Download Cochlear Implants: Principles and Practices by John K. Niparko MD PDF

By John K. Niparko MD

Thoroughly up to date for its moment version, this publication presents an in-depth dialogue on prosthetic recovery of listening to through implantation. The textual content succinctly discusses the clinical rules in the back of cochlear implants, examines the newest expertise, and gives sensible recommendation on tips on how to determine applicants, the best way to implant the units, and what rehabilitation is most popular. The authors completely research the results of cochlear implantation, the effect at the patient's caliber of lifestyles, the advantages with regards to the prices, and the consequences of cochlear implants for language and speech acquisition and youth education.

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Extra resources for Cochlear Implants: Principles and Practices

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These critical periods reinforce the notion that there are clearly defined times when the physiologic readiness of the organism must coincide with the occurrence of certain specific externally derived experiences. To understand the human brain, neuroscientists tend to study the brains of other mammals, such as rats or monkeys. With animal “models” it is possible to examine, experimentally, cellular mechanisms of sensory processing such as vision, touch, or hearing and motor processes such as spinal reflexes, paralysis, or recovery of function.

These internal and external signals impinge on the developing cell in the form of diffusible factors and surface molecules. In this way, a complex array of specific factors is timed so as to induce the proper differentiation of individual neurons. It is thought that brain cells continue to be produced until shortly after birth. In humans, after 2–3 years of age, new neurons are no longer generated, and all of the basic neural connections are thought to be completed by the late teenage years. The consequence is that most of the changes in brain function occur through modification of the “wiring” at the level of cells and molecules.

An adult that has had experiences while young appears to be able to utilize the early functional connections with relative ease. An adult without prior experience finds adaptation largely beyond the capacity of his or her brain. PLASTICITY AND BINAURAL SYSTEMS Binaural hearing refers to the auditory processing involved in the comparison of sounds received by one ear with the sounds received by the other ear. The interaction between these sounds provides important spatial cues for determining the direction and distance of sound sources.

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