Cochlear Limited

About: Cochlear Limited is a company organization based out in Sydney, New South Wales, Australia. It is known for research contribution in the topics: Cochlear implant & Hearing loss. The organization has 1290 authors who have published 1479 publications receiving 33109 citations. The organization is also known as: кохлеарные Americas & COCHLEAR LIMITED.

Multi-mode hearing prosthesis

Abstract: A multi-mode hearing prosthesis tor enhancing the hearing of a recipient, comprising; a sound input element configured to receive a sound signal component; a frequency spectral analysis module configured to analyze the sound signal component and to categorize the component into at least a high- or lower-frequency component; a bone conduction processor configured to generate bone conduction stimulation signals from at least one of said high- snd lower-frequncy component for bone conduction stimulation of the recipient's skull: and a second stimulation processor configured to generate auditory stimulation signal from at least one of said high- and lower-frequency components for stimulating the recipient.

Cochleovestibular anomalies in children with cholesteatoma.

Abstract: Objective: To describe the cochleovestibular apparatus on computed tomography (CT) imaging in patients with cholesteatoma. We asked whether cochleovestibular anomalies coexist in individuals with cholesteatoma. Study Design: Randomized, controlled, prospective measurement. Methods: A database search yielded 145 children with cholesteatoma: 31 met inclusion criteria by not having sensorineural hearing loss, not having an associated syndrome, and having digitally stored temporal bone CT imaging available. Prospective measurement of 31 individuals (62 ears) with unilateral cholesteatoma and 32 normally hearing nonsyndromic controls (64 ears) was performed by a neuroradiologist blinded to the study objective. Twenty-six temporal bone aspects on axial imaging were evaluated (16 measurement, 10 calculated from measurement). Results: The cholesteatoma group had a larger endolymphatic fossa and vestibular aqueduct, and there was a trend for the lateral semicircular canal vestibule to be smaller as compared with controls. Subgroup analysis revealed a gradient in prevalence of these findings being most common in the congenital cholesteatoma group, intermediate in the acquired cholesteatoma group, and least common in controls. There were no differences in measurements between ears with cholesteatoma and contralateral disease-free temporal bones. Conclusions: Children with cholesteatoma have abnormal vestibular anatomy. The gradient in prevalence of these findings may suggest a relationship between congenital and acquired cholesteatoma. These may include a generalized temporal bone anomaly that predisposes to cholesteatoma formation, or a third variable such as genetic mutation may predispose to both anomalous cochleovestibular formation and cholesteatoma.

Predictors of health-related quality of life in adult cochlear implant recipients in South Africa

Abstract: Objective: To identify and describe predictors of health-related quality of life (HRQoL) outcomes for adult cochlear implant (CI) recipients in South Africa. Design: A retrospective study of adult CI recipients was conducted and cross-sectional HRQoL outcome data were added at the time of data collection, using the Nijmegen Cochlear Implant Questionnaire (NCIQ). Twenty-two potential predictive factors were identified from the retrospective dataset, including demographic, hearing loss, CI and risk-related factors. Multiple regression analyses were performed to identify predictor variables that influence HRQoL outcomes. Study sample: The study sample included 100 adult CI recipients from four CI programs, implanted for at least 12 months. Results: History of no tinnitus prior to CI, bilateral implantation and mainstream schooling were strongly predictive of better overall HRQoL outcomes. Factors such as age, age at implant, gender, onset of hearing loss, duration of CI use and presence of risk facto...

Cortical Processing of Level Cues for Spatial Hearing is Impaired in Children with Prelingual Deafness Despite Early Bilateral Access to Sound

Abstract: Bilateral cochlear implantation aims to restore binaural hearing, important for spatial hearing, to children who are deaf. Improvements over unilateral implant use are attributed largely to the detection of interaural level differences (ILDs) but emerging evidence of impaired sound localization and binaural fusion suggest that these binaural cues are abnormally coded by the auditory system. We used multichannel electroencephalography (EEG) to assess cortical responses to ILDs in two groups: 13 children who received early bilateral cochlear implants (CIs) simultaneously, known to protect the developing auditory cortices from unilaterally driven reorganization, and 15 age matched peers with normal hearing. EEG source analyses indicated a dominance of right auditory cortex in both groups. Expected reductions in activity to ipsilaterally weighted ILDs were evident in the right hemisphere of children with normal hearing. By contrast, cortical activity in children with CIs showed: (1) limited ILD sensitivity in either cortical hemisphere, (2) limited correlation with reliable behavioral right-left lateralization of ILDs (in 10/12 CI users), and (3) deficits in parieto-occipital areas and the cerebellum. Thus, expected cortical ILD coding develops with normal hearing but is affected by developmental deafness despite early and simultaneous bilateral implantation. Findings suggest that impoverished fidelity of ILDs in independently functioning CIs may be impeding development of cortical ILD sensitivity in children who are deaf but do not altogether limit benefits of listening with bilateral CIs. Future efforts to provide consistent/accurate ILDs through auditory prostheses including CIs could improve binaural hearing for children with hearing loss.

Cochlear Implant Outcomes for Children With Auditory Neuropathy Spectrum Disorder

Abstract: Cochlear implantation is currently the intervention option of choice for many children with auditory neuropathy spectrum disorder (ANSD) who are unable to obtain benefit from conventional ...