The Cochlear Implant: Historical Aspects and Future Prospects

Adrien Eshraghi, Ronen Nazarian, Fred F Telischi, Suhrud M Rajguru, Eric Truy, Chhavi Gupta

Research output: Contribution to journalArticle

41 Citations (Scopus)

Abstract

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

Original languageEnglish
Pages (from-to)1967-1980
Number of pages14
JournalAnatomical Record
Volume295
Issue number11
DOIs
StatePublished - Nov 1 2012

Fingerprint

Cochlear Implants
future prospect
electrodes
electrode
History
Cochlea
deafness
Electrodes
research institutions
gene therapy
hearing
Equipment Design
hair
Equipment and Supplies
medicine
Cochlear Nerve
Implanted Electrodes
Modern 1601-history
hairs
stem cells

Keywords

  • Cochlear implant
  • Deafness
  • Hair cells
  • Hearing preservation
  • Infrared nerve stimulation
  • Optical stimulation
  • Spiral ganglion neurons

ASJC Scopus subject areas

  • Anatomy
  • Histology
  • Ecology, Evolution, Behavior and Systematics
  • Biotechnology

Cite this

The Cochlear Implant : Historical Aspects and Future Prospects. / Eshraghi, Adrien; Nazarian, Ronen; Telischi, Fred F; Rajguru, Suhrud M; Truy, Eric; Gupta, Chhavi.

In: Anatomical Record, Vol. 295, No. 11, 01.11.2012, p. 1967-1980.

Research output: Contribution to journalArticle

Eshraghi, Adrien ; Nazarian, Ronen ; Telischi, Fred F ; Rajguru, Suhrud M ; Truy, Eric ; Gupta, Chhavi. / The Cochlear Implant : Historical Aspects and Future Prospects. In: Anatomical Record. 2012 ; Vol. 295, No. 11. pp. 1967-1980.
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