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Spatial cognition is a daily life ability, developed in order to be able to understand and interact with our environment. Even if all the senses are involved in mental representation of space elaboration, the lack of vision makes it more difficult, especially because of the importance of peripheral information in updating the relative positions of surrounding landmarks when one is moving. Spatial audio technology has long been used for studies of human perception, particularly in the area of auditory source localisation. The ability to reproduce individual sounds at desired positions, or complex spatial audio scenes, without the need to manipulate physical devices has provided researchers with many benefits. We present a review of several studies employing the power of spatial audio virtual reality for research in spatial cognition with blind individuals. These include studies investigating simple spatial configurations, architectural navigation, reaching to sounds, and sound design for improved acceptability. Prospects for future research, including those currently underway, are also discussed.