scholarly journals Application of Multiplanar Volume Reconstruction Technique for the Assessment of Electrode Location and Analysis of the Correlation to Cochlear Programming and Performance in Common Cavity Deformity

2022 ◽  
Vol 12 ◽  
Author(s):  
Xingmei Wei ◽  
Huaiyu Zhang ◽  
Simeng Lu ◽  
Mengge Yang ◽  
Biao Chen ◽  
...  
Keyword(s):  
Nerve Stimulation ◽  
Speech Intelligibility ◽  
Vestibular Nerve ◽  
Reconstruction Technique ◽  
Volume Reconstruction ◽  
Asymptomatic Group ◽  
Temporal Bone Ct ◽  
Auditory Performance ◽  
And Performance ◽  
Common Cavity

Purpose: Owing to the characteristic anatomy, cochlear implantation (CI) for common cavity deformity (CCD) has resulted in varied outcomes and frequent facial and vestibular nerve stimulation. The current study analyzed the correlation among the distance between each electrode and cavity wall (abbreviation, D), programming parameters, and performances outcomes.Materials and Methods: The current, retrospective study included 25 patients (27 ears) with CCD underwent CI. The multiplanar volume reconstruction (MPVR) techniques were employed to reconstruct and evaluate the postoperative temporal bone CT. The D and maximum comfortable level (MCL) 6 months after CI, facial and vestibular nerve stimulation, and outcomes 1, 2, and 3 years after CI pertaining to the questionnaires were documented and analyzed.Results: The patients were divided into symptomatic (10, 37%) and asymptomatic (17, 63%) groups according to with or without facial and vestibular nerve stimulation. The MCL pertaining to the symptomatic group was significantly lower than asymptomatic group, but Categories of Auditory Performance (CAP) scores 1 year after surgery was better (p < 0.05). The subjects were divided into flat (12, 44.4%) and curved (15, 55.6%) groups based on the contour of MCL map. The MCL and D were lower and shorter in the curved group than the flat group, and CAP score 1 year after surgery and Speech Intelligibility Rating (SIR) 3 years after surgery were better (p < 0.05).Conclusion: Although abnormal reactions such as facial and vestibular nerve stimulation were observed to be more frequent, lower MCL and better outcomes were observed in relation to the shorter D.

scholarly journals Dynamic Tomographic Reconstruction of Deforming Volumes

Materials ◽  
2018 ◽  
Vol 11 (8) ◽  
pp. 1395 ◽  
Author(s):  
Clément Jailin ◽  
Stéphane Roux
Keyword(s):  
Tomographic Reconstruction ◽  
Large Strains ◽  
Reconstruction Technique ◽  
Proof Of Concept ◽  
Volume Reconstruction ◽  
Multi Scale ◽  
Proper Volume ◽  
Step Algorithm ◽  
And Performance

The motion of a sample while being scanned in a tomograph prevents its proper volume reconstruction. In the present study, a procedure is proposed that aims at estimating both the kinematics of the sample and its standard 3D imaging from a standard acquisition protocol (no more projection than for a rigid specimen). The proposed procedure is a staggered two-step algorithm where the volume is first reconstructed using a “Dynamic Reconstruction” technique, a variant of Algebraic Reconstruction Technique (ART) compensating for a “frozen” determination of the motion, followed by a Projection-based Digital Volume Correlation (P-DVC) algorithm that estimates the space/time displacement field, with a “frozen” microstructure and shape of the sample. Additionally, this procedure is combined with a multi-scale approach that is essential for a proper separation between motion and microstructure. A proof-of-concept of the validity and performance of this approach is proposed based on two virtual examples. The studied cases involve a small number of projections, large strains, up to 25%, and noise.

Auditory performance and speech intelligibility of Mandarin-speaking children implanted before age 5

2014 ◽  
Vol 78 (5) ◽  
pp. 799-803 ◽  
Author(s):  
Hsuan-Yeh Fang ◽  
Hui-Chen Ko ◽  
Nan-Mai Wang ◽  
Tuan-Jen Fang ◽  
Wei-Chieh Chao ◽  
...  
Keyword(s):  
Speech Intelligibility ◽  
Auditory Performance

The Impact of Reduced Speech Intelligibility on Reaction Time in a Naval Combat Environment

2017 ◽  
Vol 61 (1) ◽  
pp. 1570-1574 ◽  
Author(s):  
Benjamin Sheffield ◽  
John Ziriax ◽  
M. David Keller ◽  
William Barns ◽  
Douglas Brungart
Keyword(s):  
Hearing Loss ◽  
Speech Intelligibility ◽  
Noise Exposure ◽  
Impaired Hearing ◽  
Perceived Workload ◽  
Series Of Experiments ◽  
And Performance ◽  
And Control ◽  
The Military ◽  
The Impact

Despite attempts to limit noise exposure, noise-induced hearing loss remains prevalent in the military. Both hearing loss and the noise itself can lead to communication issues which could negatively impact operational performance. This study builds upon a series of experiments examining the relationship between reduced speech intelligibility and performance in a naval command and control environment by equipping Navy watch standers with hearing loss simulators that control speech intelligibility in real time as they were engaged in a simulated operational scenario. This effort focused on the effects that a Sailor with impaired hearing might have on unimpaired shipmates and how the mission might specifically be impacted. Results showed that as speech intelligibility decreased for the impaired watch stander perceived workload increased in an unimpaired shipmate and the latency of the crew to respond to incoming missile threats and a direct order to kill an enemy ship increased significantly.

scholarly journals Cochlear Implantation after Bacterial Meningitis in Infants Younger Than 9 Months

2011 ◽  
Vol 2011 ◽  
pp. 1-9 ◽  
Author(s):  
B. Y. Roukema ◽  
M. C. Van Loon ◽  
C. Smits ◽  
C. F. Smit ◽  
S. T. Goverts ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Bacterial Meningitis ◽  
Cochlear Implants ◽  
Cochlear Implantation ◽  
Speech Intelligibility ◽  
Pneumococcal Meningitis ◽  
Profound Hearing Loss ◽  
Young Infants ◽  
Key Points ◽  
Auditory Performance

Objective. To describe the audiological, anesthesiological, and surgical key points of cochlear implantation after bacterial meningitis in very young infants.Material and Methods. Between 2005 and 2010, 4 patients received 7 cochlear implants before the age of 9 months (range 4–8 months) because of profound hearing loss after pneumococcal meningitis.Results. Full electrode insertions were achieved in all operated ears. The audiological and linguistic outcome varied considerably, with categories of auditory performance (CAP) scores between 3 and 6, and speech intelligibility rating (SIR) scores between 0 and 5. The audiological, anesthesiological, and surgical issues that apply in this patient group are discussed.Conclusion. Cochlear implantation in very young postmeningitic infants is challenging due to their young age, sequelae of meningitis, and the risk of cochlear obliteration. A swift diagnostic workup is essential, specific audiological, anesthesiological, and surgical considerations apply, and the outcome is variable even in successful implantations.

scholarly journals Auditory performance and speech intelligibility among children with cochlear implant under a state-sponsored insurance scheme: a cross-sectional study

2021 ◽  
Vol 9 (1) ◽  
pp. 246
Author(s):  
T. S. Selvavinayagam ◽  
Sudharshini Subramaniam ◽  
Senthil Kumar P.
Keyword(s):  
Cochlear Implant ◽  
Speech Intelligibility ◽  
Tamil Nadu ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Insurance Scheme ◽  
Early Screening ◽  
Cross Sectional ◽  
Permanent Disability ◽  
Auditory Performance

Background: Cochlear implant is the intervention for improving the auditory performance and speech ability for children between 6-12 years with congenital deafness under the Chief Minister’s Comprehensive Health Insurance Scheme, a state-sponsored insurance scheme in Tamil Nadu. Until 2020, 4107 children had been provided with a cochlear implant under the scheme. However, the outcome of this intervention was not studied so far. Hence, as a program evaluation auditory performance and speech intelligibility among patients who received cochlear implant under the scheme is studied.Methods: A cross-sectional study was conducted among 203 patients who had received a cochlear implant at least 1 year ago. Children were evaluated for auditory performance and speech intelligibility using revised Categories of Auditory Performance (CAP) and Speech Intelligibility Rating (SIR) scores by trained speech therapists in Government Medical College hospitals. The proportion of good scorers in CAP (level ≥7) and SIR (category ≥ 3) was computed. The difference in proportion between different demographics was tested using the Chi-square test and Fischer exact test.Results: The median CAP and SIR scores of the children were 8 (Interquartile Range – 4) and 3 (IQR – 2) respectively. Almost 2/3rd of the children had good auditory performance and speech intelligibility. Factors that were associated with good auditory performance and speech intelligibility were being a girl child, getting the implant before 3 years of age, and getting it in a private institution.Conclusions: Gender and age at implant influences auditory performance and speech intelligibility after cochlear implant. Hence, early screening for deafness should be made a routine to enable early detection and management, thereby preventing permanent disability.

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