• 제목/요약/키워드: cochlear Implant

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모세포 손상 가묘에 대한 Cochlear Implant (Cochlear Implant of the Hair-Cell Damaged Cats)

  • 장인원;김성남;양한모;최윤호;조용범
    • 대한기관식도과학회:학술대회논문집
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    • 대한기관식도과학회 1978년도 제12차 학술대회연제 순서 및 초록
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    • pp.9.1-10
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    • 1978
  • Action potential의 본체는 cochlear nerve의 섬유집합의 주기적 흥분을 보이는 전위변화(복합활동전위)를 말한다. 와우신경섬유의 흥분인 impulse wave-form은 음양(N.P,)의 bipolar wave-form을 나타내기 때문에 A.P.도 이상성 wave-form으로 나타난다. 기계적으로나 약물로 내외모세포를 파괴한 가묘의 고실계에 induction coil을 삽입하고 동시에 outer device를 통해서 준 음자극에 의하여 얻은 파형을 분석 보고한다.

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신경모델링을 이용한 인공와우 전기자극 패턴 연구 (Study on Electric Stimulus Pattern in Cochlear Implant Using a Computer Model)

  • 양혜진;우지환
    • 전자공학회논문지
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    • 제49권12호
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    • pp.249-255
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    • 2012
  • 청각 신경의 정상적 기능 회복을 위해 사용하는 인공와우는 인체 조직에 손상을 주는 단상파 방식의 펄스 대신 전하량 균형을 이루는 이상파 방식의 전기적 펄스를 사용한다. 본 논문에서는, Hodgkin-Huxley 신경 모델에 기반하여 다양한 전기적 펄스 방식의 자극이 신경 반응에 미치는 영향에 대하여 연구하였다. 전기적 펄스의 펄스 폭, 펄스간 간격 등을 변화시키면서, 청각신경의 역치, 반응 범위, 반응 시간 등을 측정하였다. 이러한 결과는 인공와우 시스템의 효과적인 자극 방식을 디자인 하는데, 활용 될 수 있으리라 기대된다.

선천성심도 청각장애 아동의 와우이식 후 말산출 특성 (Speech Production Characteristics of Congenitally Deaf Children with Cochlear Implant)

  • 윤미선
    • 대한음성학회:학술대회논문집
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    • 대한음성학회 2007년도 한국음성과학회 공동학술대회 발표논문집
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    • pp.302-304
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    • 2007
  • The purpose of this study was to evaluate speech production ability of congenitally deaf children with cochlear implant. Forty children were participated in the study. The results are following: (1) mean of speech intelligibility score was 3.05 in 5 point scale, (2) mean of percent of correct vowels was 86.19%, and mean of percent of correct consonants was 74.89%, and (3) voice profiles showed their voice were high pitched, hypernasal, and breathy. But 12.5% of the children were evaluated as having normal voice quality. Overall speech production abilities of children with cochlear implant were superior than the deaf children's result reported in literatures. Meanwhile their abilities were not same as children with normal hearing.

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청각보철장치를 위한 어음 발췌기의 FPGA 구현 (FPGA Implementation of Speech Processor for Cochlear Implant)

  • 박석준;홍민석;신중인;박상희
    • 대한의용생체공학회:학술대회논문집
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    • 대한의용생체공학회 1998년도 추계학술대회
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    • pp.163-164
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    • 1998
  • In this paper the digital speech processing part of cochlear implant for sensorineural disorderly patients is implemented and simulated. We implement the speech processing part by dividing into three small parts - Filterbank, Pitch Detect, and Bandmapping parts. With the result, we conclude digital speech processing algorithm is implemented in FPGA perfectly. This means that cochlear implant can be made very small size.

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인공와우 이식술 환자의 Cochlear View 촬영에 관한 연구 (A study on the Cochlear View in Multichannel Cochlear Implantees)

  • 권대철;김정희;김성룡;김해성;이용우
    • 대한방사선기술학회지:방사선기술과학
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    • 제22권2호
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    • pp.27-32
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    • 1999
  • Cochlear implant poses a contraindication to the magnetic resonance imaging(MRI) process, because MRI generates artifacts, inducing an electrical current and causing device magnetization. CT is relatively expensive and the metal electrodes scatter the image. Post-implantation radiological studies using anterior-posterior transorbital, submental-vertex and lateral views, the intracochlear electrodes are not well displayed. Therefore, the authors developed a special view, which we call the cochlear view. The patient is sitting in front of a vertical device. Then the midsagittal plane is adjusted to form an angle of $15^{\circ},\;30^{\circ}$, and $45^{\circ}$ with the film. The flexion of the neck is adjusted to make the infraorbitomeatal line(IOML) is parallel with the transverse axis of the film. The central ray is directed to exit from the skull at point which is 3.0 cm anterior and 2.0 cm superior to the EAM(external auditory meatus). Results have shown that single radiography of the cochlear view provides sufficient information to demonstrate the position of the electrodes array and the depth of insertion in cochlear. Radiography of the cochlear view in angle of $45^{\circ}$ is an excellent image. The cochlear view gives the greatest amount of medical information with the least radiation and lowest medical cost. It can be widely used in all cochlear implant clinics.

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인공와우 이식의 비용효용 분석 (Cost-Utility Analysis of the Cochlear Implant)

  • 이후연;김희남;김한중;최재영;박은철
    • Journal of Preventive Medicine and Public Health
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    • 제37권4호
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    • pp.353-358
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    • 2004
  • Objective : To determine the quality of life and cost consequences for deaf adults who received a cochlear implant. Methods : The data from 11 patients, post-lingual deaf adults who received cochlear implants from 1990 to 2002, underwent cost-utility analysis. The average age of the participants was 49.6 years. The main outcomes were direct cost per quality-adjusted life-year (QALY) using the visual analog scale (VAS), health utility index (HUI), EuroQol (EQ-5D), and quality well-being (QWB), with costs and utilities being discounted 3% annually. Results : Recipients had an average of 5.6 years of implant use. Mean VAS scores increased by 0.33, from 0.27 before implantation to 0.60 at survey. HUI scores increased by 0.36, from 0.29 to 0.65, EQ-5D scores increased by 0.26, from 0.52 to 0.78, and QWB scores increased by 0.16, from 0.45 to 0.61. Discounted direct costs were $22,320, yielding $19,223/QALY using VAS, $17,387/QALY using HUI, $24,604/QALY using EQ-5D, and $40,474/QALY using QWB. Cost-utility ratios using VAS, HUI, and EQ-5D were all below $25,000 per QALY, except using QWB. Conclusion : Cochlear implants in post-lingual deaf adult have a positive effect on quality of life at reasonable direct costs and appear to produce a net saving to society.

A Study on Intonation Patterns of Speech Produced by Cochlear Implanted Children

  • Park, Sang-Hee;Jang, Tae-Yeoub;Lee, Sang-Heun;Jeong, Ok-Ran;Seok, Dong-Il
    • 음성과학
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    • 제9권1호
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    • pp.27-38
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    • 2002
  • The purpose of the study is to examine intonation patterns of cochlear implanted children compared with those of normal hearing children. The data tokens of three normal and five cochlear implanted children were collected and investigated. Their intonation patterns were analyzed using the speech analysis tool, Praat. The characteristics of the two utterance types, interrogative and declarative, were investigated. No significant difference in intonation patterns between the two subject groups was found. However, the general pitch of cochlear implanted children was higher than that of normal hearing children. In addition, cochlear implanted children showed frequent pitch breaks.

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Educational Status in Bilateral Prelingual Deaf Children with Cochlear Implantation

  • Bae, Seong Hoon;Kwak, Sang Hyun;Nam, Gi-Sung;Choi, Jae Young
    • Journal of Audiology & Otology
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    • 제23권3호
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    • pp.135-139
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    • 2019
  • Background and Objectives: This study was undertaken to investigate the educational status in bilateral prelingual deaf children with a cochlear implant (CI), also known as early cochlear implantees (CIs). Type of schooling and enrollment rate of tertiary education were analyzed as primary results. Subjects and Methods: Participants in this study comprised a highly homogeneous group of deaf patients who underwent cochlear implantation at a similar age. Sixty-four Korean patients were enrolled. Statistical data for disabled populations and the general population were obtained from the National Statistics Korea. Results: Among 64 patients, 46, 8, and 10 attended mainstream, integrated, and special schools, respectively. Notably, there was a significant difference in the type of school between hearing-impaired and CI groups (p=0.007). Ten of 13 patients enrolled in tertiary education. Conclusions: CI users were more likely than hearing impaired students to attend mainstream school. The enrollment rate of CI users in tertiary education was the same as that of the general population.

Educational Status in Bilateral Prelingual Deaf Children with Cochlear Implantation

  • Bae, Seong Hoon;Kwak, Sang Hyun;Nam, Gi-Sung;Choi, Jae Young
    • 대한청각학회지
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    • 제23권3호
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    • pp.135-139
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    • 2019
  • Background and Objectives: This study was undertaken to investigate the educational status in bilateral prelingual deaf children with a cochlear implant (CI), also known as early cochlear implantees (CIs). Type of schooling and enrollment rate of tertiary education were analyzed as primary results. Subjects and Methods: Participants in this study comprised a highly homogeneous group of deaf patients who underwent cochlear implantation at a similar age. Sixty-four Korean patients were enrolled. Statistical data for disabled populations and the general population were obtained from the National Statistics Korea. Results: Among 64 patients, 46, 8, and 10 attended mainstream, integrated, and special schools, respectively. Notably, there was a significant difference in the type of school between hearing-impaired and CI groups (p=0.007). Ten of 13 patients enrolled in tertiary education. Conclusions: CI users were more likely than hearing impaired students to attend mainstream school. The enrollment rate of CI users in tertiary education was the same as that of the general population.

인공와우 사용자의 심리음향적 음질평가 예비연구 (A preliminary study of sound quality evaluation of cochlear implant users)

  • 방정화;오수희
    • 한국음향학회지
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    • 제41권1호
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    • pp.45-51
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    • 2022
  • 음질평가는 물리적 음향 자극에 대해 주관적으로 지각되는 음색을 평가한다는 측면에서 심리음향학적 측정과 관련이 있다. 본 논문은 인공와우 사용자의 음질평가를 위한 예비연구로서 바이모달 인공와우 사용자를 대상으로 음질평가를 시행하고 인공와우만 착용했을 때와 바이모달을 착용했을 때의 음질평가 차이를 파악하고자 하였다. 총 13명의 바이모달 인공와우 사용자와 7명의 편측 인공와우 사용자가 연구에 참여하였고 순음 및 어음 청력검사, 보청기 기능이득과 실이삽입이득을 측정하였다. 음질평가에서는 바이올린소리, 남자와 여자 노래소리, 냉장고 소음의 4개 음향자극을 방음실에서 들려주고 6개 음질평가 항목에 대해 0에서 10까지의 척도로 표시하도록 하였다. 검사결과 바이모달 사용자는 편측 인공와우만 착용했을 때보다 바이모달을 착용했을 때 음질평가 5개 항목에서 0.8점 높았고, 바이모달 사용자와 편측 인공와우 사용자 그룹간 비교에서는 두 그룹 사이에 차이를 보이지 않았다. 주관적 측면의 바이모달 혜택 측정을 위해서 좀 더 체계적인 음질평가 도구와 방법에 대한 후속 연구가 필요할 것으로 생각된다.