Ear Surgery
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Relevant Background: "A cochlear implant (CI) is a surgically implanted neuroprosthetic device to provide a person with moderate to profound sensorineural hearing loss a modified sense of sound. CI bypasses the normal acoustic hearing process to replace it with electric signals which directly stimulate the auditory nerve. A person with a cochlear implant receiving intensive auditory training may learn to interpret those signals as sound and speech. However, one third of deaf children do not develop language if they are on a CI program alone and have no sign language input. The implant has two main components. The outside component is generally worn behind the ear, but could also be attached to clothing, for example, in young children. This component, the sound processor, contains microphones, electronics that include digital signal processor (DSP) chips, battery, and a coil which transmits a signal to the implant across the skin. The inside component, the actual implant, has a coil to receive signals, electronics, and an array of electrodes which is placed into the cochlea, which stimulate the cochlear nerve...The surgical procedure is performed under general anesthesia. Surgical risks are minimal but can include tinnitus, facial nerve bruising and dizziness...Cochlear implants bypass most of the peripheral auditory system which receives sound and converts that sound into movements of hair cells in the cochlea; the inside-portion of these hair cells release potassium ions in response to the movement of the hairs, and the potassium in turn stimulates other cells to release the neurotransmitter, glutamate, which makes the cochlear nerve send signals to the brain, which creates the experience of sound. Instead, the devices pick up sound and digitize it, convert that digitized sound into electrical signals, and transmit those signals to electrodes embedded in the cochlea. The electrodes electrically stimulate the cochlear nerve, causing it to send signals to the brain...
There are several systems available, but generally they have the following components:[13][15]
External:
- one or more microphones that pick up sound from the environment
- a speech processor which selectively filters sound to prioritize audible speech
- a transmitter that sends power and the processed sound signals across the skin to the internal device by radio frequency transmission
Internal:
- a receiver/stimulator, which receives signals from the speech processor and converts them into electric impulses
- an electrode array embedded in the cochlea..." ("Cochlear Implant", https://en.wikipedia.org/wiki/Cochlear_implant)
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