A F Van Olphen | PubMed Health

PubMed2004

Preoperative imaging protocol for cochlear implant candidates.

OBJECTIVE: To formulate and test a CT imaging protocol for preoperative scanning of the temporal bone in cochlear implant candidates. MATERIAL AND METHODS: A human head was scanned in three CT planes: axial, axiopetrosal and semilongitudinal. Multiplanar reformats (MPRs), based on axial slices, were created and compared with the corresponding images obtained by direct scanning in the respective planes. All scans were analyzed on a viewing workstation. RESULTS: The axial plane image allowed for an overview of the temporal bone. The width of the facial recess and the cochlear nerve canal could be studied on combined axial and axiopetrosal images. Cochlear patency could be evaluated using combined axial and semilongitudinal images. Axiopetrosal and semilongitudinal MPRs were able to replace the images obtained by direct scanning in the respective planes. CONCLUSION: The combination of the axial CT plane image and MPRs was found to be sufficient for preoperative analysis of the temporal bone morphology.

Cochlear Implantation↗

PubMed1992

Phoneme recognition by deaf individuals using the multichannel nucleus cochlear implant.

Experiments have been carried out to determine which cues are used in phoneme identification by deaf individuals using a cochlear implant. Five deaf individuals with a Nucleus 22-channel cochlear implant were tested with open set speech audiometry in free field without lipreading. Speech material consisted of lists of Dutch words of the Consonant-Vowel-Consonant type (CVC-words). Word scores ranged from 0 to 22%, phoneme scores from 11 to 54%. For each subject the responses to the initial consonant, the vowel and the final consonant were entered into separate confusion matrices. Kruskal analysis, which provided a geometric representation of these confusions, showed that in the recognition of consonants the feature of voicing is all important. Vowels were identified on the basis of the frequencies of the first and second formants. In one subject the electrode array could only partially be inserted into the cochlea, leaving roughly half the second formant area of the electrode array outside the cochlea. For this subject vowel identification was based upon the first formant and vowel duration; there was no contribution of second formant information to vowel identification. Compressing the first and second formant frequency to the limited intracochlear array did not enhance transmission of second formant information and did not improve performance. The basic findings for consonant and vowel recognition could be explained by the speech coding strategy of the Nucleus speech processor in which voicing determines stimulus periodicity and formant frequencies determine channel selection. Kruskal analysis of phoneme confusions may aid in programming and evaluating the performance of the Nucleus cochlear implant.

Adult↗