Publications by authors named "M A Svirsky"
Article Synopsis
- This study explores the outcomes and management of pediatric auditory brainstem implantation (ABI) for children with severe inner ear malformations, aiming to unify clinical practices and address current challenges.
- A systematic review of relevant findings from the Third International Pediatric ABI Symposium analyzed data from multiple countries, highlighting trends in auditory outcomes, surgical approaches, and rehabilitation strategies.
- Key conclusions emphasize the need for standardized guidelines and improved collaboration among healthcare professionals to enhance patient outcomes and guide future research in this specialized field.
Although cochlear implants (CI) successfully replace the sense of hearing, they do not restore natural hearing. Still, CI users adapt to this novel signal, reaching meaningful levels of speech recognition in clinical tests that focus on repetition of words and short sentences. However, many patients who score above average in clinical speech perception tests complain that everyday speech interactions are both difficult and cognitively draining.
View Article and Find Full Text PDFObjective: To characterize transimpedance matrix (TIM) heatmap patterns in patients at risk of labyrinthine abnormality to better understand accuracy and possible TIM limitations.
Study Design: Retrospective review of TIM patterns, preoperative, and postoperative imaging.
Setting: Tertiary referral center.
Objectives: To provide a level-adjusted correction to the current standard relating anatomical cochlear place to characteristic frequency in humans, and to re-evaluate anatomical frequency mismatch in cochlear implant (CI) recipients considering this correction. It is hypothesized that a level-adjusted place-frequency function may represent a more accurate tonotopic benchmark for CIs in comparison to the current standard.
Design: The present analytical study compiled data from fifteen previous animal studies that reported iso-intensity responses from cochlear structures at different stimulation levels.
Article Synopsis
- Bilaterally implanted cochlear implant users often struggle with interaural time differences (ITDs), which are essential for sound localization and understanding speech in noisy settings.
- The challenge arises from a lack of coordination between the processors in each ear and the need for high stimulation rates to improve speech comprehension but at the cost of ITD sensitivity.
- A new "mixed rate" strategy was tested that uses low rates for encoding ITDs on some channels while maintaining higher rates for speech on others, showing similar effectiveness to traditional methods in both speech understanding and sound localization tasks.