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Related Experiment Video

Updated: May 16, 2026

Performing Intracochlear Electrocochleography During Cochlear Implantation
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Performing Intracochlear Electrocochleography During Cochlear Implantation

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[Cochlear implant treatment in Germany].

R Jacob1, Y Stelzig

  • 1Akademisches Lehrkrankenhaus der Johannes-Gutenberg-Universität Mainz, Abteilung V - Hals-Nasen-Ohren-Heilkunde; Kopf- und Halschirurgie, Sektionen: Allergologie - Phoniatrie und Pädaudiologie - Onkologie, Bundeswehrzentralkrankenhaus Koblenz, Rübenacher Str. 170, 56072, Koblenz, Deutschland. rolandjacob@bundeswehr.org

HNO
|December 11, 2012
PubMed
Summary

Cochlear implants restore hearing effectively but face insurance disputes over cost, leaving many hearing-impaired individuals without necessary treatment. Addressing this requires collaboration between patients, insurers, and policymakers to improve access to cochlear implant technology.

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Area of Science:

  • Otorhinolaryngology
  • Biomedical Engineering
  • Health Economics

Background:

  • Cochlear implantation offers reliable restoration of auditory function.
  • High costs lead to disputes between patients and insurance companies.
  • Less than 10% of approximately 30,000 needed cochlear implants annually are provided in Germany.

Purpose of the Study:

  • To highlight the discrepancy between the need for cochlear implants and current provision rates.
  • To discuss the role of insurance companies and healthcare providers in access to cochlear implants.
  • To emphasize the medical necessity and functional restoration provided by cochlear implants versus hearing aids.

Main Methods:

  • Analysis of current healthcare provision for hearing impairment in Germany.

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Last Updated: May 16, 2026

Performing Intracochlear Electrocochleography During Cochlear Implantation
09:10

Performing Intracochlear Electrocochleography During Cochlear Implantation

Published on: March 8, 2022

Robotic Cochlear Implantation for Direct Cochlear Access
08:06

Robotic Cochlear Implantation for Direct Cochlear Access

Published on: June 16, 2022

Performing Repeated Intraoperative Impedance Telemetry Measurements during Cochlear Implantation
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Performing Repeated Intraoperative Impedance Telemetry Measurements during Cochlear Implantation

Published on: August 4, 2023

  • Review of legal and professional guidelines regarding medical treatment recommendations.
  • Comparison of hearing aids and cochlear implants in restoring auditory function.

    • Main Results:

    • Significant gap exists between the number of individuals needing cochlear implants and those receiving them.
    • Insurance disputes over costs impede access to necessary auditory rehabilitation.
    • Medical professionals are obligated to recommend all viable treatment options, irrespective of cost.

    Conclusions:

    • The current under-provision of cochlear implants necessitates a re-evaluation of access and funding.
    • Patients, insurance companies, policymakers, and professional societies must share responsibility for improving hearing healthcare.
    • Cochlear implants represent a functional restoration, distinct from hearing aids, and should be prioritized when medically indicated.