PubMed Health⌕ Search

SEARCH · PubMed Health

Results for “Cochlear Implants”

Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 145 records · Page 8Linked to original sources
PubMed1978

Galvanic disruption of vestibulospinal postural control by cochlear implant devices.

All subjects with implanted cochlear stimulators demonstrated evidence of abnormal postural stability without their stimulators activated. Instability increased when they were tested with cochlear stimulation units turned on, and additional instability was demonstrated in four of these subjects when tested in noise. These findings suggest that the electrical stimulation delivered by the cochlear prosthesis is not limited to the auditory system. The precise characteristics of electrical stimulation devices designed for stimulations limited to the cochlea and their spurious effects upon motor performance should be investigated. The design of future intralabyrinthine auditory electrical prostheses must include hardware designs and stimulus paradigms that avoid undesirable vestibular system stimulation.

Adult↗
PubMed1999

Implantation of the CLARION cochlear implant in an ossified cochlea.

This report describes the successful implantation of the CLARION Multi-Strategy Cochlear Implant electrode in the totally ossified cochlea of a 5-year-old child via a radical mastoidectomy approach. Postoperatively, the child demonstrated responses to auditory stimuli, even though the electrode array contacted only bone and muscle graft tissue with no visible evidence of nerve fibers or cochlear lumen. Responses to sound did not begin to emerge until 10 weeks following initial stimulation and improved slowly over time. Although the child's postoperative auditory performance is more limited than that of most implanted children, she derives substantially more benefit from her implant than she did from conventional hearing aids.

Cochlear Diseases↗
PubMed1996

Cochlear implants in children.

Cochlear implants allow the rehabilitation of children with severe to profound hearing loss. They are beneficial for not only postlingual children with hearing loss but also for children with congenital or prelingual hearing loss. Issues regarding cochlear implant candidacy and surgery are discussed. The results of cochlear implants in children and the complications related to cochlear implant surgery in children are reviewed.

Child↗
PubMed2001

Different forms of dizziness occurring after cochlear implant.

Dizziness after cochlear implant (CI) was studied in a series of 94 consecutive adult patients receiving a cochlear implant, 46 (49.0%) of whom experienced dizziness post-operatively. In 29 patients, post-operative dizziness occurred soon after surgery and subsided within one month. Dizziness of the continuous type, lasting more than 6 months, was a complaint in only two patients. In addition to these already known forms of dizziness, spells of vertigo occurring later than one month after cochlear implant were experienced by 15 patients (delayed-V). The spells of delayed-V occurred suddenly and persisted for several hours. Moreover, 85.7% of delayed-V patients complained of hearing and tinnitus abnormalities during these spells. The clinical features of delayed-V were similar to those in patients with Meniere's disease. The preoperative bithermal caloric test showed a significantly higher response for the delayed-V group than the other groups (ANOVA: P < 0.05) in terms of slow phase eye velocity of caloric nystagmus. These findings suggest that inner ear lesions due to cochlear implant surgery develop gradually. Similarities in clinical features between delayed-V and Ménière's disease indicate the presence of labyrinthine hydrops.

Adolescent↗
PubMed1995

[Noise signal reduction in cochlear implant speech processors].

Cochlear implant wearers suffer from an additional impairment of auditory-verbal communication due to environmental noise, similar to that experienced by many users of conventional hearing aids. To reduce this problem the mini-22 cochlear implant system has implemented a noise suppression function in the Mini Speech Processor (MSP) decreasing background noise-induced stimulation. The efficacy of this algorithm was investigated in 18 experienced postlingually-deafened adult cochlear implant users. By means of a computer-assisted speech intelligibility measurement unit, speech understanding was compared with and without the noise suppression function. Paired observations were conducted in noise as well as in silence. The recording of complete performance-intensity functions in terms of speech discrimination tested with the standardized Freiburg speech intelligibility test and a newly developed sentence test demonstrated the benefit of the noise reduction mechanism. Better understanding was achieved in silence in the normal speech processing mode of the MSP, whereas a significant improvement in noise resulted from the noise suppression. Considerable interindividual differences were found in the gain patients derived from using the noise suppression algorithm. The more often the S-position was used, the better the individual result with activated noise suppression. However, providing the cochlear implant patients with more information, as in the spectral peak ("SPEAK") stimulation strategy recently developed by Cochlear Corporation, could lead to higher speech discrimination scores in interfering noise. Paired comparison studies revealed that the new strategy added significantly to results of speech understanding. Average intelligibility rose 40% when using the new coding method instead of the MSP with activated noise suppression.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗
PubMed1997

Cochlear implantation in children.

Cochlear implantation in the pediatric population is no longer considered experimental practice since the Food and Drug Administration (FDA) approved the Nucleus 22 Channel cochlear implant in 1990. Today, cochlear implantation is a viable option for selected children with profound hearing loss to achieve potential language development. Not every child is a candidate, however, nor can implantation rectify the underlying cause of deafness or restore normal hearing function. For successful outcomes in proper candidates, rigorous pre-surgical evaluation and screening followed by long-term rehabilitation and education are necessary for both child and family. The close collaboration of an interdisciplinary team is essential throughout the process.

Adolescent↗
PubMed1985

Cochlear implants.

Explore the source record for details and available documents.

Cochlear Implants↗
PubMed1986

[The promontory test and electrocochleography with reference to indications for cochlear implant].

A successful cochlear implant demands a functioning auditory nerve. A subjective and qualitative recording can be obtained by promontory testing (PT) whereas cochlear microphonics (CM) give information about the status of the hair-cells in the inner ear. The results of both tests together show different patterns: in sensory deafness in which a cochlear implant is indicated, no CM and no compound action potentials (CAP) can be obtained, whereas the patient reports hearing sensations (PT positive) in response to promontory testing. Deafness caused by lesions close to the second neurone of the auditory pathways can be localized by preserved CM and CAP, but there is no response to promontory testing. A ganglionic deafness ie. of the first neurone can be distinguished by preserved CM, absent CAP and a negative PT. The combined results of electrocochleography and promontory testing help in deciding whether a cochlear implant is indicated, and in localising the origin of the deafness, eg. neural or sensorineural. The possible results are illustrated by examples.

Adult↗
PubMed2003

[Pediatric cochlear implants].

Indications for cochlear implants have been widened since 1995. Most implant candidates are children with severe congenital deafness. The cochlear implant must be inserted as early as possible for these children in order to optimize development of perception and language. A cochlear implant can also be discussed in certain particular cases for children with associated diseases, malformation of the inner ear, or severe deafness. The educational project must be realistic and take into account the future difficulties as well as an established set of criteria for successful language acquisition.

Acoustic Impedance Tests↗
PubMed1992

Preliminary results with the Clarion cochlear implant.

A new cochlear implant has become available. This device, called the Clarion Multichannel Cochlear Implant, is the result of collaborative efforts between the University of California, San Francisco (UCSF), the Research Triangle Institute (RTI), Research Triangle Park, North Carolina, and the device manufacturer and sponsor, MiniMed Technologies of Sylmar, California. The Clarion represents a new generation of multi-programmable cochlear implant systems. Options in waveform, the stimulation mode, and the temporal distribution of the signal permit the device to be optimally customized for each individual patient. The speech coding scheme offering the greatest opportunity for speech recognition can be selected. The first Clarion recipient has recently been implanted at UCSF, initiating the Clarion's investigational clinical trials. A description of the device and preliminary patient results are presented.

Aged↗
PubMed2002

Blood flow measurements in the ears of patients receiving cochlear implants.

We measured cochlear blood flow in 12 patients who received cochlear implants, using a laser-Doppler probe with an outer diameter of 0.8 mm. The subjects had congenital deafness, idiopathic progressive sensorineural hearing loss, Waardenburg's syndrome, narrow internal auditory canal, or sudden deafness. Putting the probe tip to the site of drilling for cochlear implantation, we measured blood flow before, during, and after the cochlear bony wall was opened. The laser-Doppler output was confirmed even after the tip of the probe was inserted into the perilymphatic space in all cases. Our results revealed that blood flow was maintained in all cochleas, although there was a probability of reduction in blood flow volume. We conclude that laser-Doppler flowmetry is both relatively safe and useful for measuring blood flow in the ears during cochlear implantation procedures.

Adolescent↗
PubMed2005

[Cochlear implants in Aragón].

Cochlear implants are, actually, one of the major advances in the treatment for profound deafness. His use is, already, a routine in the daily practice of our specialty. Due to its special aspects, cochlear implants have to be done following a protocol that organizes and coordinates the different aspects of the diagnoses and treatment of profound deafness, in the different administrative and geographical fields. The health system in our country and the smale dimension of our area, has taken us to create and follow a special program in which all the available resources are used. Following this protocol, we have performed 63 cochlear implants, in the last 10 years. We show here the results and complications.

Adolescent↗