Graeme Clark Collection

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Author: Shepherd, Robert × End date: 1994 × Start date: 1994 × Type: Journal Article × Subject: cochlear implant ×

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    Evaluation of a new Spectral Peak coding strategy for the Nucleus 22 channel cochlear implant system
    Skinner, Margaret W. ; Clark, Graeme M. ; Whitford, Lesley A. ; Seligman, Peter M. ; Staller, Steven J. ; Shipp, David B. ; Shallop, Jon K. ; Everingham, Colleen ; Menapace, Christine M. ; Arndt, Patti L. ; Antogenelli, Trisha ; Brimacombe, Judith A. ; Pijl, Sipke ; Daniels, Paulette ; George, Catherine R. ; McDermott, Hugh J. ; Beiter, Anne L. ( 1994)
    Sixty-three postlinguistically deaf adults from four English-speaking countries participated in a 17-week field study of performance with a new speech coding strategy, Spectral Peak (SPEAK), and the most widely used strategy, Multipeak (MPEAK), both of which are implemented on wearable speech processors of the Nucleus 22 Channel Cochlear Implant System; MPEAK is a feature-extraction strategy, whereas SPEAK is a filterbank strategy. Subjects' performance was evaluated with an experimental design in which use of each strategy was reversed and replicated (ABAB). Average scores for speech tests presented sound-only at 70 dB SPL were higher with the SPEAK strategy than with the MPEAK strategy. For tests in quiet, mean scores for medial vowels were 74.8 percent versus 70.1 percent; for medial consonants, 68.6 percent versus 56.6 percent; for monosyllabic words, 33.8 percent versus 24.6 percent; and for sentences, 77.5 percent versus 67.4 percent. For tests in noise, mean scores for Four-Choice Spondees at +10 and +5 dB signal-to-noise ratio (S/N) were 88.5 percent versus 73.6 percent and 80.1 percent versus 62.3 percent, respectively; and for sentences at +15 dB, +10, and +5 dB S/N, 66.5 percent versus 43.4 percent, 61.5 percent versus 37.1 percent, and 60.4 percent versus 31.7 percent, respectively. Subjects showed marked improvement in recognition of sentences in noise with the new SPEAK filterbank strategy. These results agree closely with subjects' responses to a questionnaire on which approximately 80 percent reported they heard best with the SPEAK strategy for everyday listening situations.
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    Cochlear implantation in young children: histological studies on head growth, leadwire design, and electrode fixation in the monkey model
    Burton, M. J. ; Shepherd, R. K. ; Xu, S. A. ; Xu, J. ; Franz, B. K-H. G. ; Clark, Graeme M. ( 1994)
    For safe cochlear implantation in children under 2 years of age, the implant assembly must not adversely affect adjacent tissues or compromise head growth. Furthermore, growth changes and tissue responses should not impair the function of the device. Dummy receiver-stimulators, interconnect plugs, and leadwire-lengthening systems were implanted for periods of 36 months in the young monkey to effectively model the implantation of the young child. The results show that implanting a receiver-stimulator package has no adverse effects on skull growth or the underlying central nervous system. The system for fixing the electrode at the fossa incudis proved effective. There was marked osteoneogenesis in the mastoid cavity, resulting in the fixation of the leadwire outside the cochlea. This study provides evidence for the safety of cochlear implantation in young subjects.