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Introduction
Binaural hearing allows listeners with normal hearing to understand speech better in silence and noisy
conditions and is an essential requirement for spatial
hearing and sound localization. Other benefits of
binaural hearing are more natural hearing, reduced
listening effort and an improved quality of life.
The cortical projection of the ear is fundamentally
contralateral and only a small proportion of fibers in
the auditory neural pathway have homolateral cortical projection. This results in insufficient homolateral neural and cortical development in cases of
monaural stimulation.
Bilateral cochlear implantation
Bilateral cochlear implantation allows bilateral input
into the auditory system for adults and children who
suffer from severe-to-profound deafness. Bilateral
cochlear implantation may be considered if hearing
aids (HAs) do not provide appropriate stimulation of
the auditory system. It has been shown that bilateral
cochlear implants (CIs) restore fundamental aspects
of binaural hearing and provide the binaural advantages experienced by normal-hearing subjects.
Surgical techniques
The one-stage technique. Both ears are implanted
during a single surgical procedure. This procedure
Address for correspondence: Constantino Morera, Hospital Universitario La Fe, Avda. Campanar, 21, ES-46009 Valencia, Spain. E-mail:
Constantino.Morera@uv.es
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