• Journal of Biomedical Engineering Research
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• v.9 no.1
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• pp.1-10
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• 1988

In this study, the recognition experiments for Korean vowel are performed using peripheral auditory model. In addition, for the purpose of objective comparison, the recognition experiments are performed by extracting LPC cepstrum coefficients for the same speech data. The results are as follows. 1) The time and the frequency responses of the auditory model show that important features of input signal are involved in the responses of inner ear and auditory nerve. 2) The recognition results for Korean vowel show that the recognition rate by auditory model output is higher than the recognition rate by LPC cepstrum coefficients. 3) The adaptation phenomenon of auditory nerve provides useful characteristics for the discrimination of vowel signal.

• Journal of the Institute of Electronics Engineers of Korea SD
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• v.47 no.1
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• pp.60-68
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• 2010

In case of sensorineural hearing loss, auditory perception can be activated by electrical stimulation of the nervous system via electrode implanted into the cochlea or auditory nerve. Since the tonotopic map of the human auditory nerve has not been definitively identified, the recording of auditory nerve signal with microelectrode is desirable for determining the tonotopic map. This paper proposes the multi-channel analog front-end for auditory nerve signal detection. A channel of the proposed analog front-end consists of an AC coupling circuit, a low-power 4th-order Gm-C LPF, and a single-slope ADC. The AC coupling circuit transfers only AC signal while it blocks DC signal level. Considering the bandwidth of the auditory signal, the Gm-C LPF is designed with OTAs adopting floating-gate technique. For the channel-parallel ADC structure, the single-slope ADC is used because it occupies the small silicon area. Experimental results shows that the AC coupling circuit and LPF have the bandwidth of 100 Hz - 6.95 kHz and the ADC has the effective resolution of 7.7 bits. The power consumption per a channel is $12\;{\mu}W$, the power supply is 3.0 V, and the core area is $2.6\;mm\;{\times}\;3.7\;mm$. The proposed analog front-end was fabricated in a 1-poly 4-metal $0.35-{\mu}m$ CMOS process.

• Journal of Biomedical Engineering Research
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• v.29 no.1
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• pp.25-31
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• 2008

It is well known that temporal information, i.e speech onset, about input speech can be represented to the response nerve signal of auditory nerve better depending on the adaptation effect occurred in the auditory nerve synapse. In addition, the performance of a speech processor of cochlear implant can be improved by the adaptation effect. In this paper, we observed the emphasis characteristic of speech onset in the recently proposed adaptation algorithm, analyzed the characteristic of performance change according to the variation of parameters and compared with transient emphasis spectral maxima (TESM) is the previous typical strategy. When observing false peaks which are generated everywhere except speech onset, in the case of the proposed model, the false peak were generated much less than in the case of the TESM and it is more distinguishable under noise.

• Journal of Biomedical Engineering Research
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• v.28 no.2
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• pp.205-211
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• 2007

A novel envelope extraction algorithm for speech processor of cochlear implants, called adaptation algorithm, was developed which is based on a adaptation effect of the inner hair cell(IHC)/auditory nerve(AN) synapse. We achieved acoustic simulation and hearing experiments with 12 normal hearing persons to compare this adaptation algorithm with existent standard envelope extraction method. The results shows that speech processing strategy using adaptation algorithm showed significant improvements in speech recognition rate under most channel/noise condition, compared to conventional strategy We verified that the proposed adaptation algorithm may yield better speech perception under considerable amount of noise, compared to the conventional speech processing strategy.

• Annals of Clinical Neurophysiology
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• v.10 no.1
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• pp.1-12
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• 2008

Intraoperative neuromonitoring (INM) is well known to be useful method to reduce intraoperative complications during the surgery of nervous system lesions. Evoked potentials are most commonly used among the electrophysiological tests. Brainstem auditory evoked potentials are for detecting the problems along the auditory pathways including the eighth cranial nerve and brainstem. Somatosensory evoked potentials are applied for preventing the spinal cord lesions. The INM is affected by many factors. In order to perform an optimal INM, the confounding factors including technical, anesthetical, and individual factors should be kept well under control. INM has frequent electrophysiologic changes during the surgery and it might be helpful to keep one's eyes on which monitoring modalities are reluctant to change during each operation. The skillful monitoring and timely interpretation of electrophysiologic changes can drive the patient to be undergone surgery, even in high surgical risk group.

• Journal of Biomedical Engineering Research
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• v.28 no.5
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• pp.694-702
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• 2007

The adaptation effect originating from the chemical synapse between auditory nerve and inner hair cell gives advantage in accurate representation of temporal cues of incoming speech such as speech onset. Thus it is expected that the modification of conventional speech processing strategies of cochlear implant(CI) by incorporating the adaptation effect will result in considerable improvement of speech perception performance such as consonant perception score. Our purpose in this paper was to evaluate our new CI speech processing strategy incorporating the adaptation effect by the observation of auditory nerve responses. By classifying the presence or absence of speech from the auditory nerve responses, i. e. spike trains, we could quantitatively compare speech onset detection performances of conventional and improved strategies. We could verify the effectiveness of the adaptation effect in improving the speech onset representation characteristics.

• Journal of Clinical Otolaryngology Head and Neck Surgery
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• v.29 no.2
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• pp.245-249
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• 2018

Neurilemmoma is a benign tumor that originates from the Schwann cell. It frequently occurs in head and neck regions, but neurilemmoma of external auditory canal is extremely rare. Here, we report a very rare case of 36-year-old male with a tumor located in the posterior wall of external auditory canal, preoperatively suspected as neurilemmoma originated from Arnold's nerve by temporal bone magnetic resonance imaging. The tumor mass was surgically excised and pathologically confirmed as a neurilemmoma.

• The Korean Journal of Physiology and Pharmacology
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• v.13 no.6
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• pp.461-467
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• 2009

The auditory cortex (A1) encodes the acquired significance of sound for the perception and interpretation of sound. Nitric oxide (NO) is a gas molecule with free radical properties that functions as a transmitter molecule and can alter neural activity without direct synaptic connections. We used whole-cell recordings under voltage clamp to investigate the effect of NO on spontaneous GABAergic synaptic transmission in mechanically isolated rat auditory cortical neurons preserving functional presynaptic nerve terminals. GABAergic spontaneous inhibitory postsynaptic currents (sIPSCs) in the A1 were completely blocked by bicuculline. The NO donor, S-nitroso-N-acetylpenicillamine (SNAP), reduced the GABAergic sIPSC frequency without affecting the mean current amplitude. The SNAP-induced inhibition of sIPSC frequency was mimicked by 8-bromoguanosine cyclic 3',5'-monophosphate, a membrane permeable cyclic-GMP analogue, and blocked by 2-(4-carboxyphenyl)-4,4,5,5-tetramethylimidazoline-1-oxyl-3-oxide, a specific NO scavenger. Blockade of presynaptic $K^+$ channels by 4-aminopyridine, a $K^+$ channel blocker, increased the frequencies of GABAergic sIPSCs, but did not affect the inhibitory effects of SNAP. However, blocking of presynaptic $Ca^{2+}$ channels by $Cd^{2+}$, a general voltage-dependent $Ca^{2+}$ channel blocker, decreased the frequencies of GABAergic sIPSCs, and blocked SNAP-induced reduction of sIPSC frequency. These findings suggest that NO inhibits spontaneous GABA release by activation of cGMP-dependent signaling and inhibition of presynaptic $Ca^{2+}$ channels in the presynaptic nerve terminals of A1 neurons.

• Journal of Physiology & Pathology in Korean Medicine
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• v.27 no.3
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• pp.327-330
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• 2013

The purpose of this study is to report a clinical progress of treatment of sequelae caused by removal of facial schwannoma through Korean medicine. A patient was diagnosed with facial schwannoma by MRI on 4th June 2012 in local university hospital, he had right facial palsy, auditory hypersensitivity, dizziness after removal of facial schwannoma. Between 25th July 2012 and 26th January 2013, he was treated with acupuncture, cupping, electro-acupuncture every week and observed by House-Brackmann facial nerve grading system(H-B scale) and MoReSS every month. He had 29 times treatments. At the first of treatment, his state was Grade IV (H-B scale), 4/8(facial nerve grading), 10 points during action 7 points during rest(MoReSS) and he had severe facial palsy, ill-acrimation, auditory hypersensitivity. At the middle of treatment, October 2012, symptoms improved. State was Grade III (H-B scale), 5/8(facial nerve grading), 7 points during action 3 points during rest(MoReSS). Severe facial palsy improved ; Forehead creasing and union motor function recovered, he was able to close his eyes so ill-acrimation improved. At the end of treatment, January 2012, state was Grade II (H-B scale), 7.5/8(facial nerve grading), 3 points during action 1 point during rest(MoReSS). He had only occasional tinnitus and auditory hypersensitivity. Acupuncture and electro-acupuncture are estimated to be good for facial palsy after removal of facial schwannoma. More cases are required to develop treatment of facial palsy.

• Korean Journal of Clinical Laboratory Science
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• v.43 no.1
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• pp.19-25
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• 2011

The purpose of this study was to analyse brainstem auditory evoked potentials (BAEP) wave change data during microvascular decompression (MVD). The nerve function of Cranial Nerve VIII is at risk during MVD. Intraoperative monitoring of BAEP can be a useful tool to decrease the danger of hearing loss. Between January and December 2009, 242 patients had MVD for hemifacial spasm (HFS) and trigeminal neuralgia (TN). Among intraoperative BAEP changes, amplitude of V-V' was the most frequently observed during cerebellar retraction and decompression step of the MVD procedure. 138 patients (57%) had no BAEP change while 104 patients (42.98%) had BAEP change. 69 patients (28.5%) had Type A-I, 16 patients (6.6%) had Type A-II, 5 patients (2.1%) had Type B, and 13 patients (5.37%) had Type C. MVD is a surgical procedure to relieve the symptoms (e.g. pain, muscle twitching) caused by compression of a nerve by an artery or vein. During BAEP intraoperative monitoring, the surgical step is important in interpreting the changes of wave V. Several potential mechanisms of injury may affect the cochlear nerve, and complete loss of BAEP is often associated with postoperative hearing loss. Intraoperative BAEP monitoring may provide an early warning of hearing disturbance after MVD.