Graeme Clark Collection

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Author: PYMAN, BRIAN × End date: 1984 × Type: Journal Article × Subject: speech processor ×

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    Surgery for an improved multiple-channel cochlear implant
    Clark, Graeme M. ; Pyman, Brian C. ; Webb, Robert L. ; Bailey, Quentin E. ; Shepherd, Robert K. ( 1984)
    An improved multiple-channel cochlear implant has been developed. The titanium container with enclosed electronics, the receiver coil and the connector are embedded in medical-grade Silastic. The upper half of the implant has a diameter of 35 mm and a height of 4.5 mm. and the lower half a diameter of 23 mm and a height of.5 mm. The electrode array has also been designed to reduce the possibility of breakage due to repeated movements over many years. The surgery involves drilling a bed in the mastoid bone for the receiver-stimulator, and fixing the proximal electrode under the mastoid cortex. Gentle insertion of the electrode array through the round window and along the seala tympani is achieved with a specially designed microclaw.
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    Clinical trial of a multi-channel cochlear prosthesis: results on 10 postlingually deaf patients
    Clark, Graeme M. ; Dowell, R. C. ; Pyman, B. C. ; Brown, A. M. ; Webb, R. L. ; Tong, Y. C. ; Bailey, Q. ; Seligman, P. M. ( 1984)
    The clinical trial of a multi-channel cochlear prosthesis has been carried out on 10 profoundly-totally deaf adult patients. Speech perception tests have shown that all the patients received significant benefit from the device. They obtained improvements in understanding running speech from 47% to 550% when using the device in conjunction with lipreading compared to lipreading alone. With an open-set CID sentence test, three patients obtained scores showing an ability to understand speech without the need to lipread, and a further three patients had scores indicating they could also receive useful information without lipreading. In two patients, very limited open-set scores for electrical stimulation alone were obtained. This was most probably due to the fact that only a few channels of stimulation were possible due to cochlear disease and they were therefore receiving information more like a single-channel device. The prosthesis has also been found to provide considerable help in hearing and recognizing everyday sounds.