Acoustic bandwidth effects on envelope following responses to simulated bimodal hearing

2021 ◽  
Vol 150 (4) ◽  
pp. A64-A64
Author(s):  
Can Xu ◽  
Fan-Yin Cheng ◽  
Sarah Medina ◽  
Spencer Smith
Keyword(s):  
Author(s):  
Eun-Jung Lim ◽  
Kyu-Yup Lee ◽  
Yee-Hyuk Kim ◽  
Chang-Min Sin ◽  
Sung-Jae Youn ◽  
...  

2010 ◽  
Vol 31 (5) ◽  
pp. 332-338 ◽  
Author(s):  
Stefano Berrettini ◽  
Susanna Passetti ◽  
Michela Giannarelli ◽  
Francesca Forli

Author(s):  
Poonam Raj ◽  
Ruchika Mittal

<p class="abstract"><strong>Background:</strong> With the steady increase in unilateral cochlear implant surgery as management of bilateral sensorineural hearing loss, the benefits of bimodal hearing have been well documented. However very few studies are available on the timing of bimodal hearing stimulation after cochlear implantation. The present study deals with when to provide bimodal hearing in unilaterally implanted children to achieve maximum benefit<span lang="EN-IN">. </span></p><p class="abstract"><strong>Methods:</strong> This study was carried out in 120 children aged between 3-5 years who underwent unilateral cochlear implant surgery. The implant was switched-on two weeks after surgery in all cases. The children were randomized into two groups of 60 each. Group 1 comprised of children who continued to use hearing aid in the non-implanted ear immediately after the cochlear implant surgery. Group 2 children discontinued using hearing aid in the non-implanted ear after surgery and restarted its usage after four weeks of switch on of the cochlear implant. The progress in both groups was monitored using category of auditory performance (CAP) scores and through a questionnaire<span lang="EN-IN">.  </span></p><p class="abstract"><strong>Results:</strong> The mean age of the children was 3.55 years. 11.6 % of the recipients could localize sounds and 5% could understand speech in noisy environment in Group 2 whereas in 1.7% of the recipients could localize sounds and none of the recipient could understand speech in noisy environment in Group 1 after 3 months of follow up.  CAP scores increased steadily in Group 2 over the study period whereas Group 1 recipients did not show the same progress<span lang="EN-IN">. </span></p><p class="abstract"><strong>Conclusions:</strong> We recommend that bimodal fitting should be the standard practice for clinical management of children who receive unilateral cochlear implant. The best practice is to restart the use of the hearing aid in the non-implanted ear, after one month of activation of the implant to achieve maximum benefit<span lang="EN-IN">.</span></p>


2019 ◽  
Vol 40 (3) ◽  
pp. 501-516 ◽  
Author(s):  
René H. Gifford ◽  
Michael F. Dorman

2018 ◽  
Vol 39 (4) ◽  
pp. 422-427 ◽  
Author(s):  
Robert J. Yawn ◽  
Brendan P. O’Connell ◽  
Robert T. Dwyer ◽  
Linsey W. Sunderhaus ◽  
Susan Reynolds ◽  
...  

2011 ◽  
Vol 54 (5) ◽  
pp. 1400-1415 ◽  
Author(s):  
Verena Pyschny ◽  
Markus Landwehr ◽  
Moritz Hahn ◽  
Martin Walger ◽  
Hasso von Wedel ◽  
...  

2009 ◽  
Vol 20 (06) ◽  
pp. 353-373 ◽  
Author(s):  
Lisa G. Potts ◽  
Margaret W. Skinner ◽  
Ruth A. Litovsky ◽  
Michael J. Strube ◽  
Francis Kuk

Background: The use of bilateral amplification is now common clinical practice for hearing aid users but not for cochlear implant recipients. In the past, most cochlear implant recipients were implanted in one ear and wore only a monaural cochlear implant processor. There has been recent interest in benefits arising from bilateral stimulation that may be present for cochlear implant recipients. One option for bilateral stimulation is the use of a cochlear implant in one ear and a hearing aid in the opposite nonimplanted ear (bimodal hearing). Purpose: This study evaluated the effect of wearing a cochlear implant in one ear and a digital hearing aid in the opposite ear on speech recognition and localization. Research Design: A repeated-measures correlational study was completed. Study Sample: Nineteen adult Cochlear Nucleus 24 implant recipients participated in the study. Intervention: The participants were fit with a Widex Senso Vita 38 hearing aid to achieve maximum audibility and comfort within their dynamic range. Data Collection and Analysis: Soundfield thresholds, loudness growth, speech recognition, localization, and subjective questionnaires were obtained six–eight weeks after the hearing aid fitting. Testing was completed in three conditions: hearing aid only, cochlear implant only, and cochlear implant and hearing aid (bimodal). All tests were repeated four weeks after the first test session. Repeated-measures analysis of variance was used to analyze the data. Significant effects were further examined using pairwise comparison of means or in the case of continuous moderators, regression analyses. The speech-recognition and localization tasks were unique, in that a speech stimulus presented from a variety of roaming azimuths (140 degree loudspeaker array) was used. Results: Performance in the bimodal condition was significantly better for speech recognition and localization compared to the cochlear implant–only and hearing aid–only conditions. Performance was also different between these conditions when the location (i.e., side of the loudspeaker array that presented the word) was analyzed. In the bimodal condition, the speech-recognition and localization tasks were equal regardless of which side of the loudspeaker array presented the word, while performance was significantly poorer for the monaural conditions (hearing aid only and cochlear implant only) when the words were presented on the side with no stimulation. Binaural loudness summation of 1–3 dB was seen in soundfield thresholds and loudness growth in the bimodal condition. Measures of the audibility of sound with the hearing aid, including unaided thresholds, soundfield thresholds, and the Speech Intelligibility Index, were significant moderators of speech recognition and localization. Based on the questionnaire responses, participants showed a strong preference for bimodal stimulation. Conclusions: These findings suggest that a well-fit digital hearing aid worn in conjunction with a cochlear implant is beneficial to speech recognition and localization. The dynamic test procedures used in this study illustrate the importance of bilateral hearing for locating, identifying, and switching attention between multiple speakers. It is recommended that unilateral cochlear implant recipients, with measurable unaided hearing thresholds, be fit with a hearing aid.


2014 ◽  
Vol 135 (4) ◽  
pp. 2390-2390 ◽  
Author(s):  
Matthew Fitzgerald ◽  
Katelyn Glassman ◽  
Sapna Mehta ◽  
Keena Seward ◽  
Arlene Neuman

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