REVIEW ARTICLES
Signal Processing Strategies In Cochlear Implant Systems: A Review of Literature
Koklear İmplant Sistemlerinde Sinyal İşlemleme Stratejileri: Literatür Derlemesi
Received Date : 01 Feb 2021
Accepted Date : 11 Mar 2021
Available Online : 24 Mar 2021
Merve ÖZBAL BATUKa, Erva DEĞİRMENCİ UZUNb, Betül KOSKAc, Merve ÖZSESd
,Öykü ÖZBAŞe
aHacettepe Üniversitesi Sağlık Bilimleri Fakültesi, Odyoloji Bölümü, Ankara, TÜRKİYE
bİzmir Bakırçay Üniversitesi Sağlık Bilimleri Fakültesi, Odyoloji Bölümü, İzmir, TÜRKİYE
cHacettepe Üniversitesi Erişkin Hastanesi, Kulak Burun Boğaz Hastalıkları ABD, Odyoloji BD, Ankara, TÜRKİYE
dHacettepe Üniversitesi Sağlık Bilimleri Enstitüsü, Odyoloji Bölümü, Ankara, TÜRKİYE
eSağlık Bilimleri Üniversitesi Gülhane Sağlık Bilimleri Fakültesi, Odyoloji Bölümü, Ankara, TÜRKİYE
Doi: 10.24179/kbbbbc.2021-81939 - Makale Dili: TR
KBB ve BBC Dergisi. 2021;29(3):222-35
Copyright © 2020 by Turkey Association of Society of Ear Nose Throat and Head Neck Surgery. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)
ABSTRACT
Cochlear implant systems are used for hearing re/habilitation
in case of hearing loss and in cases where conventional hearing
aids are insufficient. Cochlear implant technologies are developing
rapidly. Signal processing and speech coding strategies are among the
main topics of interest in the development of these technologies. Considering
the limited stimulation of the cochlear implant electrodes; various
signal processing strategies have been developed to provide users
with the clearest and most natural sound possible. The aim of this literature
review was to examine the speech processing strategies in
cochlear implant systems. In light of the findings in the literature, the
effects of different strategies on speech perception outcomes show great
variability. Instead of establishing a common best-performing strategy
for all users, selecting an individual strategy seems to be preferable for
the best benefit.
Keywords: Cochlear implant; hearing loss; strategy; signal processing
ÖZET
Koklear implantlar, işitme kaybı olması durumunda ve konvansiyonel
işitme cihazlarının yetersiz kaldığı durumlarda işitmenin rehabilitasyonu
için kullanılmaktadır. Koklear implant teknolojileri hızlı
bir şekilde gelişmektedir. Sinyal işlemleme ve konuşma kodlama stratejileri
ise bu teknolojilerin gelişiminde başlıca ilgi duyulan konular
arasında yer almaktadır. Koklear implant elektrotlarının sınırlı uyarımı
göz önünde bulundurularak, kullanıcılarına mümkün olan en net ve en
doğal sesi sunmayı amaçlayan çeşitli sinyal işlemleme stratejileri geliştirilmiştir.
Bu derlemenin amacı, farklı firmalara ait konuşma işleme
stratejileri detaylı bir şekilde incelemektir. Literatürde bu konuda yer
alan bilgiler ışığında, farklı stratejilerinin konuşma algısı sonuçları üzerindeki
etkilerinin değişkenlik göstermektedir. Koklear implant kullanıcılarında
en iyi performansı elde etmek için ortak bir strateji
belirlemek yerine, işitsel gelişim ve bireysel ihtiyaçlar göz önünde bulundurularak
kişiye uygun bir strateji belirlemek, uygun programlama
parametreleriyle kullanıcının gelişimini desteklemek ve konuşma algısı
çıktılarını objektif test yöntemleriyle takip etmek büyük önem arz
etmektedir.
Anahtar Kelimeler: Koklear implant; işitme kaybı; strateji; sinyal işlemleme
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