[Neurotology and cochlear implants].
In this review we analyse cochlear implantation in terms of the fundamental aspects of the functioning of the auditory system. Concepts concerning neuronal plasticity applied to electrical stimulation in perinatal and adult deep hypoacusis are reviewed, and the latest scientific bases that justify early implantation following screening for congenital deafness are discussed. Finally, this review aims to serve as an example of the importance of fostering the sub-specialty of neurotology in our milieu, with the aim of bridging some of the gaps between specialties and thus improving both the knowledge in the field of research on auditory pathologies and in the screening of patients. The objectives of this review, targeted above all towards specialists in the field of otorhinolaryngology, are to analyse some significant neurological foundations in order to reach a better understanding of the clinical events that condition the indications and the rehabilitation of patients with cochlear implants, as well as to use this means to foster the growth of the sub-specialty of neurotology.
Universidad de Salamanca. Facultad de Medicina, 37007 Salamanca, Espana.
Miguel A
MA
Merchán
D000161:Acoustic Stimulation; D000222:Adaptation, Physiological; D000367:Age Factors; D001303:Auditory Cortex / Q000503:physiopathology; D001306:Auditory Pathways / Q000503:physiopathology; D019929:Cochlear Implantation / Q000379:methods; D003054:Cochlear Implants; D042241:Early Diagnosis; D061345:Early Medical Intervention; D005072:Evoked Potentials, Auditory; D059330:GABAergic Neurons / Q000502:physiology; D034381:Hearing Loss / Q000453:epidemiology / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D007802:Language; D009146:Music; D009415:Nerve Net / Q000503:physiopathology; D009473:Neuronal Plasticity; D009474:Neurons / Q000145:classification / Q000502:physiology; D063165:Neurotology / Q000458:organization & administration / Q000639:trends; D010897:Pitch Discrimination / Q000502:physiology; D012955:Societies, Medical