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Biomedical subjects

Manuel Sainz

Publications and source records attributed to Manuel Sainz.

2 recordsLinked to original sources

Analysis of programming maps and its application for balancing multichannel cochlear implants.

Channel balancing is important for correct perception when using multichannel cochlear implants. In this paper we analyse the effect of channel imbalance on hearing perception in cochlear-implanted patients. Based on warble tone audiometry measured for 10 implanted patients, we evaluate how hearing sensitivity is affected by an imbalance. We also study the distribution along the cochlea of the programming parameters for 146 patients. The parameters are compared for different groups of patients (defined taking into account the age at implantation, the stimulation mode, and the presence of severe cochlear damage). The aim of this study is to obtain information that can be useful for balancing the channels for the patients in the different groups, as well as to evaluate the effect of an imbalance on perception. These results provide some complementary information that can be applied to the correct fitting of the cochlear implant processor.

Acoustic Stimulation↗

Assessment of auditory skills in 140 cochlear implant children using the EARS protocol.

Auditory performance of cochlear implant (CI) children was assessed with the Listening Progress Profile (LiP) and the Monosyllabic-Trochee-Polysyllabic-Word Test (MTP) following the EARS protocol. Additionally, the 'initial drop' phenomenon, a recently reported decrease of auditory performance occurring immediately after first fitting, was investigated. Patients were 140 prelingually deafened children from various clinics and centers worldwide implanted with a MEDEL COMBI 40/40+. Analysis of LiP data showed a significant increase after 1 month of CI use compared to preoperative scores (p < 0.01). No initial decrease was observed with this test. Analysis of MTP data revealed a significant improvement of word recognition after 6 months (p < 0.01), with a significant temporary decrease after initial fitting (p < 0.01). With both tests, children's auditory skills improved up to 2 years. Amount of improvement was negatively correlated with age at implantation.

Adolescent↗