Speech-signal presentation to the totally deaf

We have developed a system for single-channel electrical stimulation of the totally deaf. The patient wears a removeable electrode assembly which stimulates the cochlear promontory and can be inserted and removed like the earmould of a hearing aid. This approach minimises the risk of mechanical or electro-chemical damage to structures within the cochlea. Charge-balanced stimulation is used to present those speech pattern elements that are matched to the patients' lipreading needs and their new sensory abilities. Objective tests show improvements both in patients' perceptive and productive abilities