A new paradigm of hearing loss and preservation with cochlear implants: Learnings from fundamental studies and clinical research.

Autor: Kirk JR; Cochlear Limited, 1 University Avenue, Macquarie University, NSW 2109, Australia. Electronic address: JKirk@cochlear.com., Smyth D; Cochlear Limited, 1 University Avenue, Macquarie University, NSW 2109, Australia., Dueck WF; Cochlear Limited, 1 University Avenue, Macquarie University, NSW 2109, Australia.
Jazyk: angličtina
Zdroj: Hearing research [Hear Res] 2023 Jun; Vol. 433, pp. 108769. Date of Electronic Publication: 2023 Apr 16.
DOI: 10.1016/j.heares.2023.108769
Abstrakt: In 2010 Cochlear initiated a coordinated preclinical research program to identify the factors and underlying mechanisms of acoustic hearing loss following cochlear implantation and device use. At its inception the program was structured around several major hypotheses implicated in the loss of acoustic hearing. The understanding of causes evolved over the course of the program, leading to an increased appreciation of the role of the biological response in post-implant hearing loss. A systematic approach was developed which mapped the cochlear implant journey along a timeline that considers all events in an individual's hearing history. By evaluating the available data in this context, rather than by discrete hypothesis testing, causative and associated factors may be more readily detected. This approach presents opportunities for more effective research management and may aid in identifying new prospects for intervention. Many of the outcomes of the research program apply beyond preservation of acoustic hearing to factors important to overall cochlear health and considerations for future therapies.
Competing Interests: Declaration of Competing Interest None.
(Copyright © 2023. Published by Elsevier B.V.)
Databáze: MEDLINE
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