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The importance of being flexible

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Figure 1: The first implantation of a multichannel microelectronic cochlear implant.
Figure 2: An important early patient.
Figure 3: The COMFORT System.
Figure 4: A unique case.
Figure 5: Multicenter study results with the implant COMBI 40.
Figure 6: More recent pioneer patients.

References

  1. Kiang, N.Y.S. & Moxon, E.C. Physiological considerations in artificial stimulation of the inner ear. Ann. Otol. Rhinol. Laryngol. 81, 714–730 (1972).

    Article  CAS  Google Scholar 

  2. Desoyer, I. & Hochmair, E. Implantable eight-channel stimulator for the deaf. Proc. Eur. Solid State Circuits Conference 1977. 87–89 (1977)

  3. Hochmair-Desoyer, I. Technische Realisierung und psychoakustische Evaluation eines Systems zur chronischen Mehrkanalstimulation des Nervus acusticus. (VWGO, 1979)

  4. Michelson, R.P. & Schindler, R.A. Multichannel cochlear implant. Preliminary results in man. Laryngoscope 91, 38–42 (1981).

    CAS  Google Scholar 

  5. Hochmair-Desoyer, I.J., Hochmair, E.S., Burian, K. & Fischer, R.E. Four years of experience with cochlear prostheses. Med. Prog. Technol. 8, 107–119 (1981).

    CAS  Google Scholar 

  6. Tyler, R.S. Open-set word recognition with the 3M/Vienna single-channel cochlear implant. Arch. Otolaryngol. Head Neck Surg. 114, 1123–1126 (1988).

    Article  CAS  Google Scholar 

  7. Hochmair-Desoyer, I.J. Entwicklungsstand von auf elektischer Stimulation beruhenden Innenohrprothesen. Biomed Tech. (Berlin) 34, 168–176 (1989).

    Article  CAS  Google Scholar 

  8. Hochmair-Desoyer, I.J., Zierhofer, C. & Hochmair, E.S. New hardware for analog and combined analog and pulsatile sound-encoding strategies. Prog. Brain Res. 97, 291–300 (1993).

    Article  CAS  Google Scholar 

  9. Wilson, B.S. et al. Better speech recognition with cochlear implants. Nature 352, 236–238 (1991).

    Article  CAS  Google Scholar 

  10. Helms, J. et al. Evaluation of performance with the COMBI40 cochlear implant in adults: a multicentric clinical study. ORL J. Otorhinolaryngol. Relat. Spec. 59, 23–35 (1997).

    Article  CAS  Google Scholar 

  11. Hochmair, I. et al. Deep electrode insertion in cochlear implants: apical morphology, electrodes and speech perception results. Acta Otolaryngol. 123, 612–617 (2003).

    Google Scholar 

  12. Gstoettner, W.K., Baumgartner, W.D., Franz, P. & Hamzavi, J.S. Cochlear implant deep-insertion surgery. Laryngoscope 107, 544–546 (1997).

    Article  CAS  Google Scholar 

  13. Schoen, F., Mueller, J., Helms, J. & Nopp, P. Sound localization and sensitivity to interaural cues in bilateral users of the Med-El Combi 40/40+ cochlear implant system. Otol. Neurotol. 26, 429–437 (2005).

    Article  CAS  Google Scholar 

  14. von Ilberg, C. et al. Electric-acoustic stimulation of the auditory system. New technology for severe hearing loss. ORL J. Otorhinolaryngol. Relat. Spec. 61, 334–340 (1999).

    Article  CAS  Google Scholar 

Download references

Acknowledgements

I would like to thank my closest research partner, my husband Erwin Hochmair, for the many years of joint research and other adventures. I also thank F. Paschke, former head of the General EE Department at the TU Vienna, for his support and encouragement, and the late K. Burian, former head of the ENT University Clinic Vienna, and his successors. I wish to acknowledge the early pioneer patients, in particular C.K., S.O., H.D. and M.H., who spent countless hours performing psychophysical and speech-perception tests in our lab. I thank C. Zierhofer, now professor at the University of Innsbruck, for all his creativity and friendship, B. Wilson for our fruitful collaboration and friendship, J. Helms, former head of the ENT University Clinic Würzburg, and the 50 investigators of the COMBI 40 clinical study. Most of our early work was funded by the Austrian Research Council.

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Correspondence to Ingeborg Hochmair.

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I.H. is the chief executive officer and chief technology officer of MED-EL.

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Hochmair, I. The importance of being flexible. Nat Med 19, 1240–1244 (2013). https://doi.org/10.1038/nm.3341

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