Macherey Olivier, Carlyon Robert P
LMA-CNRS, UPR 7051, Aix-Marseille Univ., Centrale Marseille, 31 Chemin Joseph Aiguier, F-13402 Marseille Cedex 20, France.
MRC Cognition & Brain Sciences Unit, 15 Chaucer Rd, Cambridge CB2 7EF, UK.
Curr Biol. 2014 Sep 22;24(18):R878-R884. doi: 10.1016/j.cub.2014.06.053.
Cochlear implants are the first example of a neural prosthesis that can substitute a sensory organ: they bypass the malfunctioning auditory periphery of profoundly-deaf people to electrically stimulate their auditory nerve. The history of cochlear implants dates back to 1957, when Djourno and Eyriès managed, for the first time, to elicit sound sensations in a deaf listener using an electrode implanted in his inner ear. Since then, considerable technological and scientific advances have been made. Worldwide, more than 300,000 deaf people have been fitted with a cochlear implant; it has become a standard clinical procedure for born-deaf children and its success has led over the years to relaxed patient selection criteria; for example, it is now not uncommon to see people with significant residual hearing undergoing implantation. Although the ability to make sense of sounds varies widely among the implanted population, many cochlear implant listeners can use the telephone and follow auditory-only conversations in quiet environments.
人工耳蜗是神经假体的首个实例,可替代感觉器官:它们绕过极聋患者功能失常的听觉外周,以电刺激其听神经。人工耳蜗的历史可追溯到1957年,当时乔尔诺和埃里耶首次成功地通过植入内耳的电极,使一名失聪听众产生了听觉。自那时以来,在技术和科学方面取得了重大进展。在全球范围内,超过30万名失聪者佩戴了人工耳蜗;它已成为先天性失聪儿童的标准临床治疗手段,多年来其成功使得患者选择标准有所放宽;例如,现在经常能看到有明显残余听力的人接受植入手术。尽管植入者群体对声音的理解能力差异很大,但许多佩戴人工耳蜗的听众可以使用电话,并在安静环境中听懂纯听觉对话。