Extent of lateralization at large interaural time differences in simulated electric hearing and bilateral cochlear implant users

2017 ◽  
Vol 141 (4) ◽  
pp. 2338-2352 ◽  
Author(s):  
Regina M. Baumgärtel ◽  
Hongmei Hu ◽  
Birger Kollmeier ◽  
Mathias Dietz
Keyword(s):  
Cochlear Implant ◽  
Interaural Time Differences ◽  
Electric Hearing ◽  
Bilateral Cochlear Implant

scholarly journals Chronic Bilateral Cochlear Implant Stimulation in Early-Deaf Rabbits Restores Neural Binaural Sensitivity

2019 ◽  
Author(s):  
Woongsang Sunwoo ◽  
Bertrand Delgutte ◽  
Yoojin Chung
Keyword(s):  
Cochlear Implant ◽  
Sound Localization ◽  
Temporal Coding ◽  
Functional Restoration ◽  
Single Neurons ◽  
Chronic Stimulation ◽  
Interaural Time Differences ◽  
Speech Reception ◽  
Bilateral Cochlear Implant ◽  
Auditory Experience

AbstractCochlear implant (CI) users with a pre-lingual onset of hearing loss show poor sensitivity to interaural time differences (ITD), an important cue for sound localization and speech reception in noise. Similarly, neural ITD sensitivity in the inferior colliculus (IC) of neonatally-deafened animals is degraded compared to animals deafened as adults. Here, we show that chronic bilateral CI stimulation during development can partly reverse the effect of early-onset deafness on ITD sensitivity. The prevalence of ITD sensitive neurons was restored to the level of adult-deaf rabbits in the early-deaf rabbits that received chronic stimulation with wearable bilateral sound processors during development. In contrast, chronic CI stimulation did not improve temporal coding in early-deaf rabbits. The present study is the first report showing functional restoration of ITD sensitivity with CI stimulation in single neurons and highlights the importance of auditory experience during development.

scholarly journals The Spatial Selective Auditory Attention of Cochlear Implant Users in Different Conversational Sound Levels

2021 ◽  
Vol 10 (14) ◽  
pp. 3078
Author(s):  
Sara Akbarzadeh ◽  
Sungmin Lee ◽  
Chin-Tuan Tan
Keyword(s):  
Cochlear Implant ◽  
Sound Level ◽  
Auditory Attention ◽  
Impaired Hearing ◽  
Speech Stimuli ◽  
Electric Hearing ◽  
Sound Levels ◽  
Acoustic Hearing ◽  
Speech Envelope ◽  
Different Levels

In multi-speaker environments, cochlear implant (CI) users may attend to a target sound source in a different manner from normal hearing (NH) individuals during a conversation. This study attempted to investigate the effect of conversational sound levels on the mechanisms adopted by CI and NH listeners in selective auditory attention and how it affects their daily conversation. Nine CI users (five bilateral, three unilateral, and one bimodal) and eight NH listeners participated in this study. The behavioral speech recognition scores were collected using a matrix sentences test, and neural tracking to speech envelope was recorded using electroencephalography (EEG). Speech stimuli were presented at three different levels (75, 65, and 55 dB SPL) in the presence of two maskers from three spatially separated speakers. Different combinations of assisted/impaired hearing modes were evaluated for CI users, and the outcomes were analyzed in three categories: electric hearing only, acoustic hearing only, and electric + acoustic hearing. Our results showed that increasing the conversational sound level degraded the selective auditory attention in electrical hearing. On the other hand, increasing the sound level improved the selective auditory attention for the acoustic hearing group. In the NH listeners, however, increasing the sound level did not cause a significant change in the auditory attention. Our result implies that the effect of the sound level on selective auditory attention varies depending on the hearing modes, and the loudness control is necessary for the ease of attending to the conversation by CI users.

scholarly journals Improving Localization and Speech Reception in Noise for Bilateral Cochlear Implant Recipients

2019 ◽  
Vol 23 ◽  
pp. 233121651983149 ◽  
Author(s):  
Wendy B. Potts ◽  
Lakshmish Ramanna ◽  
Trevor Perry ◽  
Christopher J. Long
Keyword(s):  
Cochlear Implant ◽  
Automatic Gain Control ◽  
Gain Control ◽  
Interaural Level Difference ◽  
Mean Square ◽  
Localization Accuracy ◽  
Speech In Noise ◽  
Speech Reception ◽  
Bilateral Cochlear Implant ◽  
Comparative Survey

This study looked at different methods to preserve interaural level difference (ILD) cues for bilateral cochlear implant (BiCI) recipients. One possible distortion to ILD is from automatic gain control (AGC). Localization accuracy of BiCI recipients using default versus increased AGC threshold and linked AGCs versus independent AGCs was examined. In addition, speech reception in noise was assessed using linked versus independent AGCs and enabling and disabling Autosensitivity™ Control. Subjective information via a diary and questionnaire was also collected about maps with linked and independent AGCs during a take-home experience. Localization accuracy improved in the increased AGC threshold and the linked AGCs conditions. Increasing the AGC threshold resulted in a 4° improvement in root mean square error averaged across all speaker locations. Using linked AGCs, BiCI participants experienced an 8° improvement for all speaker locations and a 19° improvement at the speaker location most affected by the AGC. Speech reception threshold in noise improved by an average of 2.5 dB when using linked AGCs versus independent AGCs. In addition, the effect of linked AGCs on speech in noise was compared with that of Autosensitivity™ Control. The Speech, Spatial, and Qualities of Hearing Scale-12 question comparative survey showed an improvement when using maps with linked AGCs. These findings support the hypothesis that ILD cues may be preserved by increasing the AGC threshold or linking AGCs.

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