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Author Spotlight: Advancements in Impedance Monitoring for Cochlear Implant Surgery
Published on: August 4, 2023
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Understanding Public Perceptions Regarding Cochlear Implant Surgery in Adults.
Lisa Zhang1, Andy S Ding2, Deborah X Xie3
1Department of Otolaryngology - Head and Neck Surgery, The Ohio State University Wexner Medical Center, Columbus, Ohio.
Summary
Low cochlear implantation (CI) rates stem from insurance issues and surgical fears. However, those familiar with CI show greater risk tolerance, suggesting its benefits are underestimated by the public.
Area of Science:
- Audiology
- Otolaryngology
- Medical Technology
Background:
- Cochlear implantation (CI) is underutilized, with only 6% of eligible adults undergoing the procedure.
- General perceptions and barriers significantly contribute to this low adoption rate.
Purpose of the Study:
- To investigate public perceptions of cochlear implantation.
- To identify barriers to CI utilization.
- To assess risk tolerance for CI complications.
Main Methods:
- An online survey assessed perceptions of CI, quality of life priorities, and risk tolerance for complications.
- Participants ranked priorities and risk tolerance for minor (taste change, vertigo) and major complications (infection, meningitis, reimplantation, facial paralysis, CSF leak).
Main Results:
- Insurance issues (46%) and fear of surgery (21%) were primary barriers to CI.
- Respondents underestimated complication rates, particularly for minor issues and major complications.
- Improved hearing in noisy environments was the top priority for CI.
Conclusions:
- Insurance and surgical fear are key barriers to adult CI in the US.
- Healthcare workers and individuals with CI experience show higher risk tolerance, indicating underappreciated benefits of CI in the general population.
