• Speech Sciences
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• v.14 no.3
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• pp.147-160
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• 2007

This study was aimed to evaluate effect of parents-centered speech intervention program on overall speech and language performances of children with cochlear implant. Ten pairs of mother and child were selected and assigned into two groups: intervention group(G1) and control group(G2). G1 included 5 children with cochlear implant and their mothers who joined the parents-centered program. G2 consisted of 5 children with cochlear implant and their mothers did not participate in the program. To evaluate their speech and language abilities, examination instruments(Preschool Language Scale, and Language Comprehension and Cognition Test) were analyzed. Performances of pre- and post-treatment were analysed by ANOVA procedure. The results were as follows: There were significant differences of speech and language performances between pre- and post-treatment in G1. But there were no significant differences in G2(therapists centered program). G1 showed better performances in language comprehension than G2. This study revealed that parents centered language intervention program would be effective for speech and language development for children with cochlear implant.

• Phonetics and Speech Sciences
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• v.1 no.2
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• pp.25-30
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• 2009

Animal experiments have shown that the positive peaked electrically compound action potentials (ECAPs) can be recorded in round window, intracochlear, and nerve trunk by stimulating a monopolar pulse. However, positive peaked ECAPs of cochlear implant recipients have never been reported because ECAPs are recorded from intracochlear electrodes after bipolar stimulation. In our experiment, the positive peaked ECAPs were recorded from 18 intracochlear electrodes in cochlear implant recipients with multiple cochlear anomalies. Thresholds in each channel were measured and the latency of P-, N-wave, and amplitude of P-N were analyzed. These results were identical with the electrically auditory brainstem response (EABR) on the input-output characteristics. In conclusion, the positive peaked ECAPs from the cochlear implant recipients are antidromic ECAPs recorded by perimodiolar electrodes stimulating cochlear implants with multiple anomalies. Therefore, positive peaked ECAPs can be used as useful audiological tools to evaluate the eighth nerve ending.

• Phonetics and Speech Sciences
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• v.6 no.3
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• pp.91-99
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• 2014

Although it is well documented that patients with cochlear implant experience hearing difficulties when processing their first language, very little is known whether or not and to what extent cochlear implant patients recognize segments in a second language. This preliminary study examines how Korean learners of English identify English segments in a normal hearing and cochlear implant simulation conditions. Participants heard English vowels and consonants in the following three conditions: normal hearing condition, 12-channel noise vocoding with 0mm spectral shift, and 12-channel noise vocoding with 3mm spectral shift. Results confirmed that nonnative listeners could also retrieve spectral information from vocoded speech signal, as they recognized vowel features fairly accurately despite the vocoding. In contrast, the intelligibility of manner and place features of consonants was significantly decreased by vocoding. In addition, we found that spectral shift affected listeners' vowel recognition, probably because information regarding F1 is diminished by spectral shifting. Results suggest that patients with cochlear implant and normal hearing second language learners would experience different patterns of listening errors when processing their second language(s).

• Archives of Craniofacial Surgery
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• v.20 no.5
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• pp.319-323
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• 2019

Cochlear implant extrusion, which is a common complication of cochlear implants, is generally repaired by a well visualized soft-tissue flap. A 61-year-old female patient with a medical history of schizophrenia who had a skin ulcer that caused cochlear implant extrusion, but that would be a stronger statement was referred to our department for removal of the implant and reconstruction of the resultant scalp defect. Accordingly, the broad defect was covered via rotation of a temporoparietal fascia flap (TPFF) using the superficial temporal artery, with the pedicle in the preauricular region as the pivot point. Coverage of TPFF was achieved with a split-thickness skin graft using the scalp as the donor site, which led to a quick recovery after the operation and satisfactory results in terms of aesthetics. This case suggests that a TPFF might be used as a flexible flap with low donor site morbidity for reconstructing cases of cochlear implant extrusion accompanied by a large full-layer scalp defect.

• Journal of radiological science and technology
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• v.25 no.1
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• pp.35-37
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• 2002

To assess the new multichannel cochlear implant by radiography in Stenver's projection, because MRI generates artifacts, inducing an electrical current and causing device magnetization. CT is relatively expensive and the metal electrodes scatter the image. Multichannel cochlear implant insertion using the multichannel cochlear implant device. Patients underwent postoperative radiography of their implants. The radiographs were obtained in a Stenver's. The insertion depth of the implant was measured on the radiographs and the results were correlated with the surgical results of insertion depth and with audiometric tests. Patients a correct inserted electrode was found, while in patient complications concerning the electrode were noticed. Radiographs in the Stenver's projection are sufficient for the postoperative assessment of the multichannel cochlear implant device and an exact evaluation of the insertion depth.

• Speech Sciences
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• v.14 no.4
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• pp.213-220
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• 2007

This study investigates the voice quality including F0, jitter, shimmer, and NHR for the children with cochlear implant (CI group) and those with normal hearing (NH group). The CI group was further classified two sub-groups depending upon the time of surgery (i.e. under four years vs. over four years). Three corner vowels (e.g. /a/, /i/, /u/) with extended vocalization were used and analyzed with Multi-Dimensional Voice Program (Kay Elemetrics, Model 4300). The statistics were made in two independent sample t-test with SPSS 11.5. The results can be summarized as follows: (1) The children with cochlear implanted before 4 years of age had very similar data with the NH group except for the vowel /a/. (2) The children with cochlear implanted after 4 years of age, however, indicated significant differences in Fo (/a/, /i/, /u/), Jitter (/e/), shimmer (/a/, /i/, /u/) and NHR(/a/) in all three vowels. It is concluded that the early CI surgery and the early intervention would be very important to maintain better voice quality.

• Journal of Biomedical Engineering Research
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• v.34 no.2
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• pp.47-54
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• 2013

Electrical stimulation is delivered to auditory nerve (AN) through the electrodes in cochlear implant system. Neurogram is a spectrogram that includes information of neural response to electrical stimulation. We hypothesized that the similarity between a neurogram and an input-sound spectrogram could show how well a cochlear implant system works. In this study, we evaluated electrical stimulus configuration of CIS strategy using the computational model. The computational model includes stochastic property and anatomical features of cat auditory nerve fiber. To evaluate similarity between a neurogram and an input-sound spectrogram, we calculated Structural Similarity Index (SSIM). The results show that the dynamic range and the stimulation rate per channel influenced SSIM. Finally, we suggested the optimal configuration within the given stimulus CIS. We expect that the results and the evaluating procedure could be employed to improve the performance of a cochlear implant system.

• 재활복지
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• v.17 no.4
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• pp.371-382
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• 2013

Recently, the number of those who were transplanted cochlear implants increased as health insurance increases has expanded. Last six years between 2005 to 2009, patients who received a cochlear implant surgery were about 3,300 and number of cochlear implants in adults of them have shown growing aspects. In the case of young children, they actively participated auditory training program after cochlear implant surgery and the studies related to auditory training in child are many, but the studies related to auditory training in adults is insufficient. In this study, we perform the auditory training for the female adult (age 54) received cochlear implant after language acquisition used Ling 6 sounds test, standardized consonants, vowels and sentences listening test and word recognition and confirmation test. As a result after auditory training for 10 weeks, she identified all phonemes in Ling 6 sound test and performed close to 100% in standardized consonants, vowels and sentences listening tests. Also, she improved the ability of real-world environmental sound and real-world words identifications by 57-95%. The results of this study showed the need of auditory training program with systematic and effective planning and considering the characteristics of the individual for adults.

• The Journal of the Acoustical Society of Korea
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• v.41 no.1
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• pp.52-57
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• 2022

Speech consists of the sum of complex sine-waves. This study investigated the perception of electrical hearing by applying the sinusoidal model to cochlear implant simulation. Fourteen adults with normal hearing participated in this study. The sentence recognition tests were implemented using the sentence lists processed by the sinusoidal model which extracts 2, 4, 6, 8 sine-wave components and sentence lists processed by the same sinusoidal model along with cochlear implant simulation (8 channel vocoders). The results showed lower speech recognition for the sentence lists processed by the sinusoidal model and cochlear implant simulation compared to those by the sinusoidal model alone. Notably, the lower the number of sine-wave components (2), the larger the difference was. This study provides the perceptual pattern of sine-wave speech for electrical hearing by cochlear implant listeners, and basic data for development of speech processing algorithms in cochlear implants.

• Phonetics and Speech Sciences
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• v.5 no.4
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• pp.71-78
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• 2013

The purpose of this study was to compare the acoustic voice outcomes of children with cochlear implant to those of children with normal hearing. Participants were 41 children using unilateral cochlear implant (18 males and 23 females), and children with normal hearing from the same age and sex. Mean age of implantation was approximately 3 years old, mean duration of implant use was 4 years in CI group. Acoustic analyses were performed using MDVP of CSL. Speech samples were 3 sustained vowels, /a, i, u/. 9 parameters (F0, Fhi, Flo, Jitter, Shimmer, vF0, vAm, NHR, and SPI) were analyzed. Children with CI did not show the significant differences in those parameters after the vowel /a/ phonation. Meanwhile, there were significantly different results in F0, Fhi, vF0, and SPI after /i, u/ phonation. These results revealed that differences of voice characteristics in children with CI compare to children with NH persist regarding vowel context. It suggests that high vowels would recommend as speech samples for acoustic evaluation. Futhermore perceptual analysis and speech therapy for phonation control would be necessary for children with CI.