Research Focus

Why Do Cochlear Implants Work Brilliantly for Some and Poorly for Others?

Two patients. Same device. Same surgery. Vastly different outcomes. One understands speech effortlessly; the other struggles even in quiet rooms. We're working to understand why and how to close this gap.

01

Neural Health

How much does the condition of the auditory nerve limit what a cochlear implant user can hear?

Before sound reaches the brain, it must pass through the auditory nerve and in many CI users, these nerve fibers have degenerated. We're developing methods to reliably measure neural health at individual electrode sites and determine how this degeneration constrains what patients can perceive.

  • Objective measures of neural survival patterns
  • Relating neural health to pitch perception limits
  • Predicting outcomes from physiological markers
02

Personalized Stimulation

Can we tailor electrical stimulation to each patient's unique auditory system?

Current cochlear implants use essentially the same stimulation approach for everyone but every patient's auditory nerve is different. We're investigating how to personalize stimulation strategies based on individual patterns of neural health, potentially improving outcomes without changing the hardware.

  • Site-specific stimulation parameters
  • Matching stimulation to local neural condition
  • Translating research findings to clinical fitting
03

Perceptual Boundaries

What are the fundamental limits of hearing with electrical stimulation?

Music sounds flat. Voices blur together in noise. These struggles trace back to spectral resolution. We use rigorous psychophysical methods to map the precise boundaries of perception in CI users, identifying where the bottlenecks lie and what might be done about them.

  • Psychophysical measurement of pitch sensitivity
  • Spectral and temporal resolution assessment
  • Connecting perceptual limits to device and neural factors
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