Hildesheimer M, Muchnik C, Tenne S, Leventon G, Wolf M, Bendet E, Kronenberg J
Dept. of Communication Disorders, Chaim Sheba Medical Center, Tel Hashomer.
Harefuah. 1993 Apr 15;124(8):457-60, 528.
The cochlear implant, which stimulates the auditory nerve electrically, is a rehabilitative solution for the severely deaf who cannot benefit from a hearing aid. The implant enables them to rejoin the world of sound from which they were disconnected. We present the process of auditory diagnosis which determines the patient's suitability for cochlear implantation, the implant's tuning program and the rehabilitation process it entails. Each of the 22 implanted electrodes is checked through a computer program, and the specifications of the electrical stimulation are established to provide the most comfortable hearing level for the implanted device. These stimulation specifications determine the number of active electrodes and the ideal stimulation model. During the 8-week hearing-training program which follows implantation, the patients acquaint themselves with the new world of sound through which they will communicate with their environment. Of the 16 implanted patients 7 heard only via the implant, without the aid of lipreading, a result which is considered excellent. These patients are able to talk on the telephone with the aid of the implant. 1 patient refused to use the implant, while the others have had good to moderate results. Noteworthy is the fact that even those with only moderate results greatly benefit from the implant, and are not willing to function without it for even a single day.
人工耳蜗通过电刺激听神经，是为那些无法从助听器中获益的重度聋患者提供的一种康复解决方案。该植入物使他们能够重新融入那个曾与他们隔绝的有声世界。我们介绍了听觉诊断过程，该过程确定患者是否适合植入人工耳蜗、植入物的调试程序及其所需的康复过程。通过计算机程序对植入的22个电极中的每一个进行检查，并确定电刺激的规格，以为植入设备提供最舒适的听力水平。这些刺激规格决定了有源电极的数量和理想的刺激模式。在植入后的8周听力训练计划中，患者通过这个将与他们的环境进行交流的新的声音世界来熟悉环境。在16名植入患者中，有7名仅通过植入物聆听，无需唇读辅助，这一结果被认为非常出色。这些患者能够借助植入物打电话。1名患者拒绝使用植入物，而其他患者取得了良好到中等的效果。值得注意的是，即使是那些只有中等效果的患者也从植入物中受益匪浅，并且哪怕一天不使用它都不愿意。
