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The multichannel cochlear implant for severe-to-profound hearing loss

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Figure 1
Figure 2: Temporal and place coding of sound.
Figure 3
Figure 4: Early implants.
Figure 5: Psychophysical studies in the first patient.
Figure 6: Other important milestones.

References

  1. Lawrence, M. Direct stimulation of auditory nerve fibers. Arch. Otolaryngol. 80, 367–368 (1964).

    Article  CAS  Google Scholar 

  2. Williams, A.J., Clark, G.M. & Stanley, G.V. Pitch discrimination in the cat through electrical stimulation of the terminal auditory nerve fibers. Physiol. Psychol. 4, 23–27 (1976).

    Article  Google Scholar 

  3. Clark, G.M. Personal reflections on the multichannel cochlear implant and a view of the future. J. Rehabil. Res. Dev. 45, 651–693 (2008).

    Article  Google Scholar 

  4. Clark, G.M. in Springer Handbook of Auditory Research: Speech Processing In The Auditory System (ed. Greenberg, S.) 722–762 (Springer, New York, 2003).

    Google Scholar 

  5. Clark, G.M. The multiple-channel cochlear implant: the interface between sound and the central nervous system for hearing, speech, and language in deaf people—a personal perspective. Philos. Trans. R. Soc. Lond. B Biol. Sci. 361, 791–810 (2006).

    Article  Google Scholar 

  6. Busby, P.A., Whitford, L.A., Blamey, P.J., Richardson, L.M. & Clark, G.M. Pitch perception for different modes of stimulation using the cochlear multiple-electrode prosthesis. J. Acoust. Soc. Am. 95, 2658–2669 (1994).

    Article  CAS  Google Scholar 

  7. Clark, G.M. et al. The histopathology of the human temporal bone and auditory central nervous system following cochlear implantation in a patient. Correlation with psychophysics and speech perception results. Acta Otolaryngol. Suppl. 448, 1–65 (1988).

    Article  CAS  Google Scholar 

  8. Shepherd, R.K., Clark, G.M. & Black, R.C. Chronic electrical stimulation of the auditory nerve in cats. Physiological and histopathological results. Acta Otolaryngol. Suppl. 399, 19–31 (1983).

    Article  CAS  Google Scholar 

  9. Tong, Y.C. et al. A preliminary report on a multiple-channel cochlear implant operation. J. Laryngol. Otol. 93, 679–695 (1979).

    Article  CAS  Google Scholar 

  10. Tong, Y.C., Clark, G.M., Blamey, P.J., Busby, P.A. & Dowell, R.C. Psychophysical studies for two multiple-channel cochlear implant patients. J. Acoust. Soc. Am. 71, 153–160 (1982).

    Article  CAS  Google Scholar 

  11. Tong, Y.C., Blamey, P.J., Dowell, R.C. & Clark, G.M. Psychophysical studies evaluating the feasibility of a speech processing strategy for a multiple-channel cochlear implant. J. Acoust. Soc. Am. 74, 73–80 (1983).

    Article  CAS  Google Scholar 

  12. Tong, Y.C., Dowell, R.C., Blamey, P.J. & Clark, G.M. Two-component hearing sensations produced by two-electrode stimulation in the cochlea of a deaf patient. Science 219, 993–994 (1983).

    Article  CAS  Google Scholar 

  13. Blamey, P.J., Martin, L.F. & Clark, G.M. A comparison of three speech coding strategies using an acoustic model of a cochlear implant. J. Acoust. Soc. Am. 77, 209–217 (1985).

    Article  CAS  Google Scholar 

  14. van Hoesel, R.J & Clark, G.M. Psychophysical studies with two binaural cochlear implant subjects. J. Acoust. Soc. Am. 102, 495–507 (1997).

    Article  CAS  Google Scholar 

  15. Clark, G.M. et al. Preliminary results for the cochlear corporation multi-electrode intracochlear implants on six prelingually deaf patients. Am. J. Otol. 8, 234–239 (1987).

    CAS  Google Scholar 

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Acknowledgements

First, I would like to express deep gratitude to my wife Margaret; our children: Sonya, Cecily, Roslyn, Merran and Jonathan, and their spouses; our grandchildren; and our parents. It has been exhilarating leading a talented research team and being part of a unique development by Cochlear Ltd. I would like to thank the Universities of Melbourne and Sydney and the Eye & Ear Hospital for crucial support. We were greatly helped by funding from the TV Channel 10 Nerve Deafness Appeal, a Public Interest Grant from the Australian government, the Bionic Ear Institute and many trusts and foundations. Our scientific studies and development were supported in particular by the National Health & Medical Research Council of Australia, the Australian Research Council, the Cooperative Research Centres Program and the US National Institutes of Health. I thank NICTA for support for research to develop more advanced cochlear implants to achieve high-fidelity sound and better hearing in noise. I would also like to thank David Lawrence, Debbie Mussett, Jonathan Clark and Ian Rutherford for help in completing this manuscript.

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Clark, G. The multichannel cochlear implant for severe-to-profound hearing loss. Nat Med 19, 1236–1239 (2013). https://doi.org/10.1038/nm.3340

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