Zeng Fan-Gang
Department of Anatomy and Neurobiology, University of California, Irvine, 92697, USA.
Trends Amplif. 2004;8(1):1-34. doi: 10.1177/108471380400800102.
More than 60,000 people worldwide use cochlear implants as a means to restore functional hearing. Although individual performance variability is still high, an average implant user can talk on the phone in a quiet environment. Cochlear-implant research has also matured as a field, as evidenced by the exponential growth in both the patient population and scientific publication. The present report examines current issues related to audiologic, clinical, engineering, anatomic, and physiologic aspects of cochlear implants, focusing on their psychophysical, speech, music, and cognitive performance. This report also forecasts clinical and research trends related to presurgical evaluation, fitting protocols, signal processing, and postsurgical rehabilitation in cochlear implants. Finally, a future landscape in amplification is presented that requires a unique, yet complementary, contribution from hearing aids, middle ear implants, and cochlear implants to achieve a total solution to the entire spectrum of hearing loss treatment and management.
全球有超过6万人使用人工耳蜗来恢复功能性听力。尽管个体表现差异仍然很大,但普通的人工耳蜗使用者能够在安静环境中打电话。人工耳蜗研究作为一个领域也已成熟,患者数量和科学出版物的指数增长就是明证。本报告探讨了与人工耳蜗的听力学、临床、工程学、解剖学和生理学方面相关的当前问题,重点关注其心理物理学、言语、音乐和认知表现。本报告还预测了与人工耳蜗术前评估、调试方案、信号处理和术后康复相关的临床和研究趋势。最后,展示了一个放大技术的未来前景,即需要助听器、中耳植入物和人工耳蜗做出独特而又互补的贡献,以实现对整个听力损失治疗和管理范围的全面解决方案。