Archive for the 'CI Research' Category

Where Did That Sound Come From: Having One Implant

There are a couple of things at the top of my list to fix about my daughter’s cochlear implant. Of course, as previously mentioned here, I would like her to be able to wear her implant in the water. I would like her to be able to hear better in really noisy environments. And, I would like her to be able to tell which way sound is coming from (she has only one implant). This last item is a safety thing as much as anything else.

As it happens, I live in Dallas which is (lucky for me) home for the University of Texas at Dallas Callier Center. They have world class cochlear implant resources, and have amazed me and my daughter with their abilities. There are lots of graduate students and professors running around there, and they do cool research (some of which he have participated in).

They recently posted the results of a study on their blog that interested me. Researchers ran a test to see if adults with unilateral cochlear implants could “localize noise and speech signals in the horizontal plane” – tell which direction sound was coming from.

The test used an array of loudspeakers set at angles from the subject and short bursts of sound. They concluded that “some unilaterally implanted subjects can localize sounds at a better than chance level, apparently because they can learn to make use of subtle monaural cues based on frequency-dependent head-shadow effects.”

I thought this was really cool. I see my daughter doing this sometimes, but I could not understand how. The did note that the performance of adults with unilateral cochlear implants was “significantly poorer than that reported in previous studies of bilaterally implanted subjects, who are able to take advantage of binaural cues.”

Pretty cool.

Vertigo (Dizziness) and Cochlear Implant Implantation Method

When my daughter first got her implant, she was really dizzy. Even now, she still works on her balance (although it is much better.) Recently, some German scientists published some results on how the method used to place the implant can affect vertigo.

They studied two different insertion techniques: anterior versus round window. Their results indicate that significant differences were found with respect to the 2 different insertion techniques. The number of patients with vertigo after the surgery as evidenced by testing (23% vs 12.5%) was significantly different. They conclude that the round window approach for electrode insertion should be preferred to decrease the risk of loss of vestibular function and the occurrence of vertigo.

I have no idea how my daughter’s implant was inserted, but I plan to ask.

Combination Cochlear Implant and Hearing Aide

When my daughter was implanted seven years ago, one of the key thing that we had to do was prove that she was totally deaf. Only deaf children could be approved for cochlear implants. Now, hybrid technologies that combine hearing aids and cochlear implants are under test. In fact, the Milwaukee Journal Sentinel is reporting on an adult with great results. The devices from Med-El are currently under test in the U.S.

Fully Implanted Cochlear Implant (Swimming in Texas)

Swimming In Texas With A Cochlear Implant

My daughter has a Cochlear Implant. This is an amazing thing, as it allows her to go through life like any hearing child (more or less). In fact, with her hair down, you might not even notice that she was hearing impared.

Unless we’re swimming.

We live in Texas, and in Texas it gets really hot in the summer. If you are a kid, you swim. If you are a kid with a Cochlear Implant, you swim without it. My daughter does really well with this. She meets other hearing kids at the pool and plays with them, although she admits that it is difficult. She and I have spoken many times about how great it would be to have a fully implanted cochlear implant. If they do it with pace makers, why not cochlear implants?

Well, we all know the two main issues with this idea: what do you do about the battery and the microphone? Batteries run out of power. A typical cochlear implant battery only lasts a few days at best. Additionally, microphones work on sound pressure. If you cover the mic up by implanting it, can you still hear?

Yesterday, I saw a great article by Michael Chorost on the MIT Tecnology Review web site. The title was The Naked Ear: A fully implantable hearing aid is showing promise. In the article, Chorost talks about a new implantable hearing aid. The hearing aid implants the microphone just under the skin. This mutes the sound, so the company makes the mic more sensitive to compensate. For the battery, the company uses rechargable batteries charged with a coil (similar to the cochlear implant coils that are currently used to send signals to the implant from the processor).

Of course, there are downsides. You need to charge the battery every day, and have them surgically replaced every 5-10 years. There is also the issue of increased cost.

Still, I think this is very exciting. As fast as technology moves, it is easy for me to imagine a fully implantable cochlear implant on the market before my daughter gets married (which will be way off in the future, I hope).

Rutgers University Neuroscientist Robin Davis Claims Cochlear Research Progress

According to a press release from Rutgers University today, neuroscientist Robin Davis is publishing research that may lead to breakthroughs in cochlear implant capabilities. The fundamental research in two specific cochlear proteins shows how the distribution of those proteins correlates to the speed at which neurons fire. It is proposed that future cochlear implants could actually deliver doses of the proteins directly to the cochlea. The work is to appear in the December 19th issue of the Journal of Neuroscience.

Link Between Cochlear Implantation and Meningitus

The British Medical Journal published an editorial this week discussing the current status of research on the link between cochlear implants and meningitis (BMJ 2007;335:1058, 24 November). They report that more than 80,000 people have received cochlear implants since 1980, and that implantation is now the standard treatment for people who cannot resolve hearing issues with hearing aids.

They point out that while the use of cochlear implants is safe, the number of patients with meningitis related to cochlear implantation has increased worldwide.

However, the risk is low and there are preventative measures (like vaccines) that can be taken. The full text of the article is available on the BMJ web site.

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