Graeme Clark Collection

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http://hdl.handle.net/11343/375

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1995 - 1997 2
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Author: COHEN, LAWRENCE × Author: Clark, Graeme × End date: 1999 × Start date: 1990 × Subject: cochlear implant × Subject: otology ×

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Now showing 1 - 2 of 2
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    Initial investigation of the efficacy and biosafety of sodium hyaluronate (healon) as an aid to electrode array insertion
    Donnelly, M. J. ; Cohen, L. T. ; Clark, Graeme M. ( 1995)
    Stimulation of residual neural elements by electrodes inserted into the cochlea to produce the perception of speech and environmental sounds in profoundly deaf people is a fundamental aim of cochlear implantation. The multiple-channel cochlear implant utilizes the tonotopic arrangement of the organ of Corti to also achieve place pitch perception by stimulating different electrode bands. It may be possible to improve the range of pitches perceived by present cochlear implant patients by inserting the electrode array more deeply. To help achieve this, investigators have used sodium hyaluronate as a lubricant for electrode insertions. 1 It was felt deeper insertions were produced with sodium hyaluronate. Before introducing this substance as part of the surgical protocol for the Melbourne Cochlear Implant Clinic, it was decided to investigate its efficacy in aiding deeper insertions of the electrode. In addition, it was also necessary to determine if sodium hyaluronate, in conjunction with cochlear implantation, had adverse effects on the inner ear. This study was undertaken to address these issues.
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    Psychophysics and speech perception with a premodiolar electrode array
    Cohen, Lawrence T. ; Clark, Graeme M. ( 1997)
    A perimodiolar electrode array, designed to lie closer to the modiolus than the standard Coclear Limited array and developed by the Cooperative Research Centre for Cochlear Implant, Speech and Hearing Research in conjunction with Cochlear Limited, has recently been implanted in an adult patient. While excellent speech results have been obtained using the standard array, it is hypothesised that the improved place coding expected from an array lying closer to the modiolus would result in improved speech perception. Analysis of a modified Stenvers view X-ray revealed that the most apical electrode was inserted to an angle of 311 0 and that the apical half of the array was considerably closer to the modiolus than would have been the case for a standard array. Thresholds and comfortable levels were correlated with the lateral position of the stimulated electrode in the scala tympani, being much reduced for the apical electrodes. Forward masking and electrode discrimination are being measured in order to study the spread of neural excitation and the distinctness of percepts for different electrodes.