Page 62 - Spring 2019
P. 62

The Flernarkahle Cochlear Irnplant
Code Refer-eneee
Although the present-day CIs are wonderful, considerable
room remains for improvement and for greater access to the Busby’ P‘ A" Tong‘ Y" C" and Cdaxk‘ G'M'.(l993)'1-he Pempmn °flem’.7°'
ial rnodulations by cochlear unplant patients. The Internal iiftlie Aicuusilml
technology that has already been developed. Sm-W QJAMM-M 940% u4_131_
The modern CI is a shared triumph of engineering, medi-   
due. and neuroscience. among other disciplines- Indeed. to speech understanding of coinbining intonnation from low-frequency
many members of our spectacular ASA have contributed hearing and a cochlear implant. Hearing Research 322, 107-111.
mightily in making a seemingly impossible pm Possible (see Dorinan, M. 17., Gilford, R. 1-1., spahr,A. 1., and Mc1<arns, s. A. (24109). The
B d _ h b fir d benefits of coinbining acoustic and electric stimulation for the recogiu.
°xl an 1 1“ ’e"°5Pe“1 ‘ C “V9 5‘ MP5 1“ °°°P“"“' tion of speech, voice and inelodies. Audiulugy 6' Neumtolugy 13(2), 105-
tion among the disciplines were essential in producing the 112.
devices we havg today Dubno,  R., Eckert, M. A., Lee, F. S., Matthews, L. 1., and Schmiedt, R. A.
(2013). classitying huinan audioinetric phenotypes of age.related hearing
loss iroin aniinal inodels. Iournal ofthe Assuciatiunjur lzeeaych in Otulm-
yngology 14(5), 687-761.
contributions by Members own  2:22“ ‘° “*6  °‘
Amusfical S°Ci°W of America Eininett, s. 1)., Tuccril, D. L., bento, 15E, Garcia, 1. Iurnan, s., chios-
, p _ -Kedel,I.A.,L‘,T.I.,D M” ,P.C.,U'll ',A.,Ltrt,].]., d
Members 0‘ ‘he ASA e°“‘-‘”‘h“‘ed ““8h‘-‘ll’ ‘° ‘he de'  T. (2616). ljloving l):.'yOl|1l:o(:DP: cost elielctiveneessoof cochlaenar
velopment of the modern CI, Two examples among implantation and deaf education in Latin America. Otalagy :9 Neurtztolagy
many are that the citations for 14 Fellows of the ASA 37(9>- w“”'1”“9- _ ‘flu h . d
have been for contributions to the development and   
that 556 research articles and 95 letters that Include H. w. (2015). GDP matters: cost effectiveness of cochlear irnplantation
the keywords “cochlear implant” have been published and deaf education in sub-Saharan Africa. Otolagy e5~ Neumtology 36(8),
in The Ioumul of the Acoustical Society ofAmer1'ca as F135; 0“ S R Sh R V d B km D E (1008) C
.. aya,. ., o,.., annon,..,an 116 an, .. . o-
°f SeP‘e“‘he' 2013' Add“-‘°“““Y> Fe11°“’5 °‘ ‘he ASA chlear and brainstern auditory prostheses “Neuml interrace for hearing
have served as the Chair or Cochair or both for 14 of restoration: Cochlear and brain stem implants.” Proceedings af the 112135
the 19 biennial “Conferences on Implantable Audi- 916, 1085-1095.
wry Pmsdmesii conducted ‘0 date or Scheduled for Giirord, R. 11., Dorrnan,  F., sha1lop,I. 1<., and sydlowski, _s. A. (20141).
_ Evidence for the expansion of adult cochlear unplant candidacy. E117 o-
2019. These conferences are the preeminent research Hmr,-ng31(Z>)186_194_
conferences in the field; in all, 18 Fellows have par- Helms, 1., Muller, 1., Scliisn, 1-‘., Moser, L., Arnold, W, Ianssen, T., Rams-
ficipmd 0, Wm Pmidpate as “,3 Chair or Cochin den, R.,von1lberg, c.,1<ie£er,J.,1>iennigdort, T., and Gstottner,w. (1997).
. . . . Evaluation of performance with the COMBIAD coclilearirnplant in adults:
Interestingly, the citations for nine of these Fellows . . . . .
A iniilticentric clinical study. 0121. Iournal of Otu-Rhino-Laryngolugy and
were not for the development and that speaks to the 1,, Remtd Specfuhits 59(1), 13_35_
multidisciplinary nature of the effort. House, W F. (2611). The struggles of a Medical Innuvutur: Cuchlear Implant:
and Other E417 Surgeries: A Memoir by Vfilliam E House, D.D.S., M.D. Cre-
atespace lndependent Publishing, Charlestona sc.
Hiittenbrink, K. 13., Zahnert, T., lolly, c., and Hofmann, G. (2002). Move-
In thinkin back on the histor of the Cl, I am reminded of ments of cochlear implant electrodes inside the cochlea dur' insertion:
S Y “*8
the development of aircraft. At the outset, many experts stat- Ah x'“Y’h‘e'°“°PY S‘“dY- 0‘"l°A’J’ *5" Ne'4"7‘"l<7§)’ 13(2)» 197491-
ed Cate oricau that fli ht with a heaVier_than_air machine Lim, H. H.,Adam5, M. E., Nelson, P. 13., and 0xenham,A.  (2017). Restor-
3 Y 3 ing hearing withneural prostheses: current status andfuture directions. 1.11
W35 imP°55ih1e- The Pi°nee1'5 PY0Ved ‘h"*‘ the h“Y53Ye1'5 Were K. w. Horch and 1). 11. Kipke (Eds.), Neumpmsthetics: nieury and Practice,
wrong. Later, much later, the DC-3 came along. It is a clas- Second Editimworld Scientific Piiblisliing,singapore,171). 668-709.
sic engineering design that remained in widespread use for M°?”’ D‘ R" and Sl“'“f°"* R‘ V (20°9>' Bf7°"d “Mme” ““Pl“"“‘ A“”’k'
d d d _ ml _ t d I“ f d _ 1 1 d ening the deafened brain. Nature Neuroscience 12(6), 595-591.
ee“ e5 in 15 5 1“ “Se 0 “Y “"5 “me a“ ‘We 1“ lvliiller, 1., schon, E, and 1-lelrns 1. (2002). speech understanding in quiet
transportation, like the modern C1 transformed otology and and noise in bilateial useis of the MED-EL COMBI 441/441+ oochlear im-
the lives of the great majority of its users. The DC-3 was sur- Plan‘ 5YS‘e|'"- 5'" 5‘ Hem"! 23(3), 198-106.
Passed, of Course) with substantial investments of resources) Saimde1's,E., Bans, D. I1/‘L, Gong, W., .\/v"1lsDl1a 15.5., Mojica, K, and Tuccla
_ _ _ _ _ 1). L. (21115). Cost effectiveness of childhood cochlear unplantation and
high eXPeYt15e— and unwavering Cmlhdence and dlhgehee I deateducation inNicamgua: Adisability adjusted lifeyear inodel. Otolugy
expect the same will happen for the Cl. c$~Neumtolugy 36(8), 1349-1356.
an 1 Aisiaiiiueirsu -riaisriy 1 Spring 2019






































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