Speech coding strategies of the digisonic fully digitized cochlear implant. 1995

C H Chouard, and M Ouayoun, and B Meyer, and C Fugain
ENT Department, Hôpital Saint-Antoine, Paris, France.

The Digisonic is a fully digitized cochlear implant. Because of its articulated array, its 15 electrodes can be inserted in the cochlea. Each electrode is recessed in a special silastic compartment of the array and has a very large stimulation area thanks to its large microrelief surface area. The small volume of its implanted receiver (flat cylinder diam 29 mm, 6.9 mm thick) allows it to be placed in 2-year-old children. The 128 point FFT of this device supply the patient with a full set of sound information between 64 and 7800 Hz. Electrode stimulation mode is sequential and stimulation rhythm is programmable. Electric crosstalk is decreased by the shape of the electrode array, and optionally by special programming of the neighboring electrodes. The speech therapist may select the width and peak value of each frequency band handled by each functional electrode. Because the versatility of this digitized emitter, many speech coding strategies can be easily programmed as a function of electrode responses or particular scientific considerations. A special version of this device, consisting of 10 separate electrodes, has been designed for use in patients with total obstruction of the cochlea. These insulated wires may be inserted one by one in the inner ear in 10 different recesses gently drilled in the bony cochlea. This device was placed in 46 patients between 1992 and 1994, including 8 young children (aged 2-9 years, mean 5 years) and 9 patients with total cochlear obstruction.

UI MeSH Term Description Entries
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D002675 Child, Preschool A child between the ages of 2 and 5. Children, Preschool,Preschool Child,Preschool Children
D003051 Cochlea The part of the inner ear (LABYRINTH) that is concerned with hearing. It forms the anterior part of the labyrinth, as a snail-like structure that is situated almost horizontally anterior to the VESTIBULAR LABYRINTH. Cochleas
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
D004558 Electric Stimulation Use of electric potential or currents to elicit biological responses. Stimulation, Electric,Electrical Stimulation,Electric Stimulations,Electrical Stimulations,Stimulation, Electrical,Stimulations, Electric,Stimulations, Electrical
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D013060 Speech Communication through a system of conventional vocal symbols. Public Speaking,Speaking, Public

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