Biomedical subjects

Su-Wooi Teoh

Publications and source records attributed to Su-Wooi Teoh.

2 recordsLinked to original sources

PubMed2004

Long-term auditory adaptation to a modified peripheral frequency map.

OBJECTIVE: Cochlear implants (CIs) attempt to mimic the tonotopicity of the normal ear by stimulating more basal regions of the cochlea in response to higher frequencies. However, there may be a mismatch between the normal place-frequency map and that implemented by a CI. MATERIAL AND METHODS: Aiming to measure this potential mismatch and its changes over time, the present study used a method-of-adjustment procedure where CI users and normal-hearing listeners selected synthetic vowels to match prespecified vowel targets. Data from CI users were obtained longitudinally, starting on the day of initial stimulation and continuing for 2 years. RESULTS: CI users showed a significant amount of initial mismatch with respect to the normal-hearing listeners, but they also showed significant learning and adaptation over time and achieved nearly normal performance after some experience with the CI. CONCLUSION: In general, the adaptation process took several months, suggesting that some CI users may benefit from alternative signal processing or rehabilitation procedures designed to facilitate perceptual learning after cochlear implantation.

Acoustic Stimulation↗

PubMedDate not supplied

Development of language and speech perception in congenitally, profoundly deaf children as a function of age at cochlear implantation.

Like any other surgery requiring anesthesia, cochlear implantation in the first few years of life carries potential risks, which makes it important to assess the potential benefits. This study introduces a new method to assess the effect of age at implantation on cochlear implant outcomes: developmental trajectory analysis (DTA). DTA compares curves representing change in an outcome measure over time (i.e. developmental trajectories) for two groups of children that differ along a potentially important independent variable (e.g. age at intervention). This method was used to compare language development and speech perception outcomes in children who received cochlear implants in the second, third or fourth year of life. Within this range of age at implantation, it was found that implantation before the age of 2 resulted in speech perception and language advantages that were significant both from a statistical and a practical point of view. Additionally, the present results are consistent with the existence of a 'sensitive period' for language development, a gradual decline in language acquisition skills as a function of age.

Age Factors↗