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The
multiple-channel cochlear implant alleviates a severe-to-profound
deafness by stimulating the auditory nerves electrically, and bypassing
a damaged or undeveloped organ of Corti, shown here with a loss
of the inner and outer hair cells (top). Normally the resulting
responses in the auditory nerve to sound are transmitted to the
higher brain pathways by numerous fibres which have a complex arrangement
(middle and bottom). In the brain the responses are perceived as
speech and other sounds. Research showed, however, that with a cochlear
implant the electrodes needed to be placed in a fluid-filled compartment
beneath the auditory nerves (top), and the passage of the electrical
current controlled so that it would not short circuit through the
fluid, but pass to separate groups of nerve fibres for multiple-channel
stimulation. In addition, innervation of the cochlea by complex
and numerous nerve fibres (middle and bottom) raised serious doubts
about the possibility of reproducing the temporal and place coding
of sound, and was the basis for much of the criticism by the scientific
community.
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