What is a Hybrid Cochlear Implant (CI)?

A hybrid cochlear implant is a hearing device for people with moderate to profound hearing loss that combines a cochlear implant and a hearing aid to maximize high- and low-frequency sound. Hybrid devices use a hearing aid to amplify residual low-frequency hearing while using a cochlear implant’s electrical stimulation for higher frequency sounds that may not benefit from traditional amplification. This combination supports clear speech understanding and a natural sound experience when listening to music.

 

What is the Process for Providing a Hybrid Cochlear Implant?

The process is the same as that for a traditional cochlear implant. During cochlear implant surgery, a specially trained ENT surgeon inserts a thin electrode array into the cochlea, taking care to preserve natural hearing. After 2-4 weeks (sometimes less), the device is activated by an audiologist who fine-tunes the settings to balance input from the hearing aid and CI sound processor. Together, these systems provide clarity and a greater sound range.

 

5 Benefits of Hybrid Cochlear Implants

  1. Improve speech clarity in noise: Hybrid implants allow individuals to follow conversations in busy environments by enhancing high-frequency sounds that are essential for understanding speech, even when background noise is present.
  2. Deliver natural sound quality: By combining natural low-frequency hearing with electrical stimulation for high frequencies, hybrid systems provide a full, balanced listening experience that closely resembles how the ear processes sound naturally.
  3. Enhance music perception: The preservation of low-frequency hearing allows users to hear musical tones and bass more clearly, improving overall sound richness and making music more enjoyable and emotionally resonant.
  4. Preserve residual hearing: Hybrid implants protect and support existing low-frequency hearing, giving the benefit of both natural sound and advanced electrical technology for an auditory experience for those individuals whose hearing profile is appropriate for hybrid hearing.
  5. Support a smooth transition to cochlear implant use: By maintaining natural hearing and blending it with cochlear stimulation, hybrid devices help users adjust more to implant technology and achieve positive long-term outcomes.
 
The mission of the American Cochlear Implant (ACI) Alliance is to advance access to the gift of hearing provided by cochlear implantation through research, advocacy and awareness.