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This review found the quality of evidence to be poor and the results variable: overall total tinnitus suppression rates for patients who had tinnitus prior to surgery varied from 8% to 45% of people who received CI; decrease of tinnitus was seen in 25% to 72%, of people; for 0% to 36% of the people there was no change; increase of tinnitus ...
A cochlear implant is surgical implantation of a battery powered electronic medical device in the inner ear. Unlike hearing aids , which make sounds louder, cochlear implants do the work of damaged parts of the inner ear (cochlea) to provide sound signals to the brain.
The internal implant sends the signals to the electrode array. The design of the electrode array is the key difference between a cochlear implant and an ABI. Whereas the electrode array for a CI is wire-shaped and is inserted into the cochlea, the electrode array of an ABI is paddle-shaped and is placed on the cochlear nucleus of the brainstem. [3]
Tinnitus is described as hearing a sound when an external sound is not present. [13] Noise-induced hearing loss can cause high-pitched tinnitus. [14] An estimated 50 million Americans have some degree of tinnitus in one or both ears; 16 million of them have symptoms serious enough for them to see a doctor or hearing specialist.
Auditory neuropathy can be diagnosed with a battery of tests including otoacoustic emissions (OAE), auditory brainstem response (ABR), and acoustic reflexes. The classic AN paradigm would include present OAEs indicating normal outer hair cell function, absent or abnormal ABR with presence of the cochlear microphonic, and absent acoustic reflexes.
Cochlear implants are a more invasive treatment that bypass the hair cells completely by sending electrical signals from the environment straight to the auditory nerve fibers. [11] This is a great option for patients with minimal to nonexistent hair cell activity. [ 11 ]
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