A Dynamically Focusing Cochlear Implant Strategy Can Improve Vowel Identification in Noise.

Objectives: The standard, monopolar (MP) electrode configuration used in commercially available cochlear implants (CI) creates a broad electrical field, which can lead to unwanted channel interactions. Use of more focused configurations, such as tripolar and phased array, has led to mixed results for improving speech understanding. The purpose of the present study was to assess the efficacy of a physiologically inspired configuration called dynamic focusing, using focused tripolar stimulation at low levels and less focused stimulation at high levels.

Examining the electro-neural interface of cochlear implant users using psychophysics, CT scans, and speech understanding.

This study examines the relationship between focused-stimulation thresholds, electrode positions, and speech understanding in deaf subjects treated with a cochlear implant (CI). Focused stimulation is more selective than monopolar stimulation, which excites broad regions of the cochlea, so may be more sensitive as a probe of neural survival patterns. Focused thresholds are on average higher and more variable across electrodes than monopolar thresholds.

Multipolar current focusing increases spectral resolution in cochlear implants.

Cochlear implants are highly successful neural prostheses that restore hearing in the deaf, often resulting in high levels of speech understanding in quiet listening conditions. In more challenging conditions, however, cochlear implant subjects often score much lower than their normal-hearing peers, possibly reflecting limits of the electrode-neural interface. In this study, we compare monopolar stimulation versus focused stimulation, using multipolar channels, to test if current focusing can increase spectral resolution.