{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,23]],"date-time":"2025-09-23T14:12:18Z","timestamp":1758636738036,"version":"3.40.5"},"reference-count":8,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,11,20]],"date-time":"2024-11-20T00:00:00Z","timestamp":1732060800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:sec><jats:label\/><jats:p>Electrical stimulation in proximity to a cochlear implant (CI) is contraindicated due to the potential risk of damaging the implant and thermal insult to the inner ear. Yet, during surgical procedures that pose a risk to the nervous system, the use of transcranial electrical stimulation for neuromonitoring is crucial for assessing the integrity of the motor pathways and preventing neurological insults. The current paper depicts a case of a patient with CI undergoing two consecutive surgeries for scoliosis correction, revealing a suspected pending neurological insult in the second operation. An audiological and electrical examination after each operation demonstrated preserved auditory function and normal functioning of the CI, respectively. The current case is consistent with previous reports reviewed in the paper, showing no CI failures nor hearing deterioration following transcranial electrical stimulation for neuromonitoring and electroconvulsive therapy. In light of this accumulating evidence, there is an urgent need for manufacturers and regulatory bodies to proactively undertake a comprehensive review of this declared contraindication. Subsequently, an updated data\u2010driven risk analysis is essential to weigh the consequences of preventing the contraindicated tools and treatments, as well as their potential benefits to these patients. <jats:italic>Laryngoscope<\/jats:italic>, 135:1493\u20131495, 2025<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.31882","type":"journal-article","created":{"date-parts":[[2024,11,20]],"date-time":"2024-11-20T10:27:26Z","timestamp":1732098446000},"page":"1493-1495","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Should Cochlear Implant Contraindicate Transcranial Stimulation? A Case Study with Safety Implications"],"prefix":"10.1002","volume":"135","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-9050-8352","authenticated-orcid":false,"given":"Omer","family":"Zarchi","sequence":"first","affiliation":[{"name":"Intraoperative Neurophysiology Unit Rabin Medical Center  Petah Tikva Israel"},{"name":"Intraoperative Neurophysiology Unit Schneider Children's Medical Center  Petah Tikva Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amir","family":"Amitai","sequence":"additional","affiliation":[{"name":"Spine Surgery Unit Rabin Medical Center  Petah Tikva Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6473-3244","authenticated-orcid":false,"given":"Joseph","family":"Attias","sequence":"additional","affiliation":[{"name":"The Department of Communication Sciences &amp; Disorders Haifa University  Haifa Israel"},{"name":"The Institute of Audiology and Clinical Neurophysiology Schneider Children's Medical Center  Petah Tikva Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eyal","family":"Raveh","sequence":"additional","affiliation":[{"name":"The Pediatric Otolaryngology Unit Schneider Children's Medical Center  Petah Tikva Israel"},{"name":"Sackler Faculty of Medicine Tel Aviv University  Tel Aviv Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tally","family":"Greenstein","sequence":"additional","affiliation":[{"name":"The Institute of Audiology and Clinical Neurophysiology Schneider Children's Medical Center  Petah Tikva Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susan","family":"Alpert","sequence":"additional","affiliation":[{"name":"Executive in Residence Program Medical Industry Leadership Institute, Carlson School, University of Minnesota  Minneapolis Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eyal","family":"Marcado","sequence":"additional","affiliation":[{"name":"The Pediatric Orthopedic Unit Schneider Children's Medical Center  Petah Tikva Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,11,20]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0000000000002062"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0000000000001788"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10877-015-9730-7"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.CC.21.00609"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/YCT.0000000000000803"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599811416318a163"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/YCT.0000000000000124"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.29291"}],"container-title":["The Laryngoscope"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.31882","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,13]],"date-time":"2025-03-13T04:26:43Z","timestamp":1741840003000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/lary.31882"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11,20]]},"references-count":8,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025,4]]}},"alternative-id":["10.1002\/lary.31882"],"URL":"https:\/\/doi.org\/10.1002\/lary.31882","archive":["Portico"],"relation":{},"ISSN":["0023-852X","1531-4995"],"issn-type":[{"type":"print","value":"0023-852X"},{"type":"electronic","value":"1531-4995"}],"subject":[],"published":{"date-parts":[[2024,11,20]]},"assertion":[{"value":"2024-07-17","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-10-09","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-11-20","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}