• Title/Summary/Keyword: cochlear implants

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Comparison of Temporal Bone Parameters before Cochlear Implantation in Patients with and without Facial Nerve Stimulation

  • Kasetty, Venkatkrish Manohar;Zimmerman, Zachary;King, Sarah;Seyyedi, Mohammad
    • Korean Journal of Audiology
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    • v.23 no.4
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    • pp.193-196
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    • 2019
  • Background and Objectives: Facial nerve stimulation (FNS) is a complication of cochlear implantation (CI). This study compared the thickness and density of the bone separating the upper basal turn of the cochlea (UBTC) and the labyrinthine segment of the facial nerve (LSFN) on preoperative computed tomography (CT) in patients with and without FNS after CI. Subjects and Methods: Adult patients who underwent CI from January 2011 to February 2017 with preoperative CT at a tertiary referral hospital were considered for this retrospective case-control study. Patients were divided into two groups: with FNS (n=4) and without FNS (n=53). The density and thickness of the bone between the LSFN and UBTC were measured on preoperative CT. Charts were reviewed for other parameters. Results: A statistically significant difference was seen in the thickness (p=0.007) but not in the density (p=0.125) of the bone between the UBTC and LSFN. Four patients had FNS at the mid-range electrode arrays, and one of them additionally had FNS at the basal arrays. Conclusions: Decreased thickness of the bone between the UBTC and LSFN can explain postoperative FNS, confirming the histologic and radiologic findings in previous studies, which indicated that the thickness of the temporal bone between the LSFN and UBTC is less in patients who experience FNS. While the density in this region was also less, it was not statistically significant.

A Comparative Study on Music Preference between School-Aged Children with Cochlear Implant and Normal Hearing (학령기 인공와우 이식 아동과 일반 건청 아동의 음악 선호도에 대한 비교 연구)

  • Hwang, Sun Young
    • Journal of Music and Human Behavior
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    • v.8 no.2
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    • pp.47-64
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    • 2011
  • This study was to examine music preferences of school-aged cochlear implant(CI) recipients in comparison with normal hearing(NH) children. Participants were 12 CI recipients and 155 NH children. CI children were recruited from a hospital in Seoul and they had cochlear implants for longer than two years(M = 4.7). NH children were randomly sampled. All participants were asked to respond to a questionnaire and rate their music preferences. The results showed that while 58.33% of CI recipients preferred child voices, 71.61% of NH children preferred adult voices. For preferred frequency range, both of CI and NH groups preferred higher frequency. With regard to preferred musical styles, while CI children gave the highest rating(M = 3.58) to Korean folk songs on the 5-point Likert scale, popular music and TV and soundtrack music were found to be the highest-rated styles(M = 3.83) for NH children. These results indicate that self-rated music preferences of CI recipients may be affected by a musical environment that these children have experienced. The results also implies that the provision of appropriate musical input and experiences would significantly affect future music preferences and appreciation of CI children. Providing useful information about music preferences of CI recipients in comparison with NH children, this study has significant implications for further studies on this population.

The Prosodic Characteristics of Children with Cochlear Implants with Respect to Speech Rate and Intonation Slope (인공와우이식 아동의 운율 특성 - 발화속도와 억양기울기를 중심으로 -)

  • Oh, Soon-Young;Seong, Cheol-Jae;Choi, Eun-Ah
    • Phonetics and Speech Sciences
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    • v.3 no.3
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    • pp.157-165
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    • 2011
  • This study investigated speech rate and intonation slope (least square method; F0, quarter-tone) in normal and CI children's utterances. Each group consisted of 12 people and were divided into groups of children with CI operation (before 3;00), children with CI operation (after 3;00), and normal children. Materials are composed of four kinds of grammatical dialogue sentences which are lacking in respect. Given three groups as independent variables and both speech rate and intonation slope as dependent variables, a one-way ANOVA showed that normal children had faster speech rates and steeper intonation slopes than those of the CI group. More specifically, there was a statistically significant speech rate difference between normal and CI children in all of the sentential patterns but imperative form (p<.01). Additionally, F0 and qtone slope observed in sentential final word showed a significant statistical difference between normal and CI children in imperative form (f0: p<.01; q-tone: p<.05).

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Near-Infrared Laser Stimulation of the Auditory Nerve in Guinea Pigs

  • Guan, Tian;Wang, Jian;Yang, Muqun;Zhu, Kai;Wang, Yong;Nie, Guohui
    • Journal of the Optical Society of Korea
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    • v.20 no.2
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    • pp.269-275
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    • 2016
  • This study has investigated the feasibility of 980-nm low-energy pulsed near-infrared laser stimulation to evoke auditory responses, as well as the effects of radiant exposure and pulse duration on auditory responses. In the experiments, a hole was drilled in the basal turn of the cochlea in guinea pigs. An optical fiber with a 980-nm pulsed infrared laser was inserted into the hole, orientating the spiral ganglion cells in the cochlea. To model deafness, the tympanic membrane was mechanically damaged. Acoustically evoked compound action potentials (ACAPs) were recorded before and after deafness, and optically evoked compound action potentials (OCAPs) were recorded after deafness. Similar spatial selectivity between optical and acoustical stimulation was found. In addition, OCAP amplitudes increased with radiant exposure, indicating a photothermal mechanism induced by optical stimulation. Furthermore, at a fixed radiant exposure, OCAP amplitudes decreased as pulse duration increased, suggesting that optical stimulation might be governed by the time duration over which the energy is delivered. Thus, the current experiments have demonstrated that a 980-nm pulsed near-infrared laser with low energy can evoke auditory neural responses similar to those evoked by acoustical stimulation. This approach could be used to develop optical cochlear implants.

The Relationship Between Perception of Prosody, Pitch Discrimination, and Melodic Contour Identification in Cochlear Implants Recipients (인공와우이식 난청인의 말소리 운율변화에 따른 구어 이해와 음도 변별, 선율윤곽 확인 간 관련성)

  • Kim, Eun Yeon;Moon, Il Joon;Cho, Yang-sun;Chung, Won-ho;Hong, Sung Hwa
    • Journal of Music and Human Behavior
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    • v.14 no.2
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    • pp.1-18
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    • 2017
  • The relationships between the ability to understand changes in meaning depending on the prosody of spoken words and the ability to perceive pitch and melodic contour in cochlear implants (CI) recipients were examined. Fifteen postlingual CI recipients were measured in terms of speech prosody perception, speech perception, pitch discrimination (PD), and melody contour identification (MCI). The speech prosody perception test consists of words with positive (PW) and neutral meaning (NW). Participants were asked to identify the meaning of words depending on the conditions of positive and negative prosody. The MCI consists of subtests 1 and 2 with different chance levels to choose. Then, the relationships between speech prosody perception, speech perception, PD, and MCI performance were analyzed. There was a significant difference in identifying the meaning of words expressed in a different prosody between the PW and NW conditions. Speech prosody perception showed a significant correlation with MCI 1 while there was no significant relationship with speech perception. Although speech perception may be possible after CI, limited spoken word comprehension due to decreased sensitivity for prosodic changes may persist in CI recipients. In addition, there was a limitation in perception of melodic contour change compared to pitch discrimination, which is related to speech prosody perception.

A preliminary study on standardization of phoneme perception test for school-aged children : Focused on hearing impaired children (학령기용 음소지각검사 표준화를 위한 기초연구: 청각장애아동을 대상으로)

  • Shin, Eun-Yeong;Cho, Soo-Jin;Lee, HyoIn
    • The Journal of the Acoustical Society of Korea
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    • v.41 no.1
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    • pp.99-107
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    • 2022
  • This study attempted to analyze the consonant perception ability and errors and to verify compatibility items for hearing impaired children wearing hearing aids and cochlear implants using the Phoneme Perception Test for School-Aged children (PPT-S). As a result of the study, it was found that children with hearing impairments have more difficulty in perceiving final consonants than initial consonants. The hard type of PPT-S, in which the articulation method and articulation place of the target and foil words are similar, felt more difficult than the easy type. Among the initial consonants, the incorrect response rate for aspiration sound was higher. In the case of final consonants, the incorrect answer rate for 'ㄷ' and 'ㅁ' was relatively higher. There was no significant difference in the percentage of correct response rate according to the gender of the speaker. The above results can be usefully used as basic data for standardizing of PPT-S and evaluating the intervention effects before and after hearing rehabilitation with hearing impaired children.

Translation and Adaptation of the Children's Home Inventory for Listening Difficulties (CHILD) into Korean (가정환경 아동듣기평가(CHILD) 부모용 설문지의 한국어 번역 및 적용 연구)

  • Choi, Jae Hee;Seo, Young Ran;Jang, Hyun Sook
    • 재활복지
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    • v.20 no.4
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    • pp.247-264
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    • 2016
  • The Children's Home Inventory for Listening Difficulties (CHILD) questionnaire has been applied for assessing listening and communication difficulties in various home situations for children with hearing loss. The purpose of the study was to translate the CHILD questionnaire for parents into Korean and verify reliability and validity of Korean version of CHILD (CHILD-K). CHILD-K was completed by 55 parents of children (from ages 3~12 years) using cochlear implants (CI). Among the 55 children, 27 were in preschool and 28 in elementary. Internal consistency reliability of CHILD-K was verified by Chronbach's alpha. The mixed factorial ANOVA was conducted to compare the effects of the age group and situation factors (Quiet, Noise, Distance, Social, and Media factors) on the score of CHILD. The results indicated that CHILD-K showed excellent internal consistency reliability (${\alpha}=.96$). The CHILD scores among age groups were significantly different as the older age group resulted in higher scores in all situations except Distance. For both groups the mean scores for the Quiet situation were significantly higher than other situations, and the mean scores for the Social situation were significantly lower than other situations. Moreover, analysis showed that children with CI had difficulties in the Social situation combined with other situation factors. The results indicate that the Korean version of CHILD questionnaire is a reliable tool for the assessment of communication abilities in home situation in Korean-speaking children using CI.