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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
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pubmed:dateCreated |
1993-7-9
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pubmed:abstractText |
Genetically deaf dalmatian dogs and ototoxically deafened macaque monkeys were implanted with electrodes housed in cochlear wall titanium implants to assess long-term stability, tolerance, and performance. Short-term human implantation, followed by trials of stimulation, was performed in 4 unilaterally deaf patients. In the dog experiments, cochlear wall electrode stimulation produced consistent electrophysiologic thresholds that were higher, by approximately 6 dB, than those obtained with bipolar scala tympani stimulation. Clinical testing revealed electrically evoked middle latency response, auditory brain stem response, and/or behavioral detection responses in 3 of 4 patients, at levels below those for facial nerve activation and pain sensation. Electrode place discrimination studies, with controls for loudness cues, revealed near-perfect discrimination in a monkey subject. Eleven of the 12 animal implants were found to be rigidly fixed in the cochlear bone, with direct contract between bone and implant over 8% to 23% of the implant surface for the 6 implants examined in detail. These results suggest that long-term fixation of titanium cochlear wall implants occurs by virtue of intimate implant-bone contact in restricted areas. This approach to prosthetic stimulation demonstrates encouraging performance characteristics in achieving auditory activation.
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pubmed:grant | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Jun
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pubmed:issn |
0003-4894
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
102
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
447-54
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pubmed:dateRevised |
2007-11-14
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pubmed:meshHeading |
pubmed-meshheading:8512272-Acoustic Stimulation,
pubmed-meshheading:8512272-Adult,
pubmed-meshheading:8512272-Aged,
pubmed-meshheading:8512272-Animals,
pubmed-meshheading:8512272-Cochlear Implants,
pubmed-meshheading:8512272-Deafness,
pubmed-meshheading:8512272-Dogs,
pubmed-meshheading:8512272-Electrodes, Implanted,
pubmed-meshheading:8512272-Equipment Design,
pubmed-meshheading:8512272-Female,
pubmed-meshheading:8512272-Hearing Loss,
pubmed-meshheading:8512272-Humans,
pubmed-meshheading:8512272-Macaca mulatta,
pubmed-meshheading:8512272-Male,
pubmed-meshheading:8512272-Middle Aged,
pubmed-meshheading:8512272-Titanium
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pubmed:year |
1993
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pubmed:articleTitle |
Cochlear wall titanium implants for auditory nerve stimulation.
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pubmed:affiliation |
Department of Otolaryngology--Head and Neck Surgery, University of Michigan, Ann Arbor.
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pubmed:publicationType |
Journal Article,
Research Support, U.S. Gov't, P.H.S.,
Case Reports,
Research Support, Non-U.S. Gov't
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