in the U.S. have cochlear implants, according to the National Institutes of Health (NIH). […] Whether a patient is born with severe or profound hearing loss or developed it later in life due to illness, injury, or aging cochlear implants are a major audiology advancement that can greatly improve communication and quality of life.
  • #16 Unidentified and Underserved: Cochlear Implant Candidates in the Hearing Aid Dispensing Practice – Article 876
    https://www.audiologyonline.com/articles/unidentified-and-underserved-cochlear-implant-876
    Unidentified and Underserved: Cochlear Implant Candidates in the Hearing Aid Dispensing Practice […] The vast majority of patients with hearing loss visiting a typical audiology private practice or hearing aid dispensing office can be helped with hearing aids. […] In the case of severe-to-profound hearing loss, professionals need to provide information on cochlear implants for those who might benefit. […] Cochlear implant candidacy has changed over the years, just as cochlear implant technology has developed and improved. […] For the appropriate candidates, cochlear implants may offer the chance at vast improvement in speech recognition over what even the best hearing aids and assistive technology offers them. […] In addition to providing basic information on cochlear implant performance and issues surrounding the cochlear implant process, some current data indicating a lack of referrals for cochlear implant evaluations will be presented. […] Cochlear implants can be a solution for those who do not benefit or are no longer satisfied with the limited benefit they receive from hearing aids. […] Unlike hearing aids, the audiological candidacy criteria for cochlear implantation are well defined as approved by the FDA; it is based on the pure-tone audiogram and the patients’ aided speech recognition scores. […] The criteria for cochlear implantation have changed dramatically over the years. […] The fact that the audiologic criteria for cochlear implant candidacy have expanded compared with those of the past is especially important information for professionals who dispense hearing aids, who may not be aware of the information. […] Adult patients can have only moderate hearing loss in the low frequencies, sloping to profound loss in the mid to high frequencies, and still be excellent candidates for a cochlear implant. […] There is no upper age limit for cochlear implant candidacy. […] Performance with cochlear implants is much better today than it was 25 years ago. […] It is because of these improved outcomes that the criteria for implantation have expanded. […] One obstacle to referral of appropriate candidates for cochlear implantation is lack of awareness by both professionals and potential recipients of current candidacy criteria. […] Given the number of current recipients versus the number of people who are candidates as discussed in the next section, these numbers seem low. […] The exact number of people who can benefit from cochlear implants can only be estimated. […] A reasonable estimate may be 1,000,000 people in the U.S. could benefit from cochlear implants. […] It is likely that less than 10% of the people who could benefit from a cochlear implant actually have one. […] The bottom line is that both groups are significantly underserved, and it is the responsibility of everyone who fits hearing aids to know who, when and where to refer potential implant candidates. […] The first step for professionals is to be familiar with FDA-approved cochlear implant criteria. […] It is every dispensing professional’s responsibility to know this information and overcome these obstacles in order to provide appropriate patients with their options for treatment.
  • #17 MUSC to lead way in trial involving totally under-the-skin cochlear implants | MUSC | Charleston, SC
    https://web.musc.edu/about/news-center/2025/02/07/musc-to-lead-way-in-trial-involving-totally-under-the-skin-cochlear-implants
    The Medical University of South Carolina will be the first clinical trial site in the country to test a new kind of cochlear implant for adults with hearing loss. […] The trial will focus on testing whether the Acclaim implants are able to help people with severe to profound sensorineural hearing loss. A sensorineural condition is caused by damage to the auditory nerve or cochlea (inner ear). […] McRackan said MUSC Health has one of the bigger cochlear implant programs in the country and is well-equipped to implant and monitor the devices. We’re seeing more and more implants done every year. We do over 200 cochlear implants at our center each year. And the outcomes are just getting better and better.
  • #18 Unidentified and Underserved: Cochlear Implant Candidates in the Hearing Aid Dispensing Practice – Article 876
    https://www.audiologyonline.com/articles/unidentified-and-underserved-cochlear-implant-876
    Unidentified and Underserved: Cochlear Implant Candidates in the Hearing Aid Dispensing Practice […] The vast majority of patients with hearing loss visiting a typical audiology private practice or hearing aid dispensing office can be helped with hearing aids. […] In the case of severe-to-profound hearing loss, professionals need to provide information on cochlear implants for those who might benefit. […] Cochlear implant candidacy has changed over the years, just as cochlear implant technology has developed and improved. […] For the appropriate candidates, cochlear implants may offer the chance at vast improvement in speech recognition over what even the best hearing aids and assistive technology offers them. […] In addition to providing basic information on cochlear implant performance and issues surrounding the cochlear implant process, some current data indicating a lack of referrals for cochlear implant evaluations will be presented. […] Cochlear implants can be a solution for those who do not benefit or are no longer satisfied with the limited benefit they receive from hearing aids. […] Unlike hearing aids, the audiological candidacy criteria for cochlear implantation are well defined as approved by the FDA; it is based on the pure-tone audiogram and the patients’ aided speech recognition scores. […] The criteria for cochlear implantation have changed dramatically over the years. […] The fact that the audiologic criteria for cochlear implant candidacy have expanded compared with those of the past is especially important information for professionals who dispense hearing aids, who may not be aware of the information. […] Adult patients can have only moderate hearing loss in the low frequencies, sloping to profound loss in the mid to high frequencies, and still be excellent candidates for a cochlear implant. […] There is no upper age limit for cochlear implant candidacy. […] Performance with cochlear implants is much better today than it was 25 years ago. […] It is because of these improved outcomes that the criteria for implantation have expanded. […] One obstacle to referral of appropriate candidates for cochlear implantation is lack of awareness by both professionals and potential recipients of current candidacy criteria. […] Given the number of current recipients versus the number of people who are candidates as discussed in the next section, these numbers seem low. […] The exact number of people who can benefit from cochlear implants can only be estimated. […] A reasonable estimate may be 1,000,000 people in the U.S. could benefit from cochlear implants. […] It is likely that less than 10% of the people who could benefit from a cochlear implant actually have one. […] The bottom line is that both groups are significantly underserved, and it is the responsibility of everyone who fits hearing aids to know who, when and where to refer potential implant candidates. […] The first step for professionals is to be familiar with FDA-approved cochlear implant criteria. […] It is every dispensing professional’s responsibility to know this information and overcome these obstacles in order to provide appropriate patients with their options for treatment.
  • #19 Unidentified and Underserved: Cochlear Implant Candidates in the Hearing Aid Dispensing Practice – Article 876
    https://www.audiologyonline.com/articles/unidentified-and-underserved-cochlear-implant-876
    Unidentified and Underserved: Cochlear Implant Candidates in the Hearing Aid Dispensing Practice […] The vast majority of patients with hearing loss visiting a typical audiology private practice or hearing aid dispensing office can be helped with hearing aids. […] In the case of severe-to-profound hearing loss, professionals need to provide information on cochlear implants for those who might benefit. […] Cochlear implant candidacy has changed over the years, just as cochlear implant technology has developed and improved. […] For the appropriate candidates, cochlear implants may offer the chance at vast improvement in speech recognition over what even the best hearing aids and assistive technology offers them. […] In addition to providing basic information on cochlear implant performance and issues surrounding the cochlear implant process, some current data indicating a lack of referrals for cochlear implant evaluations will be presented. […] Cochlear implants can be a solution for those who do not benefit or are no longer satisfied with the limited benefit they receive from hearing aids. […] Unlike hearing aids, the audiological candidacy criteria for cochlear implantation are well defined as approved by the FDA; it is based on the pure-tone audiogram and the patients’ aided speech recognition scores. […] The criteria for cochlear implantation have changed dramatically over the years. […] The fact that the audiologic criteria for cochlear implant candidacy have expanded compared with those of the past is especially important information for professionals who dispense hearing aids, who may not be aware of the information. […] Adult patients can have only moderate hearing loss in the low frequencies, sloping to profound loss in the mid to high frequencies, and still be excellent candidates for a cochlear implant. […] There is no upper age limit for cochlear implant candidacy. […] Performance with cochlear implants is much better today than it was 25 years ago. […] It is because of these improved outcomes that the criteria for implantation have expanded. […] One obstacle to referral of appropriate candidates for cochlear implantation is lack of awareness by both professionals and potential recipients of current candidacy criteria. […] Given the number of current recipients versus the number of people who are candidates as discussed in the next section, these numbers seem low. […] The exact number of people who can benefit from cochlear implants can only be estimated. […] A reasonable estimate may be 1,000,000 people in the U.S. could benefit from cochlear implants. […] It is likely that less than 10% of the people who could benefit from a cochlear implant actually have one. […] The bottom line is that both groups are significantly underserved, and it is the responsibility of everyone who fits hearing aids to know who, when and where to refer potential implant candidates. […] The first step for professionals is to be familiar with FDA-approved cochlear implant criteria. […] It is every dispensing professional’s responsibility to know this information and overcome these obstacles in order to provide appropriate patients with their options for treatment.
  • #20 Cochlear implants: What are they and how do they work?
    https://www.healthyhearing.com/help/hearing-aids/cochlear-implants
    Cochlear implants are medical devices for people with severe or profound hearing loss. They are an alternative to hearing aids. […] Cochlear implants are complex medical devices that work differently than hearing aids. Rather than amplifying sound which helps a person with residual hearing ability, a cochlear implant provides the sense of sound by stimulating the auditory nerve directly. […] Cochlear implants do not cure hearing loss or restore hearing, but they do provide an opportunity for the severely hard of hearing or deaf to perceive the sensation of sound by bypassing the damaged inner ear. […] Adults may qualify for cochlear implantation regardless of whether they lost their hearing before or after learning language. […] Yes, older adults can absolutely get cochlear implants, too. In fact, the average age of a cochlear implant recipient is 65, but even seniors over 100 years old can be candidates!
  • #21 Hearing aids vs. cochlear implants: What’s the difference?
    https://www.medicalnewstoday.com/articles/hearing-aids-vs-cochlear-implants
    Hearing aids and cochlear implants can amplify sounds and make them easier for people to hear. Hearing aids do not need surgery, but cochlear implants do. […] Cochlear implants are small devices that sit behind the ear, with one part surgically inserted underneath the skin with strings or electrode arrays placed in the ears cochlea. Surgeons fit this by drilling the skull to anchor the implant. […] Cochlear implants directly stimulate the auditory nerve, which the brain interprets as sound. […] Additionally, the National Institute of Deafness and Other Communication Disorders states that infants under 18 months old with profound hearing loss may benefit more from cochlear implants. A 2019 review found that implantations on infants early in life resulted in better outcomes, allowing them to learn language and understand speech.
  • #22 Implantable Hearing Devices | Shohet Ear Associates | Audiologist, Hearing Aids in Orange County
    https://www.eardoctor.org/hearing-devices/implantable-hearing-devices/
    Patients with moderate to severe sensorineural hearing loss may be good candidates for an implantable middle ear device. […] Several types of devices can be considered implantable hearing devices. […] Cochlear implants are designed for people with severe-to-profound sensorineural hearing loss. […] Cochlear implants, on the other hand, help those who can no longer achieve audibility, loudness comfort and clarity with their hearing aids. […] A hybrid cochlear implant is for people with mild to moderate hearing loss in the low frequencies and that may have some benefit from traditional amplification but continue to still struggle with word understanding. […] Bone-anchored hearing devices are used primarily for conductive hearing loss or single-sided deafness. […] Implantable middle-ear hearing devices were developed to treat conductive and sensorineural hearing loss.
  • #23 Cochlear Implants and Auditory Brainstem Implants – Medical Clinical Policy Bulletins | Aetna
    https://www.aetna.com/cpb/medical/data/1_99/0013.html
    The Nucleus Hybrid L24 Cochlear Implant System combines the functions of a CI and a hearing aid. […] The approval was based on clinical data from a prospective, non-randomized, non-blinded repeated measures study with 40 participants ages 18 and older to evaluate speech perception in quiet and noise, sound localization and quality of life. […] The authors concluded that this study found an improvement in QOL and a favorable cost-utility associated with bilateral cochlear implantation in patients with profound hearing loss.
  • #24 Bone-Anchored Hearing Aids (BAHA)
    https://my.clevelandclinic.org/health/treatments/14794-bone-anchored-auditory-implant
    BAHA hearing aids may work for people with: […] BAHA hearing aids offer impressive results. Research studies indicate success rates of 90% or higher. […] Bone-anchored hearing aids use bone conduction rather than amplification to restore hearing in people with certain ear conditions and types of hearing loss. BAHA devices are minimally invasive and have high success rates.
  • #25 Implantable Hearing Devices | Shohet Ear Associates | Audiologist, Hearing Aids in Orange County
    https://www.eardoctor.org/hearing-devices/implantable-hearing-devices/
    Patients with moderate to severe sensorineural hearing loss may be good candidates for an implantable middle ear device. […] Several types of devices can be considered implantable hearing devices. […] Cochlear implants are designed for people with severe-to-profound sensorineural hearing loss. […] Cochlear implants, on the other hand, help those who can no longer achieve audibility, loudness comfort and clarity with their hearing aids. […] A hybrid cochlear implant is for people with mild to moderate hearing loss in the low frequencies and that may have some benefit from traditional amplification but continue to still struggle with word understanding. […] Bone-anchored hearing devices are used primarily for conductive hearing loss or single-sided deafness. […] Implantable middle-ear hearing devices were developed to treat conductive and sensorineural hearing loss.
  • #26 Implantable Hearing Devices | Shohet Ear Associates | Audiologist, Hearing Aids in Orange County
    https://www.eardoctor.org/hearing-devices/implantable-hearing-devices/
    Patients with moderate to severe sensorineural hearing loss may be good candidates for an implantable middle ear device. […] Several types of devices can be considered implantable hearing devices. […] Cochlear implants are designed for people with severe-to-profound sensorineural hearing loss. […] Cochlear implants, on the other hand, help those who can no longer achieve audibility, loudness comfort and clarity with their hearing aids. […] A hybrid cochlear implant is for people with mild to moderate hearing loss in the low frequencies and that may have some benefit from traditional amplification but continue to still struggle with word understanding. […] Bone-anchored hearing devices are used primarily for conductive hearing loss or single-sided deafness. […] Implantable middle-ear hearing devices were developed to treat conductive and sensorineural hearing loss.
  • #27 Cochlear Implants and Auditory Brainstem Implants – Medical Clinical Policy Bulletins | Aetna
    https://www.aetna.com/cpb/medical/data/1_99/0013.html
    The cochlear implant is an electronic prosthesis that stimulates cells of the auditory spiral ganglion to provide a sense of sound to persons with hearing impairment. […] The Centers for Medicare and Medicaid Services (2005) has determined that the evidence is adequate to conclude that cochlear implantation is reasonable and necessary for the treatment of bilateral pre- or post-linguistic, sensorineural, moderate-to-profound hearing loss in individuals who demonstrate limited benefit from amplification. […] For adults and children, a post-cochlear implant rehabilitation program is medically necessary to achieve benefit from the cochlear implant. […] The auditory brainstem implant (ABI) is a modification of the cochlear implant, in which the electrode array is placed directly into the brain.
  • #28 Hearing aids and implants
    https://www.nhs.uk/conditions/hearing-aids-and-implants/
    Hearing aids and implants are available for individuals with hearing loss. […] Common types of implant include bone anchored hearing aids, cochlear implants, auditory brainstem implants and middle ear implants. […] A cochlear implant may be an option if you have severe, permanent hearing loss that is not helped by hearing aids. […] An auditory brainstem implant (ABI) may be an option if you have severe, permanent hearing loss and a problem with your auditory nerve. […] A middle ear implant (MEI) may be an option if you cannot use a regular hearing aid for example, because you’re allergic to the materials they’re made from or they do not fit in your ear correctly.
  • #29 Implantable microphone could lead to fully internal cochlear implants | MIT News | Massachusetts Institute of Technology
    https://news.mit.edu/2024/implantable-microphone-could-mean-fully-internal-cochlear-implants-0702
    Cochlear implants, tiny electronic devices that can provide a sense of sound to people who are deaf or hard of hearing, have helped improve hearing for more than a million people worldwide, according to the National Institutes of Health. […] However, cochlear implants today are only partially implanted, and they rely on external hardware that typically sits on the side of the head. […] On the way to creating a fully internal cochlear implant, a multidisciplinary team of researchers at MIT, Massachusetts Eye and Ear, Harvard Medical School, and Columbia University has produced an implantable microphone that performs as well as commercial external hearing aid microphones. […] The microphone remains one of the largest roadblocks to adopting a fully internalized cochlear implant. […] Fully implantable microphones offer many advantages. […] The results in this paper show the necessary broad-band response and low noise needed to act as an acoustic sensor. This result is surprising, because the bandwidth and noise floor are so competitive with the commercial hearing aid microphone.
  • #30 Implantable microphone could lead to fully internal cochlear implants | MIT News | Massachusetts Institute of Technology
    https://news.mit.edu/2024/implantable-microphone-could-mean-fully-internal-cochlear-implants-0702
    Cochlear implants, tiny electronic devices that can provide a sense of sound to people who are deaf or hard of hearing, have helped improve hearing for more than a million people worldwide, according to the National Institutes of Health. […] However, cochlear implants today are only partially implanted, and they rely on external hardware that typically sits on the side of the head. […] On the way to creating a fully internal cochlear implant, a multidisciplinary team of researchers at MIT, Massachusetts Eye and Ear, Harvard Medical School, and Columbia University has produced an implantable microphone that performs as well as commercial external hearing aid microphones. […] The microphone remains one of the largest roadblocks to adopting a fully internalized cochlear implant. […] Fully implantable microphones offer many advantages. […] The results in this paper show the necessary broad-band response and low noise needed to act as an acoustic sensor. This result is surprising, because the bandwidth and noise floor are so competitive with the commercial hearing aid microphone.
  • #31 Hearing aids vs. cochlear implants: What’s the difference?
    https://www.medicalnewstoday.com/articles/hearing-aids-vs-cochlear-implants
    The Food and Drug Administration (FDA) regulates both hearing aids and cochlear implants as medical devices. The organization also states that public health insurance providers such as Medicare, Medicaid, and the Veterans Association and over 90% of commercial health insurance companies cover cochlear implants. […] However, not all health insurance plans cover the costs of hearing aids. […] Cochlear implants are not available to purchase online. Individuals can make an appointment with an audiologist or otolaryngologist to determine whether they are eligible for these devices. […] Both hearing aids and cochlear implants are helpful for people with hearing loss. While hearing aids may be more suitable for those with mild-to-moderate hearing loss, cochlear implants are appropriate for those with profound hearing loss or who are severely hard of hearing. […] Individuals cannot purchase cochlear implants online and need an appointment with an audiologist or otolaryngologist to determine if these devices are suitable for them.
  • #32 Cochlear implants for hearing loss: Myths vs. reality | ENT | Prevention | UT Southwestern Medical Center
    https://utswmed.org/medblog/cochlear-implants-hearing-loss-myths-vs-reality/
    Hearing loss is among the most common health-related obstacles in the U.S., affecting approximately 18% of adults, with nearly two men affected for every woman. One in eight people in the U.S. age 12 and older have double-sided hearing loss (in both ears). […] Among these patients, nearly 1 million could benefit from cochlear implants a surgically implanted device that can restore up to 80% word recognition and substantial hearing sensation in patients with severe to profound hearing loss. […] The U.S. Food and Drug Administration has approved cochlear implants for a wide range of patients, including those with double-sided hearing loss, since the mid-1980s, single-sided hearing loss, as of July 2019, and poor speech comprehension scores while using properly fit hearing aids. […] More than 41,000 adults and nearly 26,000 children in the U.S. have cochlear implants, according to the National Institutes of Health (NIH). […] Whether a patient is born with severe or profound hearing loss or developed it later in life due to illness, injury, or aging cochlear implants are a major audiology advancement that can greatly improve communication and quality of life.
  • #33 Cochlear implants for hearing loss: Myths vs. reality | ENT | Prevention | UT Southwestern Medical Center
    https://utswmed.org/medblog/cochlear-implants-hearing-loss-myths-vs-reality/
    Hearing loss is among the most common health-related obstacles in the U.S., affecting approximately 18% of adults, with nearly two men affected for every woman. One in eight people in the U.S. age 12 and older have double-sided hearing loss (in both ears). […] Among these patients, nearly 1 million could benefit from cochlear implants a surgically implanted device that can restore up to 80% word recognition and substantial hearing sensation in patients with severe to profound hearing loss. […] The U.S. Food and Drug Administration has approved cochlear implants for a wide range of patients, including those with double-sided hearing loss, since the mid-1980s, single-sided hearing loss, as of July 2019, and poor speech comprehension scores while using properly fit hearing aids. […] More than 41,000 adults and nearly 26,000 children in the U.S. have cochlear implants, according to the National Institutes of Health (NIH). […] Whether a patient is born with severe or profound hearing loss or developed it later in life due to illness, injury, or aging cochlear implants are a major audiology advancement that can greatly improve communication and quality of life.
  • #34 Cochlear implants for hearing loss: Myths vs. reality | ENT | Prevention | UT Southwestern Medical Center
    https://utswmed.org/medblog/cochlear-implants-hearing-loss-myths-vs-reality/
    Hearing loss is among the most common health-related obstacles in the U.S., affecting approximately 18% of adults, with nearly two men affected for every woman. One in eight people in the U.S. age 12 and older have double-sided hearing loss (in both ears). […] Among these patients, nearly 1 million could benefit from cochlear implants a surgically implanted device that can restore up to 80% word recognition and substantial hearing sensation in patients with severe to profound hearing loss. […] The U.S. Food and Drug Administration has approved cochlear implants for a wide range of patients, including those with double-sided hearing loss, since the mid-1980s, single-sided hearing loss, as of July 2019, and poor speech comprehension scores while using properly fit hearing aids. […] More than 41,000 adults and nearly 26,000 children in the U.S. have cochlear implants, according to the National Institutes of Health (NIH). […] Whether a patient is born with severe or profound hearing loss or developed it later in life due to illness, injury, or aging cochlear implants are a major audiology advancement that can greatly improve communication and quality of life.
  • #35 Is Now the Right Time for an Over-the-Counter Hearing Aid? > News > Yale Medicine
    https://www.yalemedicine.org/news/hearing-aid-cochlear-implants
    Now that over-the-counter hearing aids are available for many people, Yale experts hope more people will take action, as early intervention for hearing loss is key. […] October 2022 brought a major change for adults with hearing loss, as certain types of air-conduction hearing aids those worn inside or behind the ear became available over the counter. […] Hearing loss typically happens gradually over time and yet, most people don’t see a doctor until the problem interferes with their daily life. […] Because hearing loss is associated with social withdrawal, cognitive decline, and even dementia, it can help to talk to a specialist even if your hearing loss is mild, notes Dr. Kveton. […] Technology is evolving so quickly that, in the past five years alone, there have been tremendous strides in the quality of hearing aids and personal amplifiers not only are they smaller, but they also have superior sound quality, adds Arielle Feiman, AuD, a Yale Medicine clinical audiologist.
  • #36
    https://www.cochlear.com/us/en/home/diagnosis-and-treatment/when-to-consider-implants-for-adults/when-hearing-aids-arent-enough
    Do you wear powerful hearing aids but still struggle to hear? An implantable hearing solution may be the answer you’ve been looking for. […] If you answered „yes” to any of these questions, an implantable hearing solution, like a cochlear implant or bone conduction solution, may be the answer. […] Cochlear implants may help give you that clarity, even in noisy environments. […] Unlike hearing aids, Cochlear Implants are covered by Medicare. […] When a crucial part of your inner ear is not working properly, you may need more than a hearing aid you may need a cochlear implant. […] If you or your child have conductive hearing loss, mixed hearing loss or are deaf in one ear, also known as single-sided deafness, a bone conduction solution may be able to help. […] For candidates residing in Canada, you should contact your local hearing implant center to determine coverage. The cost of a hearing implant may be covered by your provincial and territory health insurance plan.
  • #37 Hearing aids vs. cochlear implants: What’s the difference?
    https://www.medicalnewstoday.com/articles/hearing-aids-vs-cochlear-implants
    The Food and Drug Administration (FDA) regulates both hearing aids and cochlear implants as medical devices. The organization also states that public health insurance providers such as Medicare, Medicaid, and the Veterans Association and over 90% of commercial health insurance companies cover cochlear implants. […] However, not all health insurance plans cover the costs of hearing aids. […] Cochlear implants are not available to purchase online. Individuals can make an appointment with an audiologist or otolaryngologist to determine whether they are eligible for these devices. […] Both hearing aids and cochlear implants are helpful for people with hearing loss. While hearing aids may be more suitable for those with mild-to-moderate hearing loss, cochlear implants are appropriate for those with profound hearing loss or who are severely hard of hearing. […] Individuals cannot purchase cochlear implants online and need an appointment with an audiologist or otolaryngologist to determine if these devices are suitable for them.
  • #38 Hearing aids vs. cochlear implants: What’s the difference?
    https://www.medicalnewstoday.com/articles/hearing-aids-vs-cochlear-implants
    The Food and Drug Administration (FDA) regulates both hearing aids and cochlear implants as medical devices. The organization also states that public health insurance providers such as Medicare, Medicaid, and the Veterans Association and over 90% of commercial health insurance companies cover cochlear implants. […] However, not all health insurance plans cover the costs of hearing aids. […] Cochlear implants are not available to purchase online. Individuals can make an appointment with an audiologist or otolaryngologist to determine whether they are eligible for these devices. […] Both hearing aids and cochlear implants are helpful for people with hearing loss. While hearing aids may be more suitable for those with mild-to-moderate hearing loss, cochlear implants are appropriate for those with profound hearing loss or who are severely hard of hearing. […] Individuals cannot purchase cochlear implants online and need an appointment with an audiologist or otolaryngologist to determine if these devices are suitable for them.
  • #39 Hearing aids vs. cochlear implants: What’s the difference?
    https://www.medicalnewstoday.com/articles/hearing-aids-vs-cochlear-implants
    The Food and Drug Administration (FDA) regulates both hearing aids and cochlear implants as medical devices. The organization also states that public health insurance providers such as Medicare, Medicaid, and the Veterans Association and over 90% of commercial health insurance companies cover cochlear implants. […] However, not all health insurance plans cover the costs of hearing aids. […] Cochlear implants are not available to purchase online. Individuals can make an appointment with an audiologist or otolaryngologist to determine whether they are eligible for these devices. […] Both hearing aids and cochlear implants are helpful for people with hearing loss. While hearing aids may be more suitable for those with mild-to-moderate hearing loss, cochlear implants are appropriate for those with profound hearing loss or who are severely hard of hearing. […] Individuals cannot purchase cochlear implants online and need an appointment with an audiologist or otolaryngologist to determine if these devices are suitable for them.
  • #40 Hearing Aids vs. Cochlear Implants vs. Stapedectomy | Miracle-Ear
    https://www.miracle-ear.com/blog-news/hearing-aids-vs-cochlear-implants-vs-stapedectomy
    While all are useful tools in addressing hearing loss, cochlear implants, hearing aids and stapedectomies are vastly different treatments that each require their own levels of personal and medical involvement. […] In the case of hearing aids, these devices are fitted by a professional and do not require surgery; stapedectomies and cochlear implants both require doctors supervision and surgery, which naturally incur higher costs compared to hearing aids. […] Cochlear implants are designed for anyone who experiences severe to profound hearing loss or deafness that has difficulty being fully assisted with hearing aids. […] Children and adults are the best hearing aid candidates for mild to moderate and even severe hearing loss. […] Compared to the costs of cochlear implants or a stapedectomy, hearing aids are a less expensive financial investment. […] The average cost of hearing aids can range from $1,000 to $8,000 or more, depending on multiple factors. […] A stapedectomy can cost between $7,000 to $15,000 or more.
  • #41 2015 APHA Annual Meeting & Expo (Oct. 31 – Nov. 4, 2015): Hearing impairment rehabilitation through use of hearing aids and cochlear implants: Monitoring trends in age-specific prevalence for U.S. Healthy People 2020
    https://apha.confex.com/apha/143am/webprogram/Paper330239.html
    Hearing healthcare goals include increasing rehabilitation through hearing aid (HA) use, cochlear implants (CIs), and other assistive listening devices. […] In 2007, 28.6% of adults aged 20-69 years reported a hearing examination in the past 5 years; 38.5% for adults 70+ years. Prevalence of HA use, 2001-2012, increased from 25.2% to 30.1% among adults aged 70+ years with moderate-or-greater hearing impairment (HI), 35 dB hearing level (HL); however, HA prevalence remained unchanged at about 16% for adults aged 20-69 years. […] CI surgeries increased 2.5-fold from 2001-2012, while overall prevalence among severe-to-profound HI (70 dB HL) individuals rose from 0.44% to 0.97%. The highest prevalence of CIs was for preschool-aged children with severe-to-profound HI, increasing from 12.6% to 21.2%. […] The largest relative increase in CI surgeries was for severe-to-profound HI adults aged 65+ years, increasing 4-fold from 0.13% to 0.49%. […] This report describes new methods developed for estimating and tracking the prevalence of HA use and CIs for the U.S. HI population.
  • #42
    https://www.who.int/news-room/fact-sheets/detail/deafness-and-hearing-loss
    Once hearing loss is identified, it is essential that it is addressed as early as possible and in an appropriate manner, to mitigate any adverse impact. […] Rehabilitation helps people with hearing loss to function at their optimum, which means they can be as independent as possible in everyday activities. […] Interventions for rehabilitation for people with hearing loss include the provision of, and training in the use of, hearing technologies (e.g. hearing aids, cochlear implants and middle ear implants). […] WHOs work on ear and hearing care is to promote integrated people-centred ear and hearing care (IPC-EHC). […] WHOs work includes guiding, assisting and supporting Member States to increase awareness of ear and hearing care issues.
  • #43 Cochlear implants
    https://www2.hse.ie/services/audiology/hearing-aids-implants/cochlear-implants/
    Cochlear implants can help people who have severe to profound hearing loss. […] Cochlear implants can help who people may not benefit from hearing aids. This is because hearing aids work by making sounds louder. […] Eligible patients can get cochlear implants for free through a national programme. […] The programme offers assessment and treatment at Beaumont Hospital in Dublin. […] The waiting time for the first appointment can be up to: 3 months for children, 9 months to 1 year for adults. […] The ENT doctor will arrange an MRI scan if they think you or your child should have a cochlear implant. […] The time between the first clinical appointment and the operation can be up to: 9 months for children, 2 years to 2 years 6 months for adults. […] The operation can take around 2 to 4 hours to insert implants into both ears. […] Around 2 to 4 weeks after the surgery, you or your child will go back to hospital. This is to have the external part of the implant fitted and switched on.
  • #44 Cochlear Implant Program – Arnold School of Public Health | University of South Carolina
    https://sc.edu/study/colleges_schools/public_health/research/research_centers/cip/
    We offer a full range of tests, treatments, and services for our patients with cochlear implants, including: Hearing assessment and diagnostic evaluation, Cochlear implant candidacy evaluations, Cochlear implant programming/mapping, Pediatric hearing aid fitting/programming, Speech and language testing, Auditory Verbal Therapy (AVT), Patients and families counseling.
  • #45 Cochlear implants – Mayo Clinic
    https://www.mayoclinic.org/tests-procedures/cochlear-implants/about/pac-20385021
    Cochlear implants can improve hearing in people with severe hearing loss when hearing aids no longer help. Cochlear implants can help them talk and listen and improve the quality of their lives. […] Cochlear implants often are put in both ears at the same time in children who have severe hearing loss in both ears. This is most often done for infants and children who are learning to speak. […] People who have cochlear implants say the following improve: Hearing speech without cues such as lip reading. Hearing everyday sounds and knowing what they are, including sounds that are warnings of danger. Being able to listen in noisy places. Knowing where sounds are coming from. Hearing television programs and being able to talk on the telephone. […] Cochlear implant surgery is safe. But rare risks can include: Infection of the membranes around the brain and spinal cord, called bacterial meningitis.
  • #46 Cochlear implants – Mayo Clinic
    https://www.mayoclinic.org/tests-procedures/cochlear-implants/about/pac-20385021
    Cochlear implants can improve hearing in people with severe hearing loss when hearing aids no longer help. Cochlear implants can help them talk and listen and improve the quality of their lives. […] Cochlear implants often are put in both ears at the same time in children who have severe hearing loss in both ears. This is most often done for infants and children who are learning to speak. […] People who have cochlear implants say the following improve: Hearing speech without cues such as lip reading. Hearing everyday sounds and knowing what they are, including sounds that are warnings of danger. Being able to listen in noisy places. Knowing where sounds are coming from. Hearing television programs and being able to talk on the telephone. […] Cochlear implant surgery is safe. But rare risks can include: Infection of the membranes around the brain and spinal cord, called bacterial meningitis.
  • #47 Cochlear implants – Mayo Clinic
    https://www.mayoclinic.org/tests-procedures/cochlear-implants/about/pac-20385021
    Cochlear implants can improve hearing in people with severe hearing loss when hearing aids no longer help. Cochlear implants can help them talk and listen and improve the quality of their lives. […] Cochlear implants often are put in both ears at the same time in children who have severe hearing loss in both ears. This is most often done for infants and children who are learning to speak. […] People who have cochlear implants say the following improve: Hearing speech without cues such as lip reading. Hearing everyday sounds and knowing what they are, including sounds that are warnings of danger. Being able to listen in noisy places. Knowing where sounds are coming from. Hearing television programs and being able to talk on the telephone. […] Cochlear implant surgery is safe. But rare risks can include: Infection of the membranes around the brain and spinal cord, called bacterial meningitis.
  • #48 Cochlear implants – Mayo Clinic
    https://www.mayoclinic.org/tests-procedures/cochlear-implants/about/pac-20385021
    Cochlear implants can improve hearing in people with severe hearing loss when hearing aids no longer help. Cochlear implants can help them talk and listen and improve the quality of their lives. […] Cochlear implants often are put in both ears at the same time in children who have severe hearing loss in both ears. This is most often done for infants and children who are learning to speak. […] People who have cochlear implants say the following improve: Hearing speech without cues such as lip reading. Hearing everyday sounds and knowing what they are, including sounds that are warnings of danger. Being able to listen in noisy places. Knowing where sounds are coming from. Hearing television programs and being able to talk on the telephone. […] Cochlear implant surgery is safe. But rare risks can include: Infection of the membranes around the brain and spinal cord, called bacterial meningitis.
  • #49 Cochlear implants – Mayo Clinic
    https://www.mayoclinic.org/tests-procedures/cochlear-implants/about/pac-20385021
    Cochlear implants can improve hearing in people with severe hearing loss when hearing aids no longer help. Cochlear implants can help them talk and listen and improve the quality of their lives. […] Cochlear implants often are put in both ears at the same time in children who have severe hearing loss in both ears. This is most often done for infants and children who are learning to speak. […] People who have cochlear implants say the following improve: Hearing speech without cues such as lip reading. Hearing everyday sounds and knowing what they are, including sounds that are warnings of danger. Being able to listen in noisy places. Knowing where sounds are coming from. Hearing television programs and being able to talk on the telephone. […] Cochlear implant surgery is safe. But rare risks can include: Infection of the membranes around the brain and spinal cord, called bacterial meningitis.
  • #50 Cochlear Implants Key for Early Intervention – Keck Medicine of USC
    https://www.keckmedicine.org/magazine/cochlear-implants-hearing-aids/
    Up to three out of every 1,000 infants in the United States are born with profound hearing loss. […] Infants with hearing loss typically are first treated with hearing aids. If these fail to help them develop early language and speech skills, they then become eligible for cochlear implants considered the gold standard of treatment at 12 months or older. […] Cochlear implants are small, electronic devices surgically placed under the skin that stimulate nerve endings in the ear to provide a sense of sound. […] A Keck Medicine of USC study has found that cochlear implants can make a big difference for infants with hearing loss and severe developmental delays. […] The implants improve the skills of deaf children with early developmental impairment across the board in every skill tested, says John Oghalai, MD, an otolaryngologist with Keck Medicine and lead author of the study, which was published in May in the journal Pediatrics. […] By the final assessment, children with cochlear implants including those with learning delays showed up to almost 25% more improvement in the tracked skills.
  • #51 Is a cochlear implant right for you? – Mayo Clinic Health System
    https://www.mayoclinichealthsystem.org/hometown-health/speaking-of-health/beyond-hearing-aids-cochlear-implants
    You aren’t alone because over 37 million adults in the U.S. have trouble hearing. Hearing aids can increase your ease of hearing. Cochlear implants are another option for some people when hearing aids no longer work well. […] Not every person with hearing loss can receive a cochlear implant. Good candidates are patients who are deaf, have moderate-to-profound hearing loss in both ears, or have profound and severe hearing loss in one ear. […] About 118,000 adults in the U.S. have received a cochlear implant. […] Outcomes after cochlear implantation generally are good. On average, patients can expect improvement in their ability to understand speech and words by about six to seven times with the cochlear implant over what they could hear before the surgery.
  • #52
    https://journals.lww.com/ear-hearing/fulltext/2023/03000/cochlear_implants_or_hearing_aids__speech.17.aspx
    Both groups of children, with CIs and HAs, obtained ceiling scores for perception of speech on a conversational level. However, the HA group exhibited significantly lower perception on a soft speech level scores (68 %) than the CI group (87%). […] Both groups of children with severe and profound HL with HAs exhibit less favorable auditory perception on the soft speech level, but not at a conversational level, compared to children who are HH or deaf with CIs. […] The results indicate that to obtain age-appropriate levels of receptive vocabulary and EF, the perception at the soft speech level is a necessary but not sufficient prerequisite. […] Children with severe HL are at risk for developmental language problems. […] Iwasaki et al. (2012) reported improved language outcomes in children who are HH or deaf with CIs compared to children with HAs.
  • #53
    https://journals.lww.com/ear-hearing/fulltext/2023/03000/cochlear_implants_or_hearing_aids__speech.17.aspx
    There is an ongoing debate about whether children with severe HL could also benefit from CIs over HAs to improve their relatively poor performance in a variety of domains. […] The latest research shows surprisingly promising results in children who are HH or deaf who receive CIs at an early age; they achieve speech perception scores better than those of children with severe HL with HA. […] The perception of speech is an important prerequisite for language development, reading, academic performance, and social and emotional well-being. […] The inability to overhear spoken conversations limits the access of these children to many avenues of incidental learning, and therefore restricts their acquisition of knowledge of language, social interaction and how the world works, as well as stifling their development in many areas.
  • #54
    https://journals.lww.com/ear-hearing/fulltext/2023/03000/cochlear_implants_or_hearing_aids__speech.17.aspx
    There is an ongoing debate about whether children with severe HL could also benefit from CIs over HAs to improve their relatively poor performance in a variety of domains. […] The latest research shows surprisingly promising results in children who are HH or deaf who receive CIs at an early age; they achieve speech perception scores better than those of children with severe HL with HA. […] The perception of speech is an important prerequisite for language development, reading, academic performance, and social and emotional well-being. […] The inability to overhear spoken conversations limits the access of these children to many avenues of incidental learning, and therefore restricts their acquisition of knowledge of language, social interaction and how the world works, as well as stifling their development in many areas.
  • #55 Use of hearing aids and cochlear implants associated with a decreased risk of developing dementia – Alzheimer’s Research UK
    https://www.alzheimersresearchuk.org/news/use-of-hearing-aids-and-cochlear-implants-associated-with-a-decreased-risk-of-developing-dementia/
    Researchers have published findings which suggest that the use of hearing aids and cochlear implants can reduce the risk of developing dementia by slowing down cognitive decline, such as memory loss. […] The use of hearing aids and cochlear implants by people with hearing loss was found to reduce long-term cognitive decline by 19%. Furthermore, the use of these devices led to a 3% improvement in cognitive test scores, including an individual’s ability to problem solve. […] Dr Susan Mitchell, Head of Policy at Alzheimer’s Research UK, said: “There’s increasingly clear evidence that people who lose their hearing as they get older are at increased risk of developing dementia. This study provides further compelling evidence of this link, but unanswered questions remain.” […] “Dementia research has made great strides in recent months, but there’s a long way to go – and interventions that can reduce people’s dementia risk must be a public health priority. People must be able to access hearing tests if they are concerned about their hearing, so suitable support, like hearing aids, can be offered at an early stage, and help maintain their brain health.”
  • #56 Use of hearing aids and cochlear implants associated with a decreased risk of developing dementia – Alzheimer’s Research UK
    https://www.alzheimersresearchuk.org/news/use-of-hearing-aids-and-cochlear-implants-associated-with-a-decreased-risk-of-developing-dementia/
    Researchers have published findings which suggest that the use of hearing aids and cochlear implants can reduce the risk of developing dementia by slowing down cognitive decline, such as memory loss. […] The use of hearing aids and cochlear implants by people with hearing loss was found to reduce long-term cognitive decline by 19%. Furthermore, the use of these devices led to a 3% improvement in cognitive test scores, including an individual’s ability to problem solve. […] Dr Susan Mitchell, Head of Policy at Alzheimer’s Research UK, said: “There’s increasingly clear evidence that people who lose their hearing as they get older are at increased risk of developing dementia. This study provides further compelling evidence of this link, but unanswered questions remain.” […] “Dementia research has made great strides in recent months, but there’s a long way to go – and interventions that can reduce people’s dementia risk must be a public health priority. People must be able to access hearing tests if they are concerned about their hearing, so suitable support, like hearing aids, can be offered at an early stage, and help maintain their brain health.”
  • #57
    https://journals.lww.com/ear-hearing/fulltext/2023/03000/cochlear_implants_or_hearing_aids__speech.17.aspx
    In children who are HH or deaf, several EF tasks such as working memory, cognitive shifting, planning, and inhibition are poorly developed. […] HL makes listening effortful, tiring, or stressful. Greater cognitive resources are needed to perceive sound and speech, with the consequence that this could be detrimental to the cognitive resources needed for other cognitive processes, such as EF. […] Given the strong relationship among speech perception skills, language abilities, and EF, we argue that improving speech perception could lead to better language and EF development. […] It is important to investigate whether they would benefit more from CIs than from HAs. […] Our study demonstrates that a considerable proportion of children with HL experience problems in planning. […] The finding that children who are HH or deaf with CIs demonstrate short-term memory problems is in line with other studies.
  • #58
    https://journals.lww.com/ear-hearing/fulltext/2023/03000/cochlear_implants_or_hearing_aids__speech.17.aspx
    The analyses of EF outcomes, which were focused on a comparison of the CI and HA groups with the norm group, revealed a difference between the distributions of children with CIs and children who are TD in three domains: (1) planning and (2) short- and (3) long-term verbal memory tasks. […] Our results indicate that to obtain age-appropriate levels of receptive vocabulary and EF, the perception of soft speech is a necessary but insufficient prerequisite.
  • #59 Hearing aids vs. cochlear implants: What’s the difference?
    https://www.medicalnewstoday.com/articles/hearing-aids-vs-cochlear-implants
    The Food and Drug Administration (FDA) regulates both hearing aids and cochlear implants as medical devices. The organization also states that public health insurance providers such as Medicare, Medicaid, and the Veterans Association and over 90% of commercial health insurance companies cover cochlear implants. […] However, not all health insurance plans cover the costs of hearing aids. […] Cochlear implants are not available to purchase online. Individuals can make an appointment with an audiologist or otolaryngologist to determine whether they are eligible for these devices. […] Both hearing aids and cochlear implants are helpful for people with hearing loss. While hearing aids may be more suitable for those with mild-to-moderate hearing loss, cochlear implants are appropriate for those with profound hearing loss or who are severely hard of hearing. […] Individuals cannot purchase cochlear implants online and need an appointment with an audiologist or otolaryngologist to determine if these devices are suitable for them.
  • #60
    https://www.who.int/news-room/fact-sheets/detail/deafness-and-hearing-loss
    By 2050, nearly 2.5 billion people are projected to have some degree of hearing loss, and more than 700 million will require hearing rehabilitation. […] Over 5% of the worlds population or 430 million people require rehabilitation to address their disabling hearing loss (including 34 million children). […] It is estimated that by 2050 over 700 million people or 1 in every 10 people will have disabling hearing loss. […] Nearly 80% of people with disabling hearing loss live in low- and middle-income countries. […] The prevalence of hearing loss increases with age, among those older than 60 years, over 25% are affected by disabling hearing loss. […] Hard of hearing refers to people with hearing loss ranging from mild to severe. […] People who are hard of hearing usually communicate through spoken language and can benefit from hearing aids, cochlear implants, and other assistive devices as well as captioning.
  • #61 Unidentified and Underserved: Cochlear Implant Candidates in the Hearing Aid Dispensing Practice – Article 876
    https://www.audiologyonline.com/articles/unidentified-and-underserved-cochlear-implant-876
    Unidentified and Underserved: Cochlear Implant Candidates in the Hearing Aid Dispensing Practice […] The vast majority of patients with hearing loss visiting a typical audiology private practice or hearing aid dispensing office can be helped with hearing aids. […] In the case of severe-to-profound hearing loss, professionals need to provide information on cochlear implants for those who might benefit. […] Cochlear implant candidacy has changed over the years, just as cochlear implant technology has developed and improved. […] For the appropriate candidates, cochlear implants may offer the chance at vast improvement in speech recognition over what even the best hearing aids and assistive technology offers them. […] In addition to providing basic information on cochlear implant performance and issues surrounding the cochlear implant process, some current data indicating a lack of referrals for cochlear implant evaluations will be presented. […] Cochlear implants can be a solution for those who do not benefit or are no longer satisfied with the limited benefit they receive from hearing aids. […] Unlike hearing aids, the audiological candidacy criteria for cochlear implantation are well defined as approved by the FDA; it is based on the pure-tone audiogram and the patients’ aided speech recognition scores. […] The criteria for cochlear implantation have changed dramatically over the years. […] The fact that the audiologic criteria for cochlear implant candidacy have expanded compared with those of the past is especially important information for professionals who dispense hearing aids, who may not be aware of the information. […] Adult patients can have only moderate hearing loss in the low frequencies, sloping to profound loss in the mid to high frequencies, and still be excellent candidates for a cochlear implant. […] There is no upper age limit for cochlear implant candidacy. […] Performance with cochlear implants is much better today than it was 25 years ago. […] It is because of these improved outcomes that the criteria for implantation have expanded. […] One obstacle to referral of appropriate candidates for cochlear implantation is lack of awareness by both professionals and potential recipients of current candidacy criteria. […] Given the number of current recipients versus the number of people who are candidates as discussed in the next section, these numbers seem low. […] The exact number of people who can benefit from cochlear implants can only be estimated. […] A reasonable estimate may be 1,000,000 people in the U.S. could benefit from cochlear implants. […] It is likely that less than 10% of the people who could benefit from a cochlear implant actually have one. […] The bottom line is that both groups are significantly underserved, and it is the responsibility of everyone who fits hearing aids to know who, when and where to refer potential implant candidates. […] The first step for professionals is to be familiar with FDA-approved cochlear implant criteria. […] It is every dispensing professional’s responsibility to know this information and overcome these obstacles in order to provide appropriate patients with their options for treatment.
  • #62 Unidentified and Underserved: Cochlear Implant Candidates in the Hearing Aid Dispensing Practice – Article 876
    https://www.audiologyonline.com/articles/unidentified-and-underserved-cochlear-implant-876
    Unidentified and Underserved: Cochlear Implant Candidates in the Hearing Aid Dispensing Practice […] The vast majority of patients with hearing loss visiting a typical audiology private practice or hearing aid dispensing office can be helped with hearing aids. […] In the case of severe-to-profound hearing loss, professionals need to provide information on cochlear implants for those who might benefit. […] Cochlear implant candidacy has changed over the years, just as cochlear implant technology has developed and improved. […] For the appropriate candidates, cochlear implants may offer the chance at vast improvement in speech recognition over what even the best hearing aids and assistive technology offers them. […] In addition to providing basic information on cochlear implant performance and issues surrounding the cochlear implant process, some current data indicating a lack of referrals for cochlear implant evaluations will be presented. […] Cochlear implants can be a solution for those who do not benefit or are no longer satisfied with the limited benefit they receive from hearing aids. […] Unlike hearing aids, the audiological candidacy criteria for cochlear implantation are well defined as approved by the FDA; it is based on the pure-tone audiogram and the patients’ aided speech recognition scores. […] The criteria for cochlear implantation have changed dramatically over the years. […] The fact that the audiologic criteria for cochlear implant candidacy have expanded compared with those of the past is especially important information for professionals who dispense hearing aids, who may not be aware of the information. […] Adult patients can have only moderate hearing loss in the low frequencies, sloping to profound loss in the mid to high frequencies, and still be excellent candidates for a cochlear implant. […] There is no upper age limit for cochlear implant candidacy. […] Performance with cochlear implants is much better today than it was 25 years ago. […] It is because of these improved outcomes that the criteria for implantation have expanded. […] One obstacle to referral of appropriate candidates for cochlear implantation is lack of awareness by both professionals and potential recipients of current candidacy criteria. […] Given the number of current recipients versus the number of people who are candidates as discussed in the next section, these numbers seem low. […] The exact number of people who can benefit from cochlear implants can only be estimated. […] A reasonable estimate may be 1,000,000 people in the U.S. could benefit from cochlear implants. […] It is likely that less than 10% of the people who could benefit from a cochlear implant actually have one. […] The bottom line is that both groups are significantly underserved, and it is the responsibility of everyone who fits hearing aids to know who, when and where to refer potential implant candidates. […] The first step for professionals is to be familiar with FDA-approved cochlear implant criteria. […] It is every dispensing professional’s responsibility to know this information and overcome these obstacles in order to provide appropriate patients with their options for treatment.
  • #63 Is Now the Right Time for an Over-the-Counter Hearing Aid? > News > Yale Medicine
    https://www.yalemedicine.org/news/hearing-aid-cochlear-implants
    Now that over-the-counter hearing aids are available for many people, Yale experts hope more people will take action, as early intervention for hearing loss is key. […] October 2022 brought a major change for adults with hearing loss, as certain types of air-conduction hearing aids those worn inside or behind the ear became available over the counter. […] Hearing loss typically happens gradually over time and yet, most people don’t see a doctor until the problem interferes with their daily life. […] Because hearing loss is associated with social withdrawal, cognitive decline, and even dementia, it can help to talk to a specialist even if your hearing loss is mild, notes Dr. Kveton. […] Technology is evolving so quickly that, in the past five years alone, there have been tremendous strides in the quality of hearing aids and personal amplifiers not only are they smaller, but they also have superior sound quality, adds Arielle Feiman, AuD, a Yale Medicine clinical audiologist.
  • #64 Cochlear Implants – A Comprehensive Guide to Improved Hearing
    https://www.uchealth.com/en/treatments-and-procedures/cochlear-implants
    Cochlear implants are surgically implanted devices that provide hearing to patients with moderate to severe hearing loss. They are used when hearing aids are no longer adequate to obtain quality hearing, especially for communication. […] Cochlear implants stand out as a beacon of hope for those who have not found relief with traditional hearing aids. […] Cochlear implants are designed for those for whom traditional hearing aids provide little to no benefit. […] The process to determine candidacy for a cochlear implant is thorough, involving specialized auditory tests as well as a medical examination. […] Cochlear implants have transformed the lives of many, offering unparalleled benefits in terms of hearing and communication. […] The primary benefit of cochlear implants lies in their ability to provide a sense of sound to individuals with severe to profound sensorineural hearing loss, for whom traditional hearing aids offer limited help. […] Cochlear implants are controversial primarily within the Deaf community, as some members feel the implants undermine Deaf culture and sign language.
  • #65 Why Cochlear Implants Are Bad: Exploring the Controversy
    https://www.healthline.com/health/why-cochlear-implants-are-bad
    Additionally, many members of the Deaf community feel that cochlear implants play into audism, a specific form of ableism aimed at people with hearing loss. […] It’s also important to be aware of the ethical controversy surrounding these devices. Some members of the Deaf community feel they represent a larger problem of ableism and are an attempt to improve the lives of hearing people rather than their own.
  • #66 Why Cochlear Implants Are Bad: Exploring the Controversy
    https://www.healthline.com/health/why-cochlear-implants-are-bad
    Additionally, many members of the Deaf community feel that cochlear implants play into audism, a specific form of ableism aimed at people with hearing loss. […] It’s also important to be aware of the ethical controversy surrounding these devices. Some members of the Deaf community feel they represent a larger problem of ableism and are an attempt to improve the lives of hearing people rather than their own.
  • #67 Is Now the Right Time for an Over-the-Counter Hearing Aid? > News > Yale Medicine
    https://www.yalemedicine.org/news/hearing-aid-cochlear-implants
    The latest hearing aids provide better natural sound, amplification, and elimination of background noise, says Yale Medicine otology neurotology and skull-base surgeon Nofrat Schwartz, MD. […] Bone-conduction devices are Food and Drug Administration (FDA)-approved for children 5 years and older, as well as adults, and they can help people with conductive and mixed hearing losses. […] Cochlear implants are yet another sound delivery system that is improving with time and technological advancements. […] These implants traditionally have been helpful only for people with bilateral, severe, or profound hearing loss, including children who were born with profound hearing loss or older people who lost their hearing later in life. […] A simple first step is to get a hearing test and take the results seriously, says Dr. Schwartz. A lot of people don’t treat their hearing loss, which is a mistake because it’s a very important sense, she says. Treating it is very important and should not be neglected.
  • #68 Implantable microphone could lead to fully internal cochlear implants | MIT News | Massachusetts Institute of Technology
    https://news.mit.edu/2024/implantable-microphone-could-mean-fully-internal-cochlear-implants-0702
    Cochlear implants, tiny electronic devices that can provide a sense of sound to people who are deaf or hard of hearing, have helped improve hearing for more than a million people worldwide, according to the National Institutes of Health. […] However, cochlear implants today are only partially implanted, and they rely on external hardware that typically sits on the side of the head. […] On the way to creating a fully internal cochlear implant, a multidisciplinary team of researchers at MIT, Massachusetts Eye and Ear, Harvard Medical School, and Columbia University has produced an implantable microphone that performs as well as commercial external hearing aid microphones. […] The microphone remains one of the largest roadblocks to adopting a fully internalized cochlear implant. […] Fully implantable microphones offer many advantages. […] The results in this paper show the necessary broad-band response and low noise needed to act as an acoustic sensor. This result is surprising, because the bandwidth and noise floor are so competitive with the commercial hearing aid microphone.
  • #69 Cochlear implants: What are they and how do they work?
    https://www.healthyhearing.com/help/hearing-aids/cochlear-implants
    Cochlear implants are covered by many private and commercial insurers. Coverage can vary widely, and patients may still be responsible for significant out-of-pocket costs. […] Yes, Medicare covers cochlear implants. […] If you have Medicaid, your coverage for implantable hearing devices will depend largely on what state you live in. […] As with any surgical procedure involving an implanted medical device, there are risks. […] In the U.S., Cochlear Americas, Advanced Bionics and Med-El are the primary manufacturers. […] Cochlear now makes a hybrid design, which only stimulates the cochlea in the high frequencies for people who have high-frequency hearing loss. […] The company Envoy Medical is currently holding clinical trials to test their product Acclaim, which is a fully implantable cochlear implant for adults.
  • #70 MUSC to lead way in trial involving totally under-the-skin cochlear implants | MUSC | Charleston, SC
    https://web.musc.edu/about/news-center/2025/02/07/musc-to-lead-way-in-trial-involving-totally-under-the-skin-cochlear-implants
    The Medical University of South Carolina will be the first clinical trial site in the country to test a new kind of cochlear implant for adults with hearing loss. […] The trial will focus on testing whether the Acclaim implants are able to help people with severe to profound sensorineural hearing loss. A sensorineural condition is caused by damage to the auditory nerve or cochlea (inner ear). […] McRackan said MUSC Health has one of the bigger cochlear implant programs in the country and is well-equipped to implant and monitor the devices. We’re seeing more and more implants done every year. We do over 200 cochlear implants at our center each year. And the outcomes are just getting better and better.
  • #71 Amazon’s Fire TV expands Audio Streaming for Hearing Aids to Cochlear implants
    https://www.aboutamazon.com/news/devices/amazons-fire-tv-expands-audio-streaming-for-hearing-aids-to-cochlear-implants
    For the first time, people with hearing loss can stream sound from their Amazon smart TVs directly to their Cochlear hearing implants via the open-source Audio Streaming for Hearing Aids (ASHA) protocol. […] The new solution from Amazon and Cochlear allows Cochlear implant users to more comfortably enjoy movies and TV episodes available from Netflix, Prime Video, and other streaming services, as well as local TV networks. […] Ryan Lopez, the companys director of Nucleus product management and marketing, said Cochlear started working on streaming audio from smartphones to hearing aids and implants in 2019 and that television was the next frontier. […] When we talked to customers who use hearing aids, audiologists, and other experts in the field, the majority told us that the first thing you really want if youve got hearing loss is to be able to hear clearly the people around you, Korn said. The second thing you want is the ability to hear the television, to enjoy entertainment.
  • #72 Amazon’s Fire TV expands Audio Streaming for Hearing Aids to Cochlear implants
    https://www.aboutamazon.com/news/devices/amazons-fire-tv-expands-audio-streaming-for-hearing-aids-to-cochlear-implants
    For the first time, people with hearing loss can stream sound from their Amazon smart TVs directly to their Cochlear hearing implants via the open-source Audio Streaming for Hearing Aids (ASHA) protocol. […] The new solution from Amazon and Cochlear allows Cochlear implant users to more comfortably enjoy movies and TV episodes available from Netflix, Prime Video, and other streaming services, as well as local TV networks. […] Ryan Lopez, the companys director of Nucleus product management and marketing, said Cochlear started working on streaming audio from smartphones to hearing aids and implants in 2019 and that television was the next frontier. […] When we talked to customers who use hearing aids, audiologists, and other experts in the field, the majority told us that the first thing you really want if youve got hearing loss is to be able to hear clearly the people around you, Korn said. The second thing you want is the ability to hear the television, to enjoy entertainment.
  • #73 Amazon’s Fire TV expands Audio Streaming for Hearing Aids to Cochlear implants
    https://www.aboutamazon.com/news/devices/amazons-fire-tv-expands-audio-streaming-for-hearing-aids-to-cochlear-implants
    They found a way to bypass the implants microphones, stream audio from Fire TV directly into the implants, and prevent the audio from being degraded by noise and echoes. […] Lopez said thousands of customers can start using this feature immediately. If you have a Cochlear Nucleus or Baha implant sound processor of the right generation and an Amazon Fire TV, you can pair those today and start using [this technology] immediately. […] Cochlear has configured direct streaming from Fire TV to the Cochlear Nucleus 8, Nucleus 7, Nucleus Kanso 2, and Baha 6 Max sound processors.
  • #74 Use of hearing aids and cochlear implants associated with a decreased risk of developing dementia – Alzheimer’s Research UK
    https://www.alzheimersresearchuk.org/news/use-of-hearing-aids-and-cochlear-implants-associated-with-a-decreased-risk-of-developing-dementia/
    “Going forward, researchers must unpick exactly how hearing loss influences the risk of developing dementia. We also need to know who is most at risk and could benefit most from interventions like hearing aids. Knowing this will help health services allocate resources and support those that need it.”
  • #75 Use of hearing aids and cochlear implants associated with a decreased risk of developing dementia – Alzheimer’s Research UK
    https://www.alzheimersresearchuk.org/news/use-of-hearing-aids-and-cochlear-implants-associated-with-a-decreased-risk-of-developing-dementia/
    Researchers have published findings which suggest that the use of hearing aids and cochlear implants can reduce the risk of developing dementia by slowing down cognitive decline, such as memory loss. […] The use of hearing aids and cochlear implants by people with hearing loss was found to reduce long-term cognitive decline by 19%. Furthermore, the use of these devices led to a 3% improvement in cognitive test scores, including an individual’s ability to problem solve. […] Dr Susan Mitchell, Head of Policy at Alzheimer’s Research UK, said: “There’s increasingly clear evidence that people who lose their hearing as they get older are at increased risk of developing dementia. This study provides further compelling evidence of this link, but unanswered questions remain.” […] “Dementia research has made great strides in recent months, but there’s a long way to go – and interventions that can reduce people’s dementia risk must be a public health priority. People must be able to access hearing tests if they are concerned about their hearing, so suitable support, like hearing aids, can be offered at an early stage, and help maintain their brain health.”
  • #76 Quick Statistics About Hearing, Balance, & Dizziness | NIDCD
    https://www.nidcd.nih.gov/health/statistics/quick-statistics-hearing
    About 28.8 million U.S. adults could benefit from using hearing aids. […] Among adults ages 70 and older with hearing loss who could benefit from hearing aids, fewer than 1 in 3 (30%) has ever used them. Even fewer adults ages 20-69 (approximately 16%) who could benefit from wearing hearing aids have ever used them. […] As of July 2022, more than 1 million cochlear implants have been implanted worldwide. In the United States, roughly 118,100 devices have been implanted in adults and 65,000 in children.
  • #77 Hearing Health Company | Hearing Loss and Devices | Envoy Medical
    https://www.envoymedical.com/
    15% of American adults (37.5 million) aged 18 and over report trouble hearing. […] Fewer than one in three (30 percent) of adults aged 70 and older have used hearing aids and even fewer adults aged 20 to 69 (approximately 16 percent) who could benefit from wearing hearing aids have used them. […] Of the estimated 1.4 to 4 million potential users in the United States who could benefit from cochlear implants, only five percent of eligible candidates use cochlear implants.
  • #78 Unidentified and Underserved: Cochlear Implant Candidates in the Hearing Aid Dispensing Practice – Article 876
    https://www.audiologyonline.com/articles/unidentified-and-underserved-cochlear-implant-876
    Unidentified and Underserved: Cochlear Implant Candidates in the Hearing Aid Dispensing Practice […] The vast majority of patients with hearing loss visiting a typical audiology private practice or hearing aid dispensing office can be helped with hearing aids. […] In the case of severe-to-profound hearing loss, professionals need to provide information on cochlear implants for those who might benefit. […] Cochlear implant candidacy has changed over the years, just as cochlear implant technology has developed and improved. […] For the appropriate candidates, cochlear implants may offer the chance at vast improvement in speech recognition over what even the best hearing aids and assistive technology offers them. […] In addition to providing basic information on cochlear implant performance and issues surrounding the cochlear implant process, some current data indicating a lack of referrals for cochlear implant evaluations will be presented. […] Cochlear implants can be a solution for those who do not benefit or are no longer satisfied with the limited benefit they receive from hearing aids. […] Unlike hearing aids, the audiological candidacy criteria for cochlear implantation are well defined as approved by the FDA; it is based on the pure-tone audiogram and the patients’ aided speech recognition scores. […] The criteria for cochlear implantation have changed dramatically over the years. […] The fact that the audiologic criteria for cochlear implant candidacy have expanded compared with those of the past is especially important information for professionals who dispense hearing aids, who may not be aware of the information. […] Adult patients can have only moderate hearing loss in the low frequencies, sloping to profound loss in the mid to high frequencies, and still be excellent candidates for a cochlear implant. […] There is no upper age limit for cochlear implant candidacy. […] Performance with cochlear implants is much better today than it was 25 years ago. […] It is because of these improved outcomes that the criteria for implantation have expanded. […] One obstacle to referral of appropriate candidates for cochlear implantation is lack of awareness by both professionals and potential recipients of current candidacy criteria. […] Given the number of current recipients versus the number of people who are candidates as discussed in the next section, these numbers seem low. […] The exact number of people who can benefit from cochlear implants can only be estimated. […] A reasonable estimate may be 1,000,000 people in the U.S. could benefit from cochlear implants. […] It is likely that less than 10% of the people who could benefit from a cochlear implant actually have one. […] The bottom line is that both groups are significantly underserved, and it is the responsibility of everyone who fits hearing aids to know who, when and where to refer potential implant candidates. […] The first step for professionals is to be familiar with FDA-approved cochlear implant criteria. […] It is every dispensing professional’s responsibility to know this information and overcome these obstacles in order to provide appropriate patients with their options for treatment.
  • #79 2015 APHA Annual Meeting & Expo (Oct. 31 – Nov. 4, 2015): Hearing impairment rehabilitation through use of hearing aids and cochlear implants: Monitoring trends in age-specific prevalence for U.S. Healthy People 2020
    https://apha.confex.com/apha/143am/webprogram/Paper330239.html
    Hearing healthcare goals include increasing rehabilitation through hearing aid (HA) use, cochlear implants (CIs), and other assistive listening devices. […] In 2007, 28.6% of adults aged 20-69 years reported a hearing examination in the past 5 years; 38.5% for adults 70+ years. Prevalence of HA use, 2001-2012, increased from 25.2% to 30.1% among adults aged 70+ years with moderate-or-greater hearing impairment (HI), 35 dB hearing level (HL); however, HA prevalence remained unchanged at about 16% for adults aged 20-69 years. […] CI surgeries increased 2.5-fold from 2001-2012, while overall prevalence among severe-to-profound HI (70 dB HL) individuals rose from 0.44% to 0.97%. The highest prevalence of CIs was for preschool-aged children with severe-to-profound HI, increasing from 12.6% to 21.2%. […] The largest relative increase in CI surgeries was for severe-to-profound HI adults aged 65+ years, increasing 4-fold from 0.13% to 0.49%. […] This report describes new methods developed for estimating and tracking the prevalence of HA use and CIs for the U.S. HI population.
  • #80
    https://www.who.int/news-room/fact-sheets/detail/deafness-and-hearing-loss
    Once hearing loss is identified, it is essential that it is addressed as early as possible and in an appropriate manner, to mitigate any adverse impact. […] Rehabilitation helps people with hearing loss to function at their optimum, which means they can be as independent as possible in everyday activities. […] Interventions for rehabilitation for people with hearing loss include the provision of, and training in the use of, hearing technologies (e.g. hearing aids, cochlear implants and middle ear implants). […] WHOs work on ear and hearing care is to promote integrated people-centred ear and hearing care (IPC-EHC). […] WHOs work includes guiding, assisting and supporting Member States to increase awareness of ear and hearing care issues.
  • #81 Use of hearing aids and cochlear implants associated with a decreased risk of developing dementia – Alzheimer’s Research UK
    https://www.alzheimersresearchuk.org/news/use-of-hearing-aids-and-cochlear-implants-associated-with-a-decreased-risk-of-developing-dementia/
    “Going forward, researchers must unpick exactly how hearing loss influences the risk of developing dementia. We also need to know who is most at risk and could benefit most from interventions like hearing aids. Knowing this will help health services allocate resources and support those that need it.”

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FDA implant ślimakowy głuchota aparat słuchowy implant hybrydowy percepcja mowy niedosłuch przewodzeniowy utrata pamięci niedosłuch odbiorczy niedosłuch jednostronny utrata słuchu otolaryngolog implant ucha środkowego implant zakotwiczony w kości funkcja wykonawcza pamięć robocza implant pnia mózgu audiolog rehabilitacja słuchowa