Abstract
When the idea of restoring hearing by electrical stimulation of the cochlear was first proposed scientists were highly skeptical, arguing that the complexity of the cochlea and auditory nerve could not be usefully replicated with a handful of electrodes, each activating large swatches of nerve. Yet early single channel cochlear implants were received enthusiastically by deaf patients because even the rudimentary sound they provided helped with lip reading and lessened the sense of isolation caused by deafness. Over the years cochlear implants have improved to the point that deaf recipients can now expect to be able to converse on the phone with their implant. Further developments have resulted in similar abilities in some patients who received an auditory brain stem implant—similar to a cochlear implant but designed to stimulate the cochlear nucleus complex in the brain stem. These developments show the power of the brain to adapt to new or distorted patterns of sensory information. Peripheral sensory information does not have to be restored in all its detailed glory to be useful. Complex sensory experience depends on both the information of the sensory end organ as well pattern processing in the brain. Successful prosthesis design must take both ear and brain into account.
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Shannon, R.V. (2014). Adventures in Bionic Hearing. In: Popper, A., Fay, R. (eds) Perspectives on Auditory Research. Springer Handbook of Auditory Research, vol 50. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-9102-6_28
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