Speech perception with multi-channel cochlear implant of short duration pulse strategy. 1987

S Funasaka, and O Takahashi, and K Yukawa, and S Hatsushika, and S Hayashibara
Department of Otolaryngology, Tokyo Medical College, Japan.

A multi-channel cochlear implant (Nucleus type) was implanted in a 40-year-old female Japanese patient who became totally deaf after meningitis. The formant-based speech processing strategy was used, but a narrow pulse width of 22-42 microseconds was required because of intermittent difficulty in controlling the pulse amplitude. The patient was tested with a speech tracking test and could recognize 24 bunsetsues (the minimum meaningful unit of the Japanese sentence) per minute using the cochlear implant plus lipreading and 14.3 bunsetsues for the lipreading alone after 3.5 months' training. The patient was also able to understand usual conversational sentences spoken a little slowly. Scores of vowel and consonant tests reached 70% and 54% respectively for the cochlear implant alone, and 100% and 73% for the cochlear implant plus lipreading. This study has also shown that cochlear stimulation with very narrow pulse widths can be used, and restore speech comprehension ability for the Japanese.

UI MeSH Term Description Entries
D007564 Japan A country in eastern Asia, island chain between the North Pacific Ocean and the Sea of Japan, east of the Korean Peninsula. The capital is Tokyo. Bonin Islands
D008085 Lipreading The process by which an observer comprehends speech by watching the movements of the speaker's lips without hearing the speaker's voice. Speechreading,Lip Reading,Lip Readings,Lipreadings,Reading, Lip,Readings, Lip,Speechreadings
D008581 Meningitis Inflammation of the coverings of the brain and/or spinal cord, which consist of the PIA MATER; ARACHNOID; and DURA MATER. Infections (viral, bacterial, and fungal) are the most common causes of this condition, but subarachnoid hemorrhage (HEMORRHAGES, SUBARACHNOID), chemical irritation (chemical MENINGITIS), granulomatous conditions, neoplastic conditions (CARCINOMATOUS MENINGITIS), and other inflammatory conditions may produce this syndrome. (From Joynt, Clinical Neurology, 1994, Ch24, p6) Pachymeningitis,Meningitides,Pachymeningitides
D003054 Cochlear Implants Electronic hearing devices typically used for patients with normal outer and middle ear function, but defective inner ear function. In the COCHLEA, the hair cells (HAIR CELLS, VESTIBULAR) may be absent or damaged but there are residual nerve fibers. The device electrically stimulates the COCHLEAR NERVE to create sound sensation. Auditory Prosthesis,Cochlear Prosthesis,Implants, Cochlear,Auditory Prostheses,Cochlear Implant,Cochlear Prostheses,Implant, Cochlear,Prostheses, Auditory,Prostheses, Cochlear,Prosthesis, Auditory,Prosthesis, Cochlear
D003638 Deafness A general term for the complete loss of the ability to hear from both ears. Deafness Permanent,Hearing Loss Permanent,Prelingual Deafness,Deaf Mutism,Deaf-Mutism,Deafness, Acquired,Hearing Loss, Complete,Hearing Loss, Extreme,Acquired Deafness,Complete Hearing Loss,Deafness, Prelingual,Extreme Hearing Loss,Permanent, Deafness,Permanent, Hearing Loss,Permanents, Deafness
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000161 Acoustic Stimulation Use of sound to elicit a response in the nervous system. Auditory Stimulation,Stimulation, Acoustic,Stimulation, Auditory
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D013060 Speech Communication through a system of conventional vocal symbols. Public Speaking,Speaking, Public

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