Fundamental considerations in designing auditory implants.

The usual premise underlying developmental work on cochlear prostheses as prospective cures for profound deafness is that the auditory nerve can be electrically stimulated in such a manner that communicative skills can be developed or maintained. Physiologic recordings from single fibers in the cat's auditory nerve and attempts to model these responses have generated a description of how the auditory nerve codes complex sounds such as speech. This work suggests that certain minimal cues might have to be present at the level of the auditory nerve in order that adequate discrimination of specific speech signals can take place. The prospects for achieving a useful prosthesis in the near future will be evaluated in terms of what can be expected from current attempts to code the artificial stimulation properly.