Duke Hearing Center, Duke University Medical Center (DUMC), Durham, NC, USA.
Prog Brain Res. 2011;194:117-29. doi: 10.1016/B978-0-444-53815-4.00012-1.
The cochlear implant (CI) is one of the great success stories of modern medicine. A high level of function is provided for most patients. However, some patients still do not achieve excellent or even good results using the present-day devices. Accumulating evidence is pointing to differences in the processing abilities of the "auditory brain" among patients as a principal contributor to this remaining and still large variability in outcomes. In this chapter, we describe a new approach to the design of CIs that takes these differences into account and thereby may improve outcomes for patients with compromised auditory brains.
人工耳蜗是现代医学的重大成功案例之一。大多数患者都能获得较高的功能水平。然而,一些患者使用目前的设备仍无法获得优异甚至良好的效果。越来越多的证据表明,患者“听觉大脑”的处理能力存在差异,这是导致结果仍存在较大差异的主要原因。在本章中,我们描述了一种新的人工耳蜗设计方法,该方法考虑了这些差异,从而可能改善有受损听觉大脑的患者的效果。