Cochlear Implants and Other Implantable Hearing Devices

Second Edition

Michael J. Ruckenstein

Details: 383 pages, Full Color, Hardcover, 8.5" x 11"

ISBN13: 978-1-63550-126-1

© 2020 | Available


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Cochlear Implants and Other Implantable Hearing Devices, Second Edition remains a fundamental text for hearing professionals. Cochlear implants and other implantable hearing mechanisms have become increasingly prevalent solutions to modern-day hearing trauma, making it imperative for clinicians to gain expertise on the subject. This text provides hearing professionals with the knowledge necessary to wholly understand these implantable mechanisms so that they can incorporate them into their practices.

New to the Second Edition

  • Three all-new chapters

o   Chapter 10. Single-Sided Deafness by Margaret Dillon and Kevin Brown

o   Chapter 17. Auditory Neuropathy, Cochlear Nerve Deficiency, and Other Challenges in the Pediatric Population by Thierry Morlet and Robert C. O’Reilly

o   Chapter 22. Cochlear Implants—The Future by Editor Michael J. Ruckenstein

  • Updated references and chapter content throughout
  • New 8.5’’x11’’ trim size and full color design


"Cochlear Implants and Other Implantable Hearing Devices edited by Michael J. Ruckenstein (2020) is a comprehensive guide to implantable Otologic devices. The authorship team is comprised of numerous leaders in their respective fields of Audiology, Auditory/Communication sciences, and Otology/Neurotology. Their unique perspectives collectively shape one of the more well-rounded texts on cochlear and otologic implants.
The guide’s first several chapters form foundational knowledge that leads to higher level topics encountered later. Each is accompanied by sub-headings, which provide quick reference points and carefully selected figures complement the text. Every facet of cochlear implantation is examined including device technology (Ch. 3), candidate selection (Ch. 5), diagnostic imaging considerations (Ch. 6), surgical techniques (Ch. 8), programming in adult and pediatric patients (Ch.’s 11-12), and audiometric outcomes (Ch. 13-14). Later chapters focus on more nuanced topics of revision cochlear implantation (Ch. 18), auditory neuropathy spectrum disorder (Ch. 17), and music appreciation in CI patients (Ch. 16). Furthermore, less commonly employed technologies such as auditory brainstem implantation and middle ear implants are reviewed (Ch.’s 19-21).
Each chapter does an effective job in referencing primary literature while providing pertinent applications to the real-world patient. For example, the unique challenges of preoperative counselling around bone conduction devices in single-sided deafness are highlighted in Chapter 20. Another prime example of how this textbook has shaped my learning as a Fellow is a list of succinct, critical points for assessing preoperative imaging in preparation for a patient’s cochlear implantation.
This text serves as a valuable reference for Otolaryngology–Head & Neck Surgeons, Speech Language Pathologists, Audiologists, Nurse Practitioners and Neuroscientists. It provides detailed insights into understanding the historical context, current landscape, and future direction of this unique field. I’ve had the unique opportunity of referencing this textbook on countless occasions and would encourage anyone involved in this field to consider acquiring it."
—Justin T. Lui, MD, FRCSC, in Canadian Audiologist (Vol. 7, Issue 6, 2020)

"The second edition of Cochlear Implant Patient Assessment aims to become a point of reference for all professionals involved in assessing cochlear implant candidacy and interested in broadening their knowledge to maximise the hearing capabilities of their patients.
This book offers the reader a chance to explore Gifford’s reflections and recommendations onto an often-overlooked topic. The strength of this book is its focus on everyday clinical practice and guided advice for local clinics to derive their own science-based protocols to suit their clinical needs. Professor Rene Gifford is the current Director of the Cochlear Implant Program at the Vanderbilt Bill Wilkerson Center. She has published extensive peer-reviewed articles and book chapters, and her special interests are in hearing preservation, electro-acoustic stimulation, preoperative prediction of postoperative outcomes and image guided programming.
This resource encompasses all aspects of candidacy, from funding and regulation to the different roles of the multidisciplinary team, including surgery and insights on new research. Included in the book is a companion website with access to sample protocols and test batteries. I particularly enjoyed reading about electrode array positioning and the consequences of mapping blindly without postoperative imaging, with advice on how to navigate this dilemma using new tools. The holistic vision to include input from a wider range of professionals such as clinical psychologist and imaging experts to drive the field of cochlear implantation forward was compelling. The degree of visual takeover of auditory cortical areas as a predictor of outcomes as part of cross-modal plasticity experiments was thought provoking. [...]
This book is a must-have resource for inquisitive clinicians and serves as a repository for concise summaries of up to date scientific publications."
—Unai Martinez de Estibariz, Audiologist, The Richard Ramsden Centre for Hearing Implants, Manchester Royal Infirmary, in ENT & Audiologist News (January 2021)

Foreword by Robert V. Harrison




Chapter 1. History of Implantable Hearing Devices

Marc D. Eisen


Chapter 2. Designing and Building a Cochlear Implant Program

Linda S. Burg, David R. Friedland, and Christina L. Runge


Chapter 3. Cochlear Implant Electrodes: Design and Characteristics

Jason A. Brant and Steven J. Eliades


Chapter 4. Signal Processing Strategies for Cochlear Implants

Blake S. Wilson and Michael F. Dorman


Chapter 5. Cochlear Implant Candidate Selection

René H. Gifford


Chapter 6. Imaging of Cochlear Implantation

Suyash Mohan, Ellen G. Hoeffner, and Laurie A. Loevner


Chapter 7. Cochlear Implants: Surgical techniques, Special Considerations—Pediatric and Malformed Cochleae

Tiffany Chao and Luv Javia


Chapter 8. Surgical Technique for Cochlear Implants in Adults

James G. Naples, Jason Brant, D. C. Bigelow, and Michael J. Ruckenstein


Chapter 9. Hearing Preservation Cochlear Implantation and Electro-Acoustic Stimulation

Sandra Prentiss, Athanasia Warnecke, and Hinrich Staecker


Chapter 10. Single-Sided Deafness

Margaret Dillon and Kevin Brown


Chapter 11. Adult Cochlear Implant Programming: A Basic Introduction

Natalie R. Watts and Michelle L. Montes


Chapter 12. Perspectives in Pediatric Cochlear Implant Programming

Michael Jackson


Chapter 13. Measuring Auditory Outcomes of Cochlear Implant Use in Children with Behavioural and Electrophysiological Tests

Karen A. Gordon and Blake C. Papsin


Chapter 14. Treatment Outcomes of Adult Cochlear Implantation

David Low, Paul Mick, David Shipp, and Joseph Chen


Chapter 15. Factors Influencing Cochlear Implant Performance

Saikrishna C. Gourishetti and Ronna Hertzano


Chapter 16. Cochlear Implant-Mediated Perception of Environmental Sounds and Music

Yell Inverso


Chapter 17. Auditory Neuropathy, Cochlear Nerve Deficiency, and Other Challenges in the Pediatric Population

Thierry Morlet and Robert C. O’Reilly


Chapter 18. Cochlear Implant Reliability and Reimplantation

Cameron C. Wick and Craig A. Buchman


Chapter 19. Advances in Auditory Brainstem Implantation

Elliott Kozin, Harrison W. Lin, and Daniel J. Lee


Chapter 20. Bone-Conduction Hearing Devices

Jennifer W. Lee, Robert B. A. Adamson, and Manohar L. Bance


Chapter 21. Middle Ear Implantable Hearing Devices: Present and Future

Hossein Mahboubi, Autefeh Sajjadi, Jeffery J. Kuhn, and Hamid R. Djalilian


Chapter 22. Cochlear Implants – The Future

Michael J. Ruckenstein



Michael J. Ruckenstein

Michael J. Ruckenstein, MD, MSc, FACS, FRCS, is Professor and Vice Chairman of the Department of Otorhinolaryngology—Head and Neck Surgery at the University of Pennsylvania, where he directs the Residency Training Program, the Balance Center, and the Center for Implantable Hearing Devices. He holds a specialty certification in otolaryngology—head and neck surgery and a subspecialty certification in neurotology from the American Board of Otolaryngology. He has an active clinical practice focusing on medical and surgical diseases of the ear and skull base. His research focuses on the development of quality of life measures for diseases such as acoustic neuromas and Ménière disease, as well as the pathophysiology of inner ear disease.

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