Graeme Clark Collection
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ItemWhat factors contribute to successful outcomes for children using cochlear implants( 2000)Long term speech perception data has been collected for 100 children using the Nucleus multichannel cochlear prosthesis in Melbourne. Scores on a number of different assessments are available at approximately six month intervals following implantation for these children. The group represents an unselected sample of cochlear implant users, as all children were included if they had sufficient developmental skills to perform formal speech perception tests. Information was also collected on each child regarding type of hearing loss, age of onset of profound hearing loss, duration of profound hearing loss, age at implantation, pre and post-implant communication mode, developmental delay, speech processing strategy and length of experience with implant use.
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ItemLatest results for adults & children using cochlear implants & future implications( 2000)The overall success of a cochlear implant procedure is most often quantified by assessing how well implantees can understand speech. This is because a primary aim of the application of cochlear implants is to improve communication, and it is relatively straightforward to obtain accurate measures of speech recognition. The quality of cochlear implant hearing is not well described by measuring an audiogram, as the detection of sound is similar across all implantees if the device is functioning correctly. A commonly used measure of speech understanding is the CID everyday sentence test where the number of correctly identified words within sentences is assessed. In the early days of cochlear implants, subjects could only recognize a few words without lipreading but the most recent results show average scores of 80% without lipreading for this sentence test, after 6 months of experience with the device.
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ItemApplication of the cochlear implant to profoundly hearing impaired adolescents: re-visiting the inclusion criterion for older children( 2000)Objective: The purpose of this study is to examine the range of outcomes for older children receiving the multi-channel cochlear implant. Recent improvements in the speech perception performance for profoundly hearing impaired children and adults have lead to expanded selection criterion for cochlear implant inclusion. That is, the efficacy of cochlear implants for adults with acquired hearing loss is well documented. In addition, the application of the cochlear implant to young children has lead to improvements in open set speech perception, speech production and language acquisition. In contrast, congenitally deaf and prelingually deafened children who are implanted after the age of 8 years have performed poorer than children implanted at a younger age on speech perception, speech production and psychophysical performance measures.
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ItemSpeech perception in noise with cochlear implant and hearing aid for implanted adolescents( 2000)Objective. To describe the open set speech perception performance for 8 congenitally deaf adolescents who use a multichannel cochlear implant and behind-the ear hearing aid as their 'everyday listening' condition. Expanded indication for cochlear implant inclusion has lead to the implantation of a number of persons with severe to profound hearing loss. It has been suggested that persons who have some residual bearing are good candidates for the cochlear implant due to: the presence of more ganglion cells, prior auditory experience, pre-patterning of the auditory cortex or other factors, as yet unknown, such as language experience.
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ItemHow much residual hearing is too much?( 2000)The value of cochlear implants as an established clinical option for profoundly hearing-impaired adults and children has been supported by significant research results over a number of years (U.S. National Institutes of Health Consensus Statement 1995). As a direct consequence of the level of benefits shown for cochlear implant users on measures of speech perception, research has focused on investigating whether severely hearing impaired adults and children would be suitable candidates for cochlear implantation. I n considering the candidature of any individual, both medical and audiological suitability are investigated. The primary concern is to establish to what degree the patient would benefit from use of the cochlear implant.