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PubMed · 1775761

[Cochlear implants, which one to choose?].

M Nègrevergne
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Abstract

The choice of a cochlear implant is a difficult one. A given type of implant does not yet correspond to a given type of patient. Our indications have to be refined by acquired experience and through the improvement of tests prior to implanting. The implants available present different features, but they all improve the communication of the profoundly deaf to different degrees, by attenuating their tinnitus.

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Cochlear ImplantsDeafnessElectrodes, ImplantedEvaluation Studies as TopicHumansRisk FactorsEnglish AbstractJournal Article

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M Nègrevergne. 1991. [Cochlear implants, which one to choose?].. https://pubmed.ncbi.nlm.nih.gov/1775761/

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PubMed2003

The perceptual effects of interphase gap duration in cochlear implant stimulation.

The most common current pulse shape used for cochlear implants is a biphasic rectangular pulse. The interphase gap (IPG) is the duration of the zero-current portion which lies between the two phases. It is known from single-nerve studies in animals that, as the IPG decreases, the biphasic pulse becomes less efficient in activating the nerve cell. Thus, it can be predicted that stimulation using smaller IPGs will necessitate the use of higher currents to maintain the loudness required by the cochlear implantee. The development of contemporary processing schemes commonly involves the maximization of the rate parameter, and to achieve this in sequential pulsatile stimulation, the IPG as well as the pulse phase duration must be minimized. This experiment investigated the effect of IPG on loudness in eight cochlear implantees who use the CI24 implant manufactured by Cochlear Ltd. An exponential increase in current level was required to maintain equal loudness when IPG is reduced from 100 to 45 and 8.4 micros. The effect of IPG was greater at lower levels, was greater for shorter pulse durations (26 micros compared to 52 micros), and was not significantly different for the rates (1 kHz or 4 kHz) tested.

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