Cochlear Implants in the Workplace: A Nationwide Survey

A nation wide survey of cochlear implant recipients was conducted to study how implants may impact people at work. Using a self-reporting questionnaire, recipients using four cochlear implant designs were surveyed about spoken communication on the job, overall job performance, job satisfaction, confidence in job retention and in seeking new employment, job promotion, and income. Of the implant recipients using their implants at work (106 people), the majority used their implants during all work hours and reported positive changes in their job situations. The survey results suggest that cochlear implants may help in mitigating functional limitations in the workplace resulting from profound hearing loss

Advances to Electrode Pullback in Cochlear Implant Surgery

Objective. To observe the intracochlear behavior of a cochlear implant electrode insertion technique (called "pullback") in temporal bones. Study Design. Experimental. Settings. Tertiary referral center. Method. The change of the intracochlear electrode position was investigated under various conditions of an electrode pullback (N = 54) in 9 radiologically, size-estimated temporal bones (TBs). Those TBs were prepared by removal of the cochlear scalar roof to apply digital video capture procedures to monitor the pullback procedures. The digitally captured pictures were analyzed with specific software. Results. An optimal pullback of the electrode varied between 1.37 mm and 2.67 mm. While a limited pullback is without risk, an extended pullback bears the risk of removing the electrode tip out of its initial position or out of the cochlea. A correlation between cochlear size and the amount of pullback was not found. Conclusion. An initial insertion to the first or the second marker on the electrode followed by a limited pullback of about 1.37 mm to 1.5 mm can be recommended to achieve an optimized perimodiolar position. A pullback of up to two marker positions bears the risk of removing the electrode tip out of its initial position

DIDS: rapidly prototyping configuration design systems

The domain independent design system (DIDS) provides a set of tools for rapidly constructing new configuration design systems from a library of reusable software elements called mechanisms . A DIDS user begins by creating a model of the problem domain and the task to be automated. This includes describing a library of parts from which new artifacts could be configured, optimization and preference criteria, and functionality constraints. DIDS analyzes this input and automatically builds an operational prototype system by selecting and combining mechanisms. DIDS' ability to automate this process is derived from its model of configuration design, which enables reusable mechanisms to be identified and automatically selected based on a problem's characteristics. The use of DIDS is illustrated by showing how DIDS solved an elevator-configuration problem.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/46597/1/10845_2004_Article_BF00124685.pd

Surveying the Down syndrome mouse model resource identifies critical regions responsible for chronic otitis media

Chronic otitis media (OM) is common in Down syndrome (DS), but underlying aetiology is unclear. We analysed the entire available mouse resource of partial trisomy models of DS looking for histological evidence of chronic middle-ear inflammation. We found a highly penetrant OM in the Dp(16)1Yey mouse, which carries a complete trisomy of MMU16. No OM was found in the Dp(17)1Yey mouse or the Dp(10)1Yey mouse, suggesting disease loci are located only on MMU16. The Ts1Cje, Ts1RhR, Ts2Yah, and Ts65Dn trisomies and the transchomosomic Tc1 mouse did not develop OM. On the basis of these findings, we propose a two-locus model for chronic middle-ear inflammation in DS, based upon epistasis of the regions of HSA21 not in trisomy in the Tc1 mouse. We also conclude that environmental factors likely play an important role in disease onset

Small-fenestra cochleostomy for MED-EL electrode

Although the physical characteristics of cochlear implant electrode arrays vary substantially among manufacturers, many otolaryngologists have adopted a surgical cochleostomy technique that is similar for all of them. The objective of this study was to compare the insertion dynamics of the MED-EL Flex electrode using two different sized cochleostomies. Six temporal bones were prepared with either a small fenestra ( approximately 1.0 mm) or a large fenestra ( approximately 1.8 mm) cochleostomy and the electrodes inserted under video fluoroscopy. The resulting video images were analysed for depth of insertion as well as dynamic flexion of the electrode during insertion. The study demonstrated that small-fenestra cochleostomies have a 'pool cue' or 'billiard cue' effect, stabilizing the electrode cable and resulting in easier and deeper insertions. This is achieved by limiting the buckling of the electrode just inside the cochleostomy site