Navigation Links
Cochlear Implants in Both Ears Enables Better Hearing

A recent study by scientists at University of Wisconsin-Madison examines whether deaf children who've received two cochlear// implants hear better.

Led by Ruth Litovsky, an investigator in the UW-Madison Waisman Center, the team's research suggests that deaf children who have a cochlear implant in each ear more accurately locate sounds when they use both implants instead of one. Children with two implants also become more skilled at localizing sound over time.

Information like this can be useful, says Litovsky, when doctors and parents are deciding whether a child should get one or two of the electronic devices, which allow deaf people to hear by bypassing the damaged inner ear, or cochlea, to stimulate the auditory nerve directly.

It's not a simple choice. A single implant and the required surgery can cost $50,000. The device also permanently damages the cochlea, which might prevent recipients from taking advantage of potentially superior treatments for deafness down the road.

Patients never received more than one implant until about ten years ago. Then, doctors began to fit people with two, hoping this would assist them in understanding speech, especially in 'cocktail party' environments with lots of competing sounds.

'But there are still many remaining questions about the actual extent of the benefits of having two cochlear implants,' Litovsky says. Only about three percent of the 100,000 people worldwide who currently wear implants have received two, she estimates.

Litovsky is an expert in binaural hearing, or hearing with two ears. 'We try to understand how having two ears is helpful,' she says. One main benefit: two ears make it easier to locate sounds. 'If you close an ear, walk around and try to identify where sounds are coming from, it's very, very hard,' she says.

To test whether a pair of cochlear implants aids this ability, Litovsky's team has, to date, studied 55 deaf children who received a second implant one to seven years after being fitted with their first. When the research began, it appeared the group of 5 to 14 year-olds couldn't localize sounds at all, Litovsky says.

The result prompted her to launch a longitudinal study designed not only to test their prowess at this task, but also how it changed over time. In the 'listening game' she has devised with her team, children face a semicircle of loudspeakers arranged at regular intervals, each with a picture attached. When speech or other kinds of sounds emit from a speaker, the children are scored on their ability to identify the correct one by pointing to its picture.

In addition to completing the task while wearing both implants, the children were asked to remove the microphone and other external parts of one, rendering them deaf again in that ear. 'That turns out to be an interesting experience, because they don't like to remove an implant,' says Litovsky. 'We have to barter for that, with M&Ms or something else that motivates them.'

Although variability existed among the children, the study indicates that most did develop the ability to locate speech and other sounds more accurately when using two cochlear implants versus one. This capability also increased with experience. 'We're now seeing that the ability to localize sounds takes time to emerge,' says Litovsky. 'What seems to get better is the integration of the information from the two ears in the brain.'

Another crucial question is whether children should receive both implants simultaneously, at the same time, or sequentially, at different times, she says. The study's results have implications here, as well.

'The children we're looking at received their implants sequentially,' says Litovsky, 'and we think that their brains took a very long time to combine the inputs from the two ears.' Yet, the fact they learned to do so points to the brain's adaptability , or 'plasticity,' she adds. 'It reveals that the brain is still open to input from an ear that was deaf for a very long time.'

Litovsky emphasizes that her goal is not to tell parents or doctors whether two implants are better for children, but to work with families who have made that choice and study the outcomes. 'I think so far our work has helped inform clinicians about these decisions,' she says. 'So I hope in the future we'll be able to continue to do that.' Litovsky's research is funded by the National Institute on Deafness and Other Communication Disorders.

Source-Eurekalert
PRI
'"/>




Related medicine news :

1. Early Cochlear Implants Prove To Be Effective
2. Electrosurgery Ensures Integrity Of Cochlear Implant Following Adenoids Removal
3. Earlier the Cochlear Implants Used Better the Speech
4. Making Sense of the World Through a Cochlear Implant
5. Cochlear Implantation Increases Meningitis Risk
6. Breast Implants May Interfere With The Interpretation Of Mammogram Results
7. The Use Of Implants After Breast Cancer Questioned
8. Implants In The Ear Is Effective Against All Types Of Hearing Loss
9. Scientists Find Way To Stop Infection Of Implants
10. Early Cochlear Implants Prove To Be Effective
11. Cell Implants May Help Those Who Suffer From Parkinsons
Post Your Comments:
*Name:
*Comment:
*Email:


(Date:3/29/2017)... ... March 29, 2017 , ... ... continues developing an ANSI-approved, consensus-based American National Standard for Good Manufacturing Practices ... the first ANSI-approved GMP standard for dietary supplements this spring, is hiring ...
(Date:3/29/2017)... ... ... HealthCareMandA.com will host an important webinar — Home Health & Hospice: Buying, Selling ... the webinar will also be made available following its live presentation. The webinar is ... popular targets for healthcare investors. This highly fragmented sector bounced back in 2016, as ...
(Date:3/29/2017)... ... March 29, 2017 , ... ... (SOGO™), a specialized continuing medical education conference for clinicians who manage some of ... Square, New York. , The program will be led by co- chairs ...
(Date:3/28/2017)... , ... March 28, 2017 , ... Tuesday, March 28, ... American public to take the Diabetes Risk Test to find out if they are ... Angeles World Airports will light up the evening sky by programming the LAX pylons ...
(Date:3/28/2017)... ... March 28, 2017 , ... Revolution for Truth has organized ... protect parental rights and civil liberties, and to restore transparency within government agencies ... coincides with a press conference taking place Friday morning calling on President Trump ...
Breaking Medicine News(10 mins):
(Date:3/29/2017)... 2017 Research and Markets has announced the ... 2023" report to their offering. ... The ablation device global market is expected ... by 2023. Ablation is the minimally invasive therapeutic ... cancerous or diseased tissue removal, to the removal of abnormally conducting ...
(Date:3/29/2017)... 29, 2017  NuVasive, Inc. (NASDAQ: NUVA), a ... surgery with minimally disruptive, procedurally-integrated solutions, today announced ... of the CoRoent® Small Interbody™ System indicated for ... the cervical spine. This marks the first U.S. ... at up to four contiguous levels. ...
(Date:3/29/2017)... USA, March 29, 2017 Stryker announced today ... by People magazine, in partnership with Great Place to ... on the list. This list highlights the top U.S. ... in business while also demonstrating respect, compassion and concern ... To determine the companies on the list, ...
Breaking Medicine Technology: