Cluster of Excellence Hearing4all, Department of Otolaryngology, Hannover Medical School, Carl-Neuberg-Str. 1, 30625, Hannover, Germany.
Institute of Dynamics and Vibration Research, Leibniz Universität Hannover, Hannover, Germany.
Med Biol Eng Comput. 2018 May;56(5):733-747. doi: 10.1007/s11517-017-1720-0. Epub 2017 Sep 13.
Cochlear implantation can restore a certain degree of auditory impression of patients suffering from profound hearing loss or deafness. Furthermore, studies have shown that in case of residual hearing, patients benefit from the use of a hearing aid in addition to the cochlear implant. The presented studies aim at the improvement of this electromechanical stimulation (EMS) approach by substituting the external hearing aid by an internal stimulus provided by miniaturized piezoelectric actuators. Finite element analyses are performed in order to derive fundamental guidelines for the actuator layout aiming at maximal mechanical stimuli. Further analyses aim at investigating how the actuator position inside the cochlea influences the basilar membrane oscillation profile. While actuator layout guidelines leading to maximized acoustic stimuli could be derived, some of these guidelines are of complementary nature suggesting that further studies under realistic boundary conditions must be performed. Actuator positioning inside the cochlea is shown to have a significant influence on the resulting auditory impression of the patient. Based on the results, the main differences of external and internal stimulation of the cochlea mechanism are identified. It is shown that if the cochlea tonotopy is considered, the frequency selectivity resulting from the mechanical cochlea stimulus may be improved.
人工耳蜗植入可以为患有深度听力损失或耳聋的患者恢复一定程度的听觉印象。此外,研究表明,在有残余听力的情况下,患者除了使用人工耳蜗之外,还可以受益于助听器的使用。本研究旨在通过用微型压电致动器提供的内部刺激替代外部助听器来改进这种机电刺激(EMS)方法。为了得出旨在实现最大机械刺激的致动器布局的基本准则,进行了有限元分析。进一步的分析旨在研究在耳蜗内的致动器位置如何影响基底膜的振动模式。虽然可以得出导致最大声刺激的致动器布局准则,但其中一些准则是互补的,这表明必须在现实边界条件下进行进一步的研究。耳蜗内的致动器定位对患者的听觉印象有显著影响。基于这些结果,确定了耳蜗机制的外部和内部刺激的主要区别。结果表明,如果考虑耳蜗的音调拓扑结构,则可以提高机械耳蜗刺激产生的频率选择性。